ArticleClinical research in cardiology : official journal of the German Cardiac Society2012
Renal dysfunction as a risk factor for painless myocardial infarction: results from Korea Acute Myocardial Infarction Registry.
Article in Clinical research in cardiology : official journal of the German Cardiac Society, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 13 citations in OpenAlex.
- Pre-Hospital Delay and Outcomes in Myocardial Infarction With Nonobstructive Coronary Arteries.Korean circulation journal · 2024Article
- Do patients with diabetes with new onset acute myocardial infarction present with different symptoms than non-diabetic patients?Frontiers in cardiovascular medicine · 2024Article
- Serum neutrophil gelatinase-associated lipocalin has an advantage over serum cystatin C and glomerular filtration rate in prediction of adverse cardiovascular outcome in patients with ST-segment elevation myocardial infarction.BMC cardiovascular disorders · 2017Article
- A multicentre prospective evaluation of the impact of renal insufficiency on in-hospital and long-term mortality of patients with acute ST-elevation myocardial infarction.Chinese medical journal · 2015Article
- The scientific achievements of the decades in Korean Acute Myocardial Infarction Registry.The Korean journal of internal medicine · 2014Review
- Comparison of modification of diet in renal disease and chronic kidney disease epidemiology collaboration formulas in predicting long-term outcomes in patients undergoing stent implantation due to stable coronary artery disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2014Article
- Effects of trimetazidine in patients with acute myocardial infarction: data from the Korean Acute Myocardial Infarction Registry.Clinical research in cardiology : official journal of the German Cardiac Society · 2013Article
- Percutaneous coronary intervention for acute myocardial infarction in elderly patients with renal dysfunction: results from the Korea Acute Myocardial Infarction Registry.Journal of Korean medical science · 2013Article
- Suboptimal medical care of patients with ST-elevation myocardial infarction and renal insufficiency: results from the Korea Acute Myocardial Infarction Registry.BMC nephrology · 2012Article
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11 authors at 2 institutions in 1 country.
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Abstract
aimRenal dysfunction has been associated with many types of neuropathy and the incidence of myocardial infarction (MI) presenting without chest pain can be expected to be higher in patients with renal dysfunction. We evaluated clinical outcomes of painless MI patients and relationship between renal dysfunction and painless MI. METHODS AND
resultsStudy population consisted of 9,735 patients (63 ± 13 years, men 70.7 %), whose discharge diagnosis by cardiac enzyme and electrocardiogram was MI. The study subjects were divided into two groups according to presence of chest pain (painful MI group, n = 8,249; painless MI group, n = 1486). Rates of in-hospital death, 1-month and 12-month composite MACE, cardiac death, and non-cardiac death were significantly higher in painless MI patients. In a multivariate logistic analysis, compared with glomerular filtration rate (GFR) > 90 mL/min/1.73 m(2), odds ratio of painless MI was increased proportionally in patients with GFR of 30-59, 15-29 and <15 mL/min/1.73 m(2) (odds ratio [OR] 1.25, 95 % confidence interval [CI] 1.05-1.49; OR 1.88, CI 1.39-2.53; OR 2.32, CI 1.65-3.26) In addition, the concomitant presence of renal dysfunction and diabetes mellitus significantly affected the prevalence of painless MI.
conclusionPoorer outcomes of painless MI patients and the increased probability of painless MI proportional to declining GFR indicate that the possibility of painless MI should be considered in patients with renal dysfunction, particularly concomitant with diabetes mellitus.
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