@article{article_817708, title={Analysis of Contrast-Induced Nephropathy in Patient with Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention in the Emergency Department}, journal={Anatolian Journal of Emergency Medicine}, volume={4}, pages={39–42}, year={2021}, author={Simsek, Yeliz and Surer, Selen and Satar, Salim and İçen, Yahya Kemal}, keywords={Acil, kontrast nefropati, perkutan koroner anjiyografi}, abstract={Aim: The purpose of this study was to determine the incidence and predictors of Contrast-induced acute kidney injury (CI-AKI) in emergency patients undergoing primary percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI). Material and Methods: We enrolled electrocardiogram (ECG) findings, serum creatinine (Cr), troponin, alanine aminotransferase (ALT), aspartate aminotransferase (AST) levels at pre-PCI and Cr levels post-PCI following three days. Patients’ N-terminal pro-brain natriuretic peptide (NT-proBNP) levels, left ventricular ejection fraction (LVEF) and results of angiography was recorded in 422 patients. We analyzed the relationship between examined parameters and the occurrences of CI-AKI. Results: CI-AKI occurred in 9.7% of patients. There was a statistically significant relationship between occurrences CI-AKI and age, gender, AST, ALT, creatinine levels at admission, cardiac dysfunction (P <0.001, P <0.01, P <0.01, P <0.05, P <0.001, P <0.05). Conclusion: According to our study; age>70 years, abnormal pre-PCI creatinine, female gender, high basal AST-ALT levels, cardiac dysfunction may predict CI-AKI development in patients who undergoing PCI for treatment of AMI.}, number={2}, publisher={Türkiye Acil Tıp Derneği}, organization={YOK}