Predictive value of oxidant and antioxidant status for contrast-induced nephropathy after percutaneous coronary

Fatih Aksoy1, Hasan Aydın Baş2, Ali Bağcı1

  • 1Suleyman Demirel University, Faculty of Medicine, Cardiology Department, Turkey.

Insights

Oxidative stress and inflammation markers predict contrast-induced nephropathy (CIN) in ST-elevation myocardial infarction (STEMI) patients undergoing primary percutaneous coronary intervention (p-PCI). Higher levels of these markers, along with contrast volume and glucose, increase CIN risk.

Area of Science:

  • Cardiology
  • Nephrology
  • Biochemistry

Background:

  • Contrast-induced nephropathy (CIN) is a serious complication following primary percutaneous coronary intervention (p-PCI).
  • Oxidative stress and inflammation are implicated as key factors in CIN development.

Purpose of the Study:

  • To investigate the association between oxidative stress, inflammation markers, and CIN in ST-elevation myocardial infarction (STEMI) patients.
  • To identify predictors of CIN in this patient cohort.

Main Methods:

  • Prospective cohort study involving 341 STEMI patients.
  • Patients were categorized into groups with and without CIN.
  • Multivariate regression analysis was employed to determine CIN predictors.

Main Results:

  • Increased oxidative stress index, high-sensitivity C-reactive protein (hs-CRP), and uric acid (UA) were linked to CIN development.
  • Contrast media volume/glomerular filtration rate (eGFR) ratio and initial glucose levels were also significant predictors.

Conclusions:

  • Elevated oxidative stress and inflammation markers are associated with CIN in STEMI patients.
  • Contrast media volume/eGFR ratio, initial glucose, UA, and hs-CRP are independent predictors of CIN.
Abstract

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