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      Acute kidney injury among ST elevation myocardial infarction patients treated by primary percutaneous coronary intervention: a multifactorial entity.

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          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.

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          Author and article information

          Journal
          J. Nephrol.
          Journal of nephrology
          Springer Nature America, Inc
          1724-6059
          1121-8428
          Apr 2016
          : 29
          : 2
          Affiliations
          [1 ] 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.
          [2 ] 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.
          Article
          10.1007/s40620-015-0255-4
          10.1007/s40620-015-0255-4
          26861658
          ea89dce6-7378-46be-8ad2-1d04d3085528
          History

          ST elevation myocardial infarction,Percutaneous coronary intervention,Contrast induced nephropathy,Acute kidney injury

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