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Journals / Anatolian Journal of Emergency Medicine / 2026 / Cilt: 4 Sayı: 2

Analysis of Contrast-Induced Nephropathy in Patient with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention in the Emergency Department

Acil Serviste Akut Miyokard Enfarktüsü Tanısı Alıp Perkütan Koroner Girişim Uygulanan ve Kontrast Nefropati Gelişen Hastaların Analizi

Yeliz Simsek(ADANA NUMUNE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0003-2362-2112
Selen Surer(ADANA NUMUNE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0001-7653-6643
Salim Satar(ADANA NUMUNE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0001-6080-4287
Yahya Kemal İçen(ADANA NUMUNE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ)0000-0003-0070-5281
Pages
39–42
Publication Date
2021-06-29
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There was a statistically significant relationship between occurrences CI-AKI and age, gender, AST, ALT, creatinine levels at admission, cardiac dysfunction (P 70 years, abnormal pre-PCI creatinine, female gender, high basal AST-ALT levels, cardiac dysfunction may predict CI-AKI development in patients who undergoing PCI for treatment of AMI.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: The purpose of this study was to determine the incidence and predictors of Contrast-induced acute kidney injury (CI-AKI) in emergency patients undergoing primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI).
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Key Findings & Data:Patients’ N-terminal pro-brain natriuretic peptide (NT-proBNP) levels, left ventricular ejection fraction (LVEF) and results of angiography was recorded in 422 patients.
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Conclusion & Impact:There was a statistically significant relationship between occurrences CI-AKI and age, gender, AST, ALT, creatinine levels at admission, cardiac dysfunction (P 70 years, abnormal pre-PCI creatinine, female gender, high basal AST-ALT levels, cardiac dysfunction may predict CI-AKI development in patients who undergoing PCI for treatment of AMI.
🔬Design:Araştırma Makalesi
📍Scope:Comprehensive Sample
⚙️Variables:Acil · kontrast nefropati · perkutan koroner anjiyografi

Abstract

Aim: The purpose of this study was to determine the incidence and predictors of Contrast-induced acute kidney injury (CI-AKI) in emergency patients undergoing primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). Material and Methods: We enrolled electrocardiogram (ECG) findings, serum creatinine (Cr), troponin, alanine aminotransferase (ALT), aspartate aminotransferase (AST) levels at pre-PCI and Cr levels post-PCI following three days. Patients’ N-terminal pro-brain natriuretic peptide (NT-proBNP) levels, left ventricular ejection fraction (LVEF) and results of angiography was recorded in 422 patients. We analyzed the relationship between examined parameters and the occurrences of CI-AKI. Results: CI-AKI occurred in 9.7% of patients. There was a statistically significant relationship between occurrences CI-AKI and age, gender, AST, ALT, creatinine levels at admission, cardiac dysfunction (P 70 years, abnormal pre-PCI creatinine, female gender, high basal AST-ALT levels, cardiac dysfunction may predict CI-AKI development in patients who undergoing PCI for treatment of AMI.

Özet

Amaç: Çalışmamızda, acil serviste akut miyokardiyal enfarktüs (AMI) tanısı alan ve perkutan koroner anjiyografi (PKA) uygulanan hastalarda, kontrast kaynaklı akut böbrek hasarının (CI-AKI) insidansını ve klinik prediktörlerini belirlemek amaçlandı. Gereç ve Yöntemler: Çalışmamıza 422 hasta dâhil edildi. Hastaların, kan troponin, alanin aminotransferaz (ALT), aspartat aminotransferaz (AST) düzeyleri, başvuru sırasındaki ve PKA’dan üç gün sonraki serum kreatinin (Cr) düzeyleri, N-terminal pro-beyin natriüretik peptid (NT-proBNP) seviyeleri, elektrokardiyogram (EKG) bulguları, sol ventriküler ejeksiyon fraksiyonu (LVEF) ve anjiyografi sonuçlarını kaydettik. İncelenen parametreler ile CI-AKI oluşumları arasındaki ilişkiyi analiz ettik. Bulgular: CI-AKI hastaların% 9.7'sinde görüldü. CI-AKI ile yaş, cinsiyet, AST, ALT, başvuru anındaki kreatinin düzeyleri, kardiyak disfonksiyon varlığı arasında istatistiksel olarak anlamlı bir ilişki vardı (P 70, anormal pre-PCA kreatinin, kadın cinsiyet, yüksek bazal AST-ALT seviyeleri, kardiyak disfonksiyon, AMI tedavisi için PKA uygulanan hastalarda CI-AKI gelişimini öngörebilir.

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Cite This Article

Simsek, Y., Surer, S., Satar, S., İçen, Y. K. (2021). Analysis of Contrast-Induced Nephropathy in Patient with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention in the Emergency Department. Anatolian Journal of Emergency Medicine, Cilt: 4 Sayı: 2, 39–42. https://ajindex.com/articles/1361427

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