PT  - JOURNAL ARTICLE
AU  - Giancarlo Marenzi
AU  - Nicola Cosentino
AU  - Antonio L Bartorelli
TI  - Acute kidney injury in patients with acute coronary syndromes
AID  - 10.1136/heartjnl-2015-307773
DP  - 2015 Nov 15
TA  - Heart
PG  - 1778--1785
VI  - 101
IP  - 22
4099  - http://heart.bmj.com/content/101/22/1778.short
4100  - http://heart.bmj.com/content/101/22/1778.full
SO  - Heart2015 Nov 15; 101
AB  - Acute kidney injury (AKI) is increasingly being seen in patients with acute coronary syndromes (ACSs). This condition has a complex pathogenesis, an incidence that can reach 30% and it is associated with higher short-term and long-term morbidity and mortality. Nevertheless, AKI is still characterised by lack of a single accepted definition, unclear pathophysiology understanding and insensitive diagnostic tools that make its detection difficult, particularly in the setting of ACS. Recent data suggested that patients with AKI during ACS, even those in whom renal function seems to fully recover, face an increased, persisting risk of future AKI and may develop chronic kidney disease. Thus, in these patients, nephrology follow-up, after hospital discharge, and secondary preventive measures should possibly be implemented. In this review, we aim at providing a framework of knowledge to increase cardiologists’ awareness of AKI, with the goal of improving the outcome of patients with ACS.