Key result
Anterior STEMI linked to ~3.4-fold higher early AKI risk vs inferior STEMI.
Why the study?
Data regarding the early development and clinical correlates of AKI among patients with STEMI remain limited in resource-constrained settings.
Observational (n=50)
No
In a single-center Bangladeshi cohort of hospitalized STEMI patients, acute kidney injury was highly prevalent (34% at 48 hours and 44% at 7 days) and significantly associated with anterior-wall myocardial infarction.
May warrant closer AKI monitoring in anterior STEMI; observational data leaves open targeted prevention trials.
Background: Acute kidney injury (AKI) is a frequent and clinically significant complication of acute myocardial infarction (AMI) and is associated with adverse in-hospital outcomes. However, data regarding the early development and clinical correlates of AKI among patients with ST-segment elevation myocardial infarction (STEMI) remain limited in resource-constrained settings. This study aimed to determine the prevalence of early AKI and examine its association with selected demographic and clinical characteristics among patients hospitalized with STEMI.
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Tanmoy et al. (2026) conducted an observational in ST-segment elevation myocardial infarction (STEMI) (n=50). Anterior-wall STEMI vs. Inferior-wall STEMI was evaluated on Development of acute kidney injury (AKI) within 48 hours of hospitalization (1st KDIGO criteria: increase in serum creatinine by ≥0.3 mg/dL) (p=0.028). Acute kidney injury developed in 34% of hospitalized STEMI patients within 48 hours and 44% by day 7, with anterior-wall STEMI significantly associated with early AKI compared to inferior-wall STEMI (48.3% vs 14.3%, p=0.028).
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