Key result
Acute kidney injury in STEMI patients undergoing primary PCI is a multifactorial entity driven by contrast nephropathy, time to reperfusion, hemodynamics, and inflammatory markers.
Population
ST segment elevation myocardial infarction patients undergoing primary percutaneous coronary intervention
Design
Review
Authors
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Supports considering multiple AKI drivers in STEMI PCI; leaves open prospective validation of dominant factors.
Highlights that acute kidney injury in STEMI patients treated with primary PCI is a multifactorial entity, emphasizing the need to consider hemodynamic, reperfusion, and inflammatory factors alongside contrast exposure.
Shacham et al. (2016) conducted a review in ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PCI). Factors leading to renal impairment (contrast nephropathy, time to reperfusion, hemodynamics, inflammatory markers) was evaluated on Acute kidney injury. Acute kidney injury in STEMI patients undergoing primary PCI is a multifactorial entity driven by contrast nephropathy, time to reperfusion, hemodynamics, and inflammatory markers.
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