Related Experiment Video
Updated: Oct 28, 2025

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
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.
Background:
Contrast-induced nephropathy (CIN) is a life-threatening complication after primary percutaneous coronary intervention (p-PCI). Oxidative stress and inflammation may play an important role in the development of CIN.
Objective:
We aimed to assess the relationship between total oxidant status, total antioxidant capacity, high-sensitivity C-reactive protein (hs-CRP), gamma-glutamyltransferase and uric acid (UA) in the development of CIN in patients presenting with ST-elevation myocardial infarction (STEMI).
Methods:
This prospective cohort study consisted of 341 patients with STEMI. Patients were divided into two groups: those with and those without CIN. Predictors of CIN were determined by multivariate regression analyses.
Results:
Multivariate regression analysis showed that initial glucose level, contrast media volume/glomerular filtration ratio (eGFR) ratio, hs-CRP, UA and oxidative status index were associated with the development of CIN in patients with STEMI.
Conclusion:
The main finding of this study is that increased oxidative stress and inflammation parameters were associated with the development of CIN in patients with STEMI. Other independent predictors of CIN were contrast media volume/eGFR ratio, initial glucose level, UA and hs-CRP.
Related Concept Videos
Acute Coronary Syndrome III: Diagnostic Studies
Cardiac Catheterization I: Pre-Procedure Overview
Acute Coronary Syndrome I: Introduction
Acute Coronary Syndrome IV: Interprofessional Care
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

