الفهرس 
IntroductionOnly 14 pages are availabe for public view
 |  | from | 113 |  |  |
| | | from | 113 | | |
Abstract
Background: Contrast-induced nephropathy (CIN), an acute kidney injury that frequently occurs after administration of contrast media, is a common cause of acute kidney dysfunction after percutaneous coronary intervention
AIM OF WORK: To assess the predictive value of the CHA2DS2-VASc Score for contrast induced nephropathy among acute coronary syndrome patients who underwent urgent percutaneous coronary intervention
Patient and methods: This study is a prospective study conducted over 300 patients with acute coronary syndrome who presented to Ain shams university hospitals for urgent coronary intervention. It took place from February 2019 till September 2019
Results: This study was conducted over 300 patients presenting with acute coronary syndrome (STEMI and NSTEMI) undergoing urgent PCI.
We analyzed patient’s demographic data, clinical data, laboratory data, angiographic data and CHADSVASC score and followed up patients daily for 72 hour for development of CIN then compared these data in CIN versus non CIN patients trying to find out which of these factors can predict occurrence of CIN and find CHADSVASC score cutoff value for prediction of CIN.
Conclusions:
Our study shows a significant relationship between CHA2DS2-VASc score (more than three) and development of CIN in ACS patients treated with urgent intervention.
This relation has a good sensitivity of 69.66 % and specificity of 80.57% with positive predictive value 60.2 % and negative predictive value 86.3 %. These data suggest that the simple bedside assessment of CHA2DS2-VASc score can predict occurrence of CIN and hence more effective prophylactic strategy can be implemented.