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- Title
Contrast-Induced Nephropathy in Patients With ST Elevation Myocardial Infarction Treated With Primary Percutaneous Coronary Intervention.
- Authors
Elbasan, Zafer; Şahin, Durmuş Yıldıray; Gür, Mustafa; Kuloğlu, Osman; Kıvrak, Ali; İçen, Yahya Kemal; Türkoğlu, Caner; Yıldırım, Arafat; Özdoğru, İbrahim; Çaylı, Murat
- Abstract
We assessed the relationship between contrast-induced nephropathy (CIN) and SYNTAX score (SS) and serum uric acid (SUA) levels in patients with ST elevation myocardial infarction (STEMI). A total of 835 STEMI patients in whom primary percutaneous coronary intervention was performed in our cardiology clinic were included in this study (615 male, 220 female; mean age 58.1 ± 12.2 years). The patients were divided into 2 groups (CIN and non-CIN). Contrast-induced nephropathy was observed in 9.6% (80) of patients; SS (13.9 ± 6.2/22.1 ± 5.8) and SUA (5.1 ± 0.9/6.2 ± 0.9) values in the CIN group were higher compared with the non-CIN group (P < .001, for all). All SS (95% confidence interval [CI] = 1.136-1.250, P = .001), SUA (95% CI = 1.877-3.236, P = .002), and diabetes (95% CI = 0.998-1.039, P = .026) were independent predictors of CIN in logistic regression analysis. Procedures that can prevent CIN may be beneficial in patients at high risk as identified by the SS and SUA levels.
- Subjects
MYOCARDIAL infarction treatment; CHI-squared test; CONFIDENCE intervals; CREATININE; KIDNEY diseases; MYOCARDIAL revascularization; T-test (Statistics); TRANSLUMINAL angioplasty; URIC acid; LOGISTIC regression analysis; CONTRAST media; RECEIVER operating characteristic curves; DATA analysis software; DESCRIPTIVE statistics
- Publication
Angiology, 2014, Vol 65, Issue 1, p37
- ISSN
0003-3197
- Publication type
Article
- DOI
10.1177/0003319712463816