Audit on the Incidence of Myocardial Infarction among Dialysis Patients at Alliance Hospital, Nairobi, Kenya

Introduction:Patients undergoing dialysis have a markedly increased risk of cardiovascular disease, with myocardial infarction (MI) being a major cause of morbidity and mortality. This increased risk is attributed to a combination of traditional cardiovascular risk factors and dialysis-related factors such as chronic inflammation and vascular calcification. Clinical audits are essential for evaluating the burden of MI in this high-risk population and identifying opportunities for improving clinical care. Methods:A retrospective clinical audit was conducted at Alliance Hospital, Nairobi, Kenya, involving patients undergoing dialysis between June and December 2024. Medical records were reviewed to determine the incidence of myocardial infarction, associated risk factors, dialysis modality, and clinical outcomes. Data were analysed using descriptive statistics. Results:A total of 25 dialysis patients were included in the audit. Five patients (20%) developed myocardial infarction during the audit period. All patients who developed MI had pre-existing hypertension, and the majority also had diabetes mellitus. Most MI cases occurred in patients receiving haemodialysis. Two patients required admission to the intensive care unit, and one mortality was recorded. Conclusion:This audit demonstrates a significant incidence of myocardial infarction among dialysis patients at Alliance Hospital. Strengthening cardiovascular risk assessment, optimizing management of comorbid conditions, and enhancing early detection strategies may help reduce adverse cardiovascular outcomes in this vulnerable population.