Heart Views

ORIGINAL ARTICLE
Year
: 2015  |  Volume : 16  |  Issue : 2  |  Page : 47--52

Prevalence of chronic kidney disease and the incidence of acute kidney injury in patients with coronary artery disease in Mumbai, India


Pavan Malleshappa1, Bharat V Shah2 
1 Department of Medicine, Division of Nephrology, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Mandya, Karnataka, India
2 Department of Nephrology, Global Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Pavan Malleshappa
Department of Medicine, Division of Nephrology, Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, Nagamangala, Mandya, Karnataka
India

Background and Objective: To determine the prevalence of chronic kidney disease (CKD) and incidence of acute kidney injury (AKI) in patients with coronary artery disease (CAD) demonstrated on coronary angiography. Materials and Methods: Totally, 125 patients admitted to Lilavati Hospital and Research Centre, Mumbai, with CAD were included in the study. Results: Left anterior descending artery was the major vessel involved (40%), followed by a circumflex artery (21.6%). 49 out of 125 (39.2%) were found to have underlying CKD. 69% (34) of these CKD patients developed AKI. 21 out of 34 patients who developed AKI required hemodialysis. Only 47.1% (16 out of 34) of CKD patients had complete recovery, 29% had partial recovery, and 23% had no recovery of their renal function from AKI. Statistically significant number of patients in CKD group had no recovery from AKI as compared to non-CKD group (23.5% vs. 0%). Conclusion: Our study concludes that there is a very high prevalence of CKD (39.2%) in patients with CAD and AKI is a very important complication (38.4%) in these patients. Considering such a high prevalence of CKD, nephrology referral must be considered in patients with abnormal urinalysis, spot urinary protein to creatinine ratio and in patients whose creatinine clearance is <60 ml/min.


How to cite this article:
Malleshappa P, Shah BV. Prevalence of chronic kidney disease and the incidence of acute kidney injury in patients with coronary artery disease in Mumbai, India.Heart Views 2015;16:47-52


How to cite this URL:
Malleshappa P, Shah BV. Prevalence of chronic kidney disease and the incidence of acute kidney injury in patients with coronary artery disease in Mumbai, India. Heart Views [serial online] 2015 [cited 2020 Mar 28 ];16:47-52
Available from: http://www.heartviews.org/article.asp?issn=1995-705X;year=2015;volume=16;issue=2;spage=47;epage=52;aulast=Malleshappa;type=0