Clinical review for general practice

Predictors of the development of contrast-induced acute kidney injury in patients with acute myocardial infarction who underwent coronary angiography and percutaneous coronary intervention have been identified. The regression analysis performed allowed us to identify three statistically significant risk factors for the development of contrast-induced acute kidney injury: anemia, age, and the volume of contrast agent administered per unit of body weight. The assessment of these simple indicators is performed at the patient's bedside and allows for the implementation of a comprehensive set of urgent therapeutic and preventive measures.

Aim. Identify predictors of contrast-induced acute kidney injury in patients with acute myocardial infarction.

Materials and methods. Clinical and epidemiological data obtained from 501 patients with acute myocardial infarction were analyzed by contemporary statistical methods of investigation.

Results. Significant risk factors of contrast-induced acute kidney injury in patients with acute myocardial infarction were detected. The ease of identifying these factors helps to predict the possibility of developing a serious complication of acute myocardial infarction.

Conclusion. We identified risk factors of contrast-induced acute kidney injury in the working condition of emergency cardiology hospital that will help carry out timely therapeutic and preventive measures.

Keywords: contrast-induced acute kidney injury, acute myocardial infarction, coronary angiography, percutaneous coronary intervention, predictors, risk factors.

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