Underutilization of left heart catheterization in kidney transplant patients presenting with non-ST segment elevation myocardial infarction.

ABSTRACT:

Background

Cardiovascular disease (CVD) is the leading cause of mortality in kidney transplant (KT) patients. The perceived risk of contrast-induced nephropathy (CIN) may create a reluctance to perform coronary angiography in patients presenting with non-ST segment elevation myocardial infarction (NSTEMI).

Methods

National Inpatient Sample (NIS) Database was used to sample individuals presenting with NSTEMI. Patients were stratified into KT and Non-KT cohorts. Outcomes included left heart catheterization rates, mortality, arrhythmias, acute kidney injury/acute renal failure (AKI/ARF), and extended length of hospital stay (ELOS) (>72 h). Propensity matching (1:1 ratio) and regression analyses were performed.

Results

Out of 336,354 patients with NSTEMI, 742 patients wer

SUBMITTER: Mustafa A 

PROVIDER: S-EPMC10946038 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature