Open AccessRisk assessment of contrast-induced acute kidney injury in patients with acute myocardial infarction after coronary angiography and percutaneous coronary intervention
Author(s) -
А. А. Урста,
Е. И. Харьков,
М. М. Петрова,
А. Р. Котиков,
О. В. Урста
Publication year - 2021
Publication title -
rossijskij kardiologičeskij žurnal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 14
eISSN - 2618-7620
pISSN - 1560-4071
DOI - 10.15829/1560-4071-2021-4424
Subject(s) - medicine , percutaneous coronary intervention , conventional pci , acute kidney injury , myocardial infarction , creatinine , cardiology , contrast induced nephropathy , angiography
Aim. To assess the risk of contrast-induced acute renal injury (CI-AKI) in patients with acute myocardial infarction in a highly specialized hospital after coronary angiography. Material and methods . The study sample included 502 patients who were treated in the cardiology department of a specialized hospital. CI-AKI was established by an increase in creatinine >26 μmol/L within 48 hours after percutaneous coronary intervention (PCI) with radiopaque contrast agents or an increase in creatinine >50% within a week after PCI. A multistage statistical analysis was used to search for possible predictors of CI-AKI. Results. In total, CI-AKI was diagnosed in 57 (11,3%) patients. Based on the analysis performed, 3 significant predictors of CI-AKI were identified: patient’s age, contrast medium volume (ml/kg) and anemia (presence/absence). An equation for assessing the risk of CI-AKI in patients after PCI has been created. Conclusion. A simple scale for assessing the CI-AKI risk makes it possible to identify a category of patients who requires preventive measures to reduce iatrogenic complications and mortality.