Acute Coronary Syndrome, Acute Renal Insufficiency
Conditions
Keywords
Acute Renal Insufficiency, Acute Coronary Syndrome
Brief summary
The primary objective of the study aims to evaluate frequence of acute renal insufficiency in patients with ST-segment elevation who need urgent coronary angiography in Ambroise Paré hospital. The secondary objectives are: * identify factors of risks associated with the occurrence of acute renal insufficiency after coronarography. * establish a preprocedure score, predicting of acute renal insufficiency after urgent coronary angiography in patients with ST+ acute coronary syndrome.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* patient aged ≥ 18 years; * evocative symptoms of myocardiac ischemia: typical chest pain; ST-segment elevation and 1 mm in two consecutive peripheral leads and 2 mm in two consecutive precordial derivations, or appearance of a bloc of left branch of novo; * need urgent coronarography; * Covered by french social security scheme included CMU.
Exclusion criteria
* dialysed patient for chronic renal insufficiency; * cardio-resporatory arrest; * cardiogenic choc state; * prior emergency passage to hospital; * patient under tutor, gardianship; * patient covered by french AME scheme; * pregnant women or breastfeeding; * all medical, psychological or social situation which should influents the compliance to protocol according to investigator; * patient refusal.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| incidence of acute renal failure | at baselin and at 48 hours | Acute renal failure is defined as an increase in plasma creatinine of at least 26.5µmol/l within 48 hours, or an increase in plasma creatinine of at least 1.5 times plasma creatinine within 48hours of hospitalisation |
Countries
France