Background:Patients with chronic kidney disease have an increased risk of cardiovascular disease compared to the general population. Ischemic heart disease is the most common cause of death in patients with chronic renal disease.
Aim of the work:Study of patterns and immediate outcome of acute coronary syndrome in patients with different stages of  CKD admitted to sohag university.
Patients and methods: this is an observational prospective immediate outcome study including CKD and non-CKD patients with ACS admitted to CCU sohag university hospital within period from 1-11-2016 to 30-4-2017, and Follow up of major cardiac events for 1 month.A detailed history was taken from each patient and full examination was performed . laboratory investigations, ECG , echocardiography and diagnostic coronary angiography were done.
Results: CKD patients presented to our CCU with ACS have more risk of complications than non-CKD patients. The most presented complication in CKD patients with ACS is heart failure
Conclusion: we conclude that risk factors for ACS in CKD patients more than non-CKD patients. CKD patients with ACS more susceptible to complications rather than non-CKD patients.