Kidney Function, Myocardial Infarction
Conditions
Keywords
Myocardial Infarction (MI), Kidney function, bio-markers
Brief summary
The purpose of this study is to determine if a sizable myocardial infarction (heart attack) results in negative changes to renal structure and function (i.e. has a negative impact on the kidneys). To determine if the renal response to a myocardial infarction is a predictor of the patients future health.
Detailed description
Chronic heart and kidney disease are increasingly common in Western society. Both conditions are associated with frequent hospitalisation and increased mortality. Furthermore, there are mechanistic reasons why one condition may beget the other; the so-called cardiorenal syndrome. The investigators therefore wish to determine if a sizable myocardial infarction (heart attack) results in negative changes to renal structure and function (i.e. has a negative impact on the kidneys). The investigators also wish to determine if the renal response to a myocardial infarction is a predictor of the patients future health. To do this the investigators will measure markers of kidney function at the time of the heart attach, at discharge, 1 month, 6 months and 12 months and correlate this with the patients clinical condition.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Age \> 18 years Have provided written informed consent Group 1: * Non-Q wave MI patients * normal cardiac and renal function * No use of contrast * eGFR \> 60ml/min Group 2: * Patients undergoing coronary angiography +/- PCI for stable CAD or non-Q wave MI * normal cardiac and renal function * eGFR \> 60ml/min Group 3: * Acute STEMI Full thickness infarct (STEMI) * eGFR ≥ 60ml/min Group 4: * Acute STEMI Full thickness infarct (STEMI) * eGFR \< 60ml/min
Exclusion criteria
* Unable or unwilling to comply with the study protocol * Underlying medical condition which, in the opinion of the investigator, will effect the safely or efficacy of the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| changes in renal function and structure | Baseline, discharge, 1 month, 6 months and 12 months |
Secondary
| Measure | Time frame |
|---|---|
| renal response to myocardial infarction | baseline, discharge, 1 month, 6 months and 12 months |
Countries
Australia