Predictive value of CHA₂DS₂VASC score for contrast-induced nephropathy after primary percutaneous coronary intervention for patients presenting with acute ST-segment elevation myocardial infarction.

ABSTRACT:

Background

ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (pPCI) are at increased risk for contrast-induced nephropathy (CIN) than elective PCI procedures. Routine calculation of Mehran's score is limited by its complexity and difficulty to memorize. This study evaluated CHA₂DS₂-VASc score predictive utility for CIN in STEMI patients before pPCI.

Results

Consecutive 500 acute STEMI patients presenting to two Egyptian pPCI centers were recruited. Exclusion criteria included cardiogenic shock or known severe renal impairment (baseline serum creatinine ≥ 3 mg/dL) or current or previous indication of hemodialysis. CHA₂DS₂VAS_C score_, Mehran's score, baselin

SUBMITTER: Samir A 

PROVIDER: S-EPMC10293538 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature