{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T15:35:57Z","timestamp":1787585757785,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"13","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Circulation"],"published-print":{"date-parts":[[2007,9,25]]},"abstract":"<jats:p>\n            <jats:bold>\n              <jats:italic>Background\u2014<\/jats:italic>\n            <\/jats:bold>\n            Acute myocardial infarction (AMI) is catastrophic for dialysis patients. This study set out to determine the clinical characteristics of dialysis patients hospitalized for AMI in the United States.\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Methods and Results\u2014<\/jats:italic>\n            <\/jats:bold>\n            This retrospective cohort study used data from the US Renal Data System (USRDS) database (n=1 285 177) and the third National Registry of Myocardial Infarction (NRMI 3) (n=537 444). AMI hospitalizations from April 1, 1998, through June 30, 2000, were identified using\n            <jats:italic>International Classification of Diseases<\/jats:italic>\n            , 9th edition, clinical modification, codes 410, 410.x, 410.x0, and 410.x1. The 9418 unique dialysis patients identified with AMI hospitalizations in the USRDS database were cross-matched with the NRMI registry, creating a cohort for analysis that consisted of 3049 matching patients. Clinical characteristics of dialysis and nondialysis (n=534 395) AMI patients were compared by use of the \u03c7\n            <jats:sup>2<\/jats:sup>\n            test. Of clinical significance, 44.8% of dialysis patients were diagnosed as not having acute coronary syndrome on admission, versus 21.2% of nondialysis patients; 44.4% presented with chest pain, versus 68.3% of nondialysis patients; and 19.1% had ST elevation, versus 35.9% of nondialysis patients. Cardiac arrest was twice as frequent for dialysis patients (11.0% versus 5.0%), and in-hospital death was nearly so (21.3% versus 11.7%). In a logistic regression model, the odds ratio for in-hospital death for dialysis versus nondialysis patients was 1.498 (95% CI, 1.340 to 1.674).\n          <\/jats:p>\n          <jats:p>\n            <jats:bold>\n              <jats:italic>Conclusions\u2014<\/jats:italic>\n            <\/jats:bold>\n            Dialysis patients hospitalized for AMI differ strikingly from nondialysis patients, which possibly explains their poor outcomes. Intensive efforts for early, accurate recognition of AMI in dialysis patients are warranted.\n          <\/jats:p>","DOI":"10.1161\/circulationaha.107.696765","type":"journal-article","created":{"date-parts":[[2007,9,5]],"date-time":"2007-09-05T01:11:26Z","timestamp":1188954686000},"page":"1465-1472","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":196,"title":["Clinical Characteristics of Dialysis Patients With Acute Myocardial Infarction in the United States"],"prefix":"10.1161","volume":"116","author":[{"given":"Charles A.","family":"Herzog","sequence":"first","affiliation":[{"name":"From the Cardiovascular Special Studies Center, US Renal Data System, and the Division of Cardiology, Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis (C.A.H.); Genentech, Inc, South San Francisco, Calif (K.L., M.B.); US Renal Data System Coordinating Center, Minneapolis, Minn (C.A.); and ICON Lifecycle Sciences Group, San Francisco, Calif (P.D.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathee","family":"Littrell","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Special Studies Center, US Renal Data System, and the Division of Cardiology, Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis (C.A.H.); Genentech, Inc, South San Francisco, Calif (K.L., M.B.); US Renal Data System Coordinating Center, Minneapolis, Minn (C.A.); and ICON Lifecycle Sciences Group, San Francisco, Calif (P.D.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheryl","family":"Arko","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Special Studies Center, US Renal Data System, and the Division of Cardiology, Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis (C.A.H.); Genentech, Inc, South San Francisco, Calif (K.L., M.B.); US Renal Data System Coordinating Center, Minneapolis, Minn (C.A.); and ICON Lifecycle Sciences Group, San Francisco, Calif (P.D.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul D.","family":"Frederick","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Special Studies Center, US Renal Data System, and the Division of Cardiology, Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis (C.A.H.); Genentech, Inc, South San Francisco, Calif (K.L., M.B.); US Renal Data System Coordinating Center, Minneapolis, Minn (C.A.); and ICON Lifecycle Sciences Group, San Francisco, Calif (P.D.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Blaney","sequence":"additional","affiliation":[{"name":"From the Cardiovascular Special Studies Center, US Renal Data System, and the Division of Cardiology, Department of Medicine, Hennepin County Medical Center, University of Minnesota, Minneapolis (C.A.H.); Genentech, Inc, South San Francisco, Calif (K.L., M.B.); US Renal Data System Coordinating Center, Minneapolis, Minn (C.A.); and ICON Lifecycle Sciences Group, San Francisco, Calif (P.D.F.)."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASN.0000087640.94746.47"},{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199809173391203"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0272-6386(00)70038-2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2000.17676"},{"key":"e_1_3_2_5_2","unstructured":"US Renal Data System. 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Accessed July 16 2007."},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2005.11.017"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(03)00572-2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-7-200210010-00007"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-137-7-200210010-00006"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1053\/ajkd.2001.24522"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1067\/mhj.2002.125513"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM197403282901301"},{"key":"e_1_3_2_16_2","unstructured":"US Renal Data System. USRDS 2006 Annual Data Report: Atlas of End-Stage Renal Disease in the United States. Bethesda Md: National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases; 2006."}],"container-title":["Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/CIRCULATIONAHA.107.696765","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T06:09:31Z","timestamp":1715580571000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/CIRCULATIONAHA.107.696765"}},"subtitle":["A Collaborative Project of the United States Renal Data System and the National Registry of Myocardial Infarction"],"short-title":[],"issued":{"date-parts":[[2007,9,25]]},"references-count":16,"journal-issue":{"issue":"13","published-print":{"date-parts":[[2007,9,25]]}},"alternative-id":["10.1161\/CIRCULATIONAHA.107.696765"],"URL":"https:\/\/doi.org\/10.1161\/circulationaha.107.696765","relation":{},"ISSN":["0009-7322","1524-4539"],"issn-type":[{"value":"0009-7322","type":"print"},{"value":"1524-4539","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,9,25]]},"assertion":[{"value":"2007-09-04","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}