The effect of renal artery stenosis on the risk of vascular events in patients with acute coronary syndrome


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

Purpose. To evaluate the effect of renal artery stenosis on the risk of vascular events in patients with acute coronary syndrome. Material and Methods. The study included a total of 323 patients with acute coronary syndrome, 2і7 (67.i%) men, 106 (32.9%) women. The average age of the examined patients was 59.6±9.2 years. Results. Atherosclerotic lesions of the renal arteries, in addition to magnitude of EF or the size of la, RV, and the thickness of IVS, influenced the risk of non-fatal vascular events (х2=7.46, P =0.024, х2=7.37, P =0.025, х2=11,1, р=0.004, х2=9.52 , р=0.009, respectively). Also, the risk discussed was increased in case of a GFR increase after coronary angiography, х2=9.83, P=0.007. Conclusions. a model for predicting fatal and non-fatal vascular events, proposed in the the study, can be widely used in a comprehensive examination of patients with Acs and atherosclerotic lesions of the renal arteries.

Full Text

Restricted Access

About the authors

N. D Kobzeva

FSBEI HE "Rostov State Medical University” of RMH

Email: kobzeva.nataliya1@gmail.com
Department of Internal Diseases № 1 Rostov-on-Don, Russia

V. P Terentyev

FSBEI HE "Rostov State Medical University” of RMH

Email: vpterentev@mail.ru
Department of Internal Diseases № 1 Rostov-on-Don, Russia

M. M Batyushin

FSBEI HE "Rostov State Medical University" of RMH

Email: batjushin-m@rambler.ru
Department of Internal Diseases № 2 Rostov-on-Don, Russia

M. Z Gasanov

FSBEI HE "Rostov State Medical University” of RMH

Email: mitkhat@mail.ru
PhD in Medical Science, Associate Professor at the Department of Internal Diseases №1 Rostov-on-Don, Russia

References

  1. Zheng B., Lui J., Zhao D., Wang X., Zheng Z. Association of atherosclerotic renal artery stenosis with major adverse cardiovascular events after acute myocardial infarction. Chin. Med. J. (Engl). 2014;127(4):618-622.
  2. Burlacu A., Siriopol D., Voroneanu L.Atherosclerotic renal artery stenosis prevalence and correlations in acute myocardial infarction patients undergoing primary percutaneous coronary interventions. J. Am. Heart. Assoc. 2015;12,4(10):e002379. doi: 10.1161/JAHA.115.002379.
  3. Qin M., Bin Z., Kang M., Qiang Y. A simple score for predicting renal artery stenosis in patients with ischemic heart disease. Int. J. Clin. Exp. Med. 2015;8(3):4302-4310.
  4. Рекомендации ESC/ESVS по заболеваниям периферических артерий, 2017.
  5. Моисеев В.С., Мухин Н.А. Национальные рекомендации. Сердечнососудистый риск и хроническая болезнь почек: стратегии кардионефропротекции. Клин. нефрология. 2014;2:4-29.
  6. Middleton R.J., Foley R.N., Hegarty J., Cheung C.M., McElduff P., Gibson J.M., Kalra P.A., O’Donoghue D.J., New J.P. The unrecognized prevalence of chronic kidney disease in diabetes. Nephrol. Dial. Transplant. 2006; 21:88-92.
  7. Бокерия Л.А., Алекян Б.Г. Руководство по рентгеноэндоваскулярной хирургии сердца и сосудов. Т. 3. Рентгеноэндоваскулярная хирургия ишемической болезни сердца. М.: НЦССХ им. А.Н. Бакулева РАМН, 2008;438-456.

Supplementary files

Supplementary Files
Action
1. JATS XML

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies