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Editor's Correspondence |

Acute Kidney Injury and Long-term Prognosis After Acute Myocardial Infarction

Alberto Bouzas-Mosquera, MD; José M. Vázquez-Rodríguez, MD; Jesús Peteiro, MD, PhD; Nemesio Álvarez-García, MD
Arch Intern Med. 2009;169(1):87-89. doi:10.1001/archinternmed.2008.554.
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We read with great interest the article by Parikh et al1 titled “Long-term prognosis of acute kidney injury after myocardial infarction.” In their article, Parikh et al1 evaluated 147 007 patients with acute myocardial infarction and concluded that acute kidney injury during admission had an independent association with long-term mortality.

Whether acute kidney injury is an independent predictor of long-term mortality in patients with acute myocardial infarction is a matter of controversy,2 since it is usually a transient condition and tends to occur in patients with higher age and more extensive myocardial infarctions, along with many other comorbidities that may also be associated with outcome. The authors adjusted their results for several variables, including left ventricular ejection fraction (LVEF), which has been shown to be a strong predictor of long-term survival after an acute myocardial infarction.3,4

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