P-193: Impact of renal failure on in-hospital prognosis in patients with hypertension presenting with acute myocardial infarction: insights from a tunisian registry

Backgound Patients with hypertension (HTN) presenting with acute myocardial infarction (AMI) are at high risk of major cardiac events in the hospital course. On the other hand, renal failure on admission (RF) is common in this population. We aimed to study the impact of renal failure on admission on in-hospital mortality in patients with HTN presenting with AMI. Methods We reviewed data from a retrospective registry including 1498 patients presenting to our center for AMI from January 1998 to November 2014. Patients were managed either by primary percutaneous coronary intervention (pPCI), prehospital thrombolysis or conservative medical treatment. In-hospital prognosis was studied according to hypertensive status of patients and the impact of RF on mortality. Results Out of the overall study population, 451 (30.1%) have hypertension and 288 (19.2%) have RF (plasma creatinin rate on admission more than 120 μmol/L). Patients with HTN were older (65.9 vs. 58.1 years, p  Conclusions In our study, in HTN patients presenting with AMI, renal failure on admission was common and associated with higher mortality rate.