Impaired renal function is one of the strongest risk factors
for cardiovascular mortality. In a retrospective analysis
in patients with CS due to AMI, 33% developed an AKI
within 24 hours of shock onset and showed a significantly
higher mortality rate than did patients without AKI [29].
In a recent prospective study of STEMI patients with CS,
AKI occurred in 55% of patients, and the in-hospital mortality
rate was significantly higher in patients developing
AKI than in patients without AKI [30]. In our study with
STEMI and also NSTEMI patients, AKI occurred in 36%
of patients during first 72 hours after admission. All measured
parameters of renal insufficiency were clearly associated
with worse outcome