Analysis Of Risk Factors Of Myocardial Infarction Associated Acute Kidney Injury

Objective: To investigate incidence of acute myocardial infarction(AMI)associated acute kidney injury(AKI),and to determine risk factors of AKI in AMI.Method: The clinical data of 213 hospitalized patients diagnosed with AMI from 2016-01-01 to 2016-12-31 are retrospectively studied.The patients are then divided into AKI group and Non-AKI group according to AKI incidence.Compare age,gender,blood pressure,diabetes history,cerebral disease history,acute infection,estimated glomerular filtration rate(e GFR),fasting blood glucose(FBG),cholesterol,triglyceride,hemoglobin,left ventricular ejection fraction(LEVF),percutaneous coronary intervention(PCI),medicine treatment of these 2 groups,and using multiple logistic regression model to evaluate independent risk factors of AKI.Result: 21 cases developed AKI(9.9%).Age,diabetes mellitus history,cerebrovascular disease history,acute infection,diuretics in AKI group are higher than that of Non-AKI group(p<0.05).Baseline e GFR,albumin,LVEF are lower in AKI group than Non-AKI group(p<0.05).Multiple factor logistic regression showed that ascending fasting blood glucose(FBG)(OR=1.196,95%CI 1.009-1.417),PCI(OR= 0.037,95%CI 1.105~27.921)and diuretics(OR=0.241,95%CI 0.063~0.919)are independent risk factors of AKI(p<0.05).Conclusion: The incidence of AKI in AMI is 9.9%.FBG,PCI and diuretics are independent risk factors of AKI.More effective strategies to minimize the risk of AKI in AMI patients is needed.