The potential association between impaired renal function and the incidence of cardiovascular events has been thoroughly studied. The focus of this study was to describe the renal function for patients admitted with Myocardial Infarction (MI).
This retrospective descriptive study was based on reviewing the medical files of MI patients admitted to the West Bank hospitals of Palestine between January 2012 and July 2014.
Out of 320 MI patients’ files, only 279 files were included in the study. Two hundreds and eighteen (78.1%) patients were males and the mean age was 59 ± 0.736 years and the majority of the patients (77.4%) attended governmental hospitals. The smoking history was documented in few files (50) and it was found that 42 (84.0%) of the patients were smokers.
Regarding the patients’ co-morbid diseases, diabetes mellitus status was reported in 113 files and 88 (77.9%) patients were diabetics. Hypertension was mentioned in 97 files (34.8%) and 84 (86.6%) patients were hypertensive. The lipid status was reported in 43 files with only 6 patients (14.0%) suffered from hyperlipidemia. Twenty five (52.1%) out of 48 patients suffered from previous ischemic heart disease, while 12 patients had a history of atherosclerosis.
At admission, patients complained from many classical symptoms of MI. The majority of patients (n=220, 78.9%) suffered from chest pain, 48 (17.2%) patients experienced diaphoresis, 51 (18.3%) patients had nausea and 81 (29.0%) patients experienced dyspnea.
Creatinine and Blood Urea Nitrogen (BUN) were the most commonly used tests to evaluate the kidney function. About 254 (91.0%) patients had been tested for their serum creatinine levels with 66 (26.0%) of these patients had high blood creatinine concentration. On the other hand, the BUN test was performed for 145 patients and 76 (52.4%) of these patients had elevated BUN. Uric acid was less commonly used and it was measured for 48 patients and 42 (87.5%) of these patients had normal blood uric acid.
We concluded that MI is a multi-factorial disease and the impaired kidney function may significantly contribute to the occurrence of MI and patients with renal failure may have an extremely high risk of cardiovascular disease.
Keywords: Renal Function, Myocardial Infarction, Creatinine, Urea, Palestine