Cardiac CatheterizationThe Impact of Left Ventricular Ejection Fraction on Contrast Induced Acute Kidney Injury

Introduction: Contrast-induced acute kidney injury (CI-AKI) is a significant complication following the use of iodinated contrast in cardiac procedures, increasing hospital stay, cost, and mortality rates. As percutaneous coronary interventions rise, understanding the role of left ventricular ejection fraction (LVEF) in predicting CI-AKI is crucial. This study investigates the impact of LVEF on CI-AKI incidence post-cardiac catheterization.

Key Findings and Implications:

  • Study Overview: Researchers conducted a retrospective study on patients undergoing cardiac catheterization from December 2017 to February 2018.
  • CI-AKI Definition: An increase in serum creatinine ≥ 0.5 mg/dL or ≥ 25% from baseline within 72 hours post-procedure.
  • LVEF and CI-AKI Relationship: No statistically significant correlation was found between LVEF and CI-AKI incidence (p = 0.099).
  • Risk Factors: CI-AKI was more common in females, patients with prior myocardial infarctions, and those with existing renal impairment.

External Insights on CI-AKI Prevention: The National Kidney Foundation (NKF) emphasizes the importance of proper hydration protocols and patient monitoring to mitigate CI-AKI risk.

Further Reading and Resources

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