Journal
JOURNAL OF NEPHROLOGY
Volume 29, Issue 2, Pages 169-174Publisher
SPRINGER HEIDELBERG
DOI: 10.1007/s40620-015-0255-4
Keywords
Acute kidney injury; ST elevation myocardial infarction; Percutaneous coronary intervention; Contrast induced nephropathy
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Acute kidney injury is a frequent complication among ST segment elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (PCI), and is associated with adverse outcomes. While contrast nephropathy is considered the most important reason for worsening of renal function, recent data have suggested the role of other important factors among this specific patient population. In the present review, we examine the various factors leading to renal impairment in STEMI patients and place the findings in the context of this specific patient population in the era of primary PCI. These factors include contrast nephropathy, time to coronary reperfusion, cardiac pump function and hemodynamics as well as various inflammatory and metabolic markers.
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