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The Scientific World Journal
Volume 2012, Article ID 186495, 5 pages
Clinical Study

The Effect of Admission Creatinine Levels on One-Year Mortality in Acute Myocardial Infarction

1Deparment of Cardiology, Sakarya Education and Research Hospital, Korucuk, 54100 Sakarya, Turkey
2Deparment of Cardiology, Sakarya University Medical Faculty, Sakarya, Turkey

Received 3 October 2011; Accepted 14 November 2011

Academic Editor: Kojiro Awano

Copyright © 2012 Mehmet Akif Cakar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. We have known that patients with renal insufficiency (creatinine level) have increased mortality for coronary artery disease. In this study, the relationship between admission creatinine level and one year mortality are evaluated in patients with acute myocardial infarction (AMI). Method. 160 AMI patients (127 men and 33 women with a mean age of 59 ± 13) were enrolled in the study. Serum creatinine levels were measured within 12 hours of AMI. The patients were divided into two groups according to admission serum creatinine level. (1) elevated group (serum creatinine > 1.3 mg/dL) and (2) normal group (≤1.3 mg/dL). One year mortality rates were evaluated. Results. Elevated serum creatinine is observed in the 27 patients (16.9%). The mean creatinine level is 1.78 ± 7 mg/dL in the elevated group and 0.9 ± 0.18 mg/dL in the normal group ( 𝑃 < 0 . 0 0 0 1 ). The mortality rate of the elevated group ( 𝑛 = 7 , 25.9%) is higher than that of the normal group ( 𝑛 = 9 , 6.8%). A significant increase in one year mortality is also observed ( 𝑃 = 0 0 2 ) 60. Conclusion. The mildly elevated admission serum creatinine levels are markedly increased to one year mortality in patients with AMI.