Acute Renal Insufficiency (ARI) Rate and Predictive Score of ARI in Hospitalized Patients for Acute Coronary Syndrome With ST-segment Elevation Needing Urgent Coronarography

Assistance Publique - Hôpitaux de Paris168 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

168

Conditions

Acute Renal Insufficiency Acute Coronary Syndrome

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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.

Locations (1)

Outcomes

Primary Outcomes

incidence of acute renal failure

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

Time frame: at baselin and at 48 hours