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Article History

Received: 23 August 2025

Accepted: 2 January 2026

First Online: 2 February 2026

Declarations

:

: All the participants provided informed written consent prior to their enrollment in the study, which included clear information about potential of publication of anonymized data. Participants were informed that no identifiable personal information will be disclosed in any publications of the study. Given that many participants reside in distant and rural areas and may not return for follow-up, it was not feasible to obtain re-consent specifically for manuscript publication. However, we have ensured full anonymization of data, and no individual patient is identifiable in any form.

: I, Alok Yadav, the lead author and guarantor of this manuscript, affirm that this is an honest, accurate, and transparent account of the study being reported. No important aspects of the study have been omitted, and any discrepancies from the study as originally planned (and, if relevant, registered) have been fully explained.

: This study was conducted in accordance with the ethical principles outlined in Declaration of Helsinki. Ethical approval for this research was obtained from the Institutional Review Committee(IRC) of Manipal College of Medical Sciences. The IRC provided approval under the ethical board approval number IRC/MCOMS/579.

: Informed written consent was obtained from all participants and study received ethical clearance from the institutional review board.

: Patients were not involved in the initial design, recruitment or conduct of this study. The research questions and study objectives were informed by frequent clinical observations of adverse renal outcomes particularly AKI, among patients presenting with MI, often with delayed access to care. Participants were provided with clear verbal and written information about the purpose and relevance of the research. Although patients were not directly involved in data analysis or interpretation, their clinical trajectories, delays in presentation, and management challenges were central to shape the study direction. We plan to share the study findings with participants and the broader community through local health education initiatives in the Nepali language, aiming to promote awareness about the risks of delayed presentation and kidney complications after AMI.

: The authors declare no competing interests.