Predictors of contrast induced AKI – Cardiology MCQ

Predictors of contrast induced acute kidney injury:
 
a) Estimated glomerular filtration rate (eGFR)
b) ST elevation myocardial infarction (STEMI)
c) Cardiogenic shock
d) All of the above
e) None of the above
Correct answer: d) All of the above
 
These are also the strongest predictors of AKI requiring dialysis. Roxana Mehran and associates developed a comprehensive risk prediction score which included age, hemoglobin level, pre-existing chronic kidney disease, volume of contrast administered during the percutaneous intervention, need for IABP (intra aortic balloon counterpulsation) and a few other variables. Presence of diabetes is also an important predictor of AKI.
Reference
 
1. Mehran R, Aymong ED, Nikolsky E, et al. A simple risk score for prediction of contrast induced nephropathy after percutaneous coronary intervention: development and initial validation. J Am Coll Cardiol 2004;44:1393-9.

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