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ORIGINAL ARTICLE

Print ISSN 1738-5520 / On-line ISSN 1738-5555 Copyright © 2011 The Korean Society of Cardiology

DOI 10.4070/kcj.2011.41.4.184

Open Access

Decreased Glomerular Filtration Rate is an Independent Predictor of In-Hospital Mortality in Patients With ST-Segment Elevation Myocardial Infarction Undergoing Primary Percutaneous Coronary Intervention Joon Young Kim, MD1, Myung Ho Jeong, MD2, Yong Keun Ahn, MD2, Jae Hyun Moon, MD1, Shung Chull Chae, MD3, Seung Ho Hur, MD4, Taek Jong Hong, MD5, Young Jo Kim, MD6, In Whan Seong, MD7, In Ho Chae, MD8, Myeong Chan Cho, MD9, Chong Jin Kim, MD10, Yang Soo Jang, MD11, Junghan Yoon, MD12, Ki Bae Seung, MD13, Seung Jung Park, MD14, and Other Korea Acute Myocardial Infarction Registry Investigators St. Carollo Hospital, Suncheon, 2Chonnam National University, Gwangju, 3Kyungpook National University, Daegu, Keimyung University Dongsan Medical Center, Daegu, 5Pusan National University Hospital, Busan, 6 Yeungnam University Hospital, Daegu, 7Chungnam National University Hospital, Daejon, 8 Seoul National University Bundang Hospital, Seongam, 9Chungbuk National University, Cheongju, 10 Kyunghee University Hospital, Seoul, 11Yonsei University Hospital, Seoul, 12Wonju University Hospital, Wonju, 13 Catholic University Hospital, Seoul, 14Asan Medical Center, Seoul, Korea 1 4

ABSTRACT Background and Objectives: Patients with renal dysfunction (RD) experience worse prognosis after myocardial infarction

(MI). The aim of the present study was to investigate the impact of admission estimated glomerular filtration rate (eGFR) on clinical outcomes of patients undergoing primary percutaneous coronary intervention (PCI) for ST-segment elevation MI (STEMI). Subjects and Methods: We retrospectively evaluated 4,542 eligible patients from the Korea Acute Myocardial Infarction Registry (KAMIR). Patients were divided into three groups according to eGFR (mL/min/1.73 m2): normal renal function (RF) group (eGFR ≥60, n=3,515), moderate RD group (eGFR between 30 to 59, n=894) and severe RD group (eGFR