title: Acute kidney injury among ST elevation myocardial infarction patients treated by primary percutaneous coronary intervention: a multifactorial entity.
abstract: 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.
authors: Department of Cardiology, Tel-Aviv Sourasky Medical Center Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 64239, Tel Aviv, Israel. kobyshacham@gmail.com.
authors: Yacov
authors: Y
authors: Shacham
authors: Department of Cardiology, Tel-Aviv Sourasky Medical Center Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 64239, Tel Aviv, Israel.
authors: Arie
authors: A
authors: Steinvil
authors: Department of Cardiology, Tel-Aviv Sourasky Medical Center Affiliated to the Sackler Faculty of Medicine, Tel-Aviv University, 6 Weizman Street, 64239, Tel Aviv, Israel.
authors: Yaron
authors: Y
authors: Arbel
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis / Q000209:etiology*; D000740:Anemia / Q000097:blood / Q000150:complications; D015415:Biomarkers / Q000097:blood; D001786:Blood Glucose / Q000378:metabolism; D003287:Contrast Media / Q000009:adverse effects*; D006439:Hemodynamics; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000150:complications; D033461:Hyperuricemia / Q000097:blood / Q000150:complications; D007249:Inflammation / Q000097:blood / Q000150:complications; D018836:Inflammation Mediators / Q000097:blood; D009200:Myocardial Contraction; D009203:Myocardial Infarction / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D012307:Risk Factors; D061665:Time-to-Treatment; D016896:Treatment Outcome; D014527:Uric Acid / Q000097:blood
chemical_list: D015415:Biomarkers; D001786:Blood Glucose; D003287:Contrast Media; D006454:Hemoglobins; D018836:Inflammation Mediators; D014527:Uric Acid
keywords: Acute kidney injury; Contrast induced nephropathy; Percutaneous coronary intervention; ST elevation myocardial infarction