Key result
In hemodynamically stable patients with myocardial infarction undergoing emergency PCI, a contrast volume ≥ 145 ml was strongly associated with the development of contrast-induced acute kidney injury (OR 9.33).
Why the study?
Predictors of contrast-induced acute kidney injury in hemodynamically stable patients with myocardial infarction needed to be determined.
Population
487 hemodynamically stable MI patients after emergency PCI
Comparison
Patients who developed CI-AKI vs those without CI-AKI
Design
Observational study
Follow-up
48 hours
Authors
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May aid CI-AKI risk stratification in stable post-PCI MI; leaves open prospective validation of predictors.
Observational (n=487)
Open-label
No
Odds Ratio: 9.33 (95% CI 3.22–27.06)
p-value: p=<0.001
In hemodynamically stable patients with myocardial infarction undergoing emergency PCI, elevated admission glucose, higher contrast volume, and multi-stent implantation are significant predictors of contrast-induced acute kidney injury.
O. V. Arsenicheva (2022) conducted an observational in Myocardial infarction (n=487). Contrast volume ≥ 145 ml vs. Contrast volume < 145 ml was evaluated on Contrast-induced acute kidney injury (CI-AKI) within 48 hours (OR 9.33, 95% CI 3.22-27.06, p=<0.001). In hemodynamically stable patients with myocardial infarction undergoing emergency PCI, a contrast volume ≥ 145 ml was strongly associated with the development of contrast-induced acute kidney injury (OR 9.33).
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