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Added Value of CHA2DS2-VASc Score to Safe contrast Volume for Contrast Induced Nephropathy prediction after Percutaneous Coronary Intervention
Faculty
Medicine
Year:
2023
Type of Publication:
ZU Hosted
Pages:
Authors:
Wael Aly Aly Mohamed Khalil
Staff Zu Site
Abstract In Staff Site
Journal:
Indonesian Journal of cardiology Indonesian heart association
Volume:
44
Keywords :
Added Value , CHA2DS2-VASc Score , Safe contrast
Abstract:
Background: The CHA2DS2-VASc score is utilized to order the danger of embolization in atrial fibrillation (AF). Also, it has been assessed the worst clinical scenario in acute coronary syndrome patients, regardless of having AF. The study aimed to use the CHA2DS2-VASc score added to the safe contrast volume (Volume /CrCl) for contrast-induced nephropathy (CIN) early prediction post-PCI. Patients and Methods: The study included two hundred fifty-nine patients who underwent percutaneous coronary intervention. For each patient, The CHA2DS2-VASc score and Volume /CrCl were evaluated. The patients in our study were divided, according to CIN development into two groups. CIN was identified as a rise in serum creatinine >0.5 mg/dl or >25% increase in baseline within 48 to 72 hours after PCI. Statistical analysis: the receiver operating characteristic analysis was used to detect the best cut-off values to predict CIN, and we concluded the predictors of CIN through multivariate logistic regression analysis. Results: There was a positive correlation between the Mehran score and the CHA2DS2-VASc score. Independent predictors of CIN were Mehran score, Volume/CrCl ratio>3.2 and CHA2DS2-VASc >3, CHF or EF < 40%, hypotension, anemia, primary PCI, and weight. If the patient had (CHA2DS2-VASc score>3 or Volume/CrCl >3.2), as a single predictor, we could predict CIN with (sensitivity 96.97 %, 95% CI 0.71 to 0.82). Conclusion: The CHA2DS2-VASc score and Volume/CrCl ratio are new predictors of CIN, and we can use the CHA2DS2-VASc score, and safe contrast volume for early detection of CIN after PCI.
Author Related Publications
Wael Aly Aly Mohamed Khalil, "Is there any relationship between coronary tortuosity and objective ischemia?", Elsevier, 2017
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Wael Aly Aly Mohamed Khalil, "serial echocardiographic detection of left atrial and left atrial appendage functional recovery post cardioversion in patient with atrial fibrillation", nternational journal of cardiologyi, 2015
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Wael Aly Aly Mohamed Khalil, "Metabolic syndrome versus its individual components and angiographic severity of coronary artery disease.", international journal of advanced research, 2016
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Wael Aly Aly Mohamed Khalil, "The determinants of deleterious effects of diabetes on the myocardium.", Journal of Cardiology & Current Research, 2016
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Wael Aly Aly Mohamed Khalil, "Effect of health education intervention on improving compliance to treatment among hypertensive patients: applications of health belief model", Journal of hypertension, 2017
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Department Related Publications
Aly Mohamed Abdelrahman Saad, "Treatment decisions in stable coronary artery disease: Insights from the Euro Heart Survey on Coronary Revascularization", Mosby, 2006
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Marwa Mohamed Gad Hassan Afifi, "Longitudinal function and ventricular dyssynchrony are restored in children with pulmonary stenosis after percutaneous balloon pulmonary valvuloplasty", Int J Cardiovasc Imaging, 2016
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Maha Hamid Sebaey Faraj, "صلاحية استخدام معامل الدوبلر النسيجي الكلى في تقدير نهاية الضغط الانبساطي للبطين الأيسر في مرضى الشريان التاجي دو (E' /E ) متوسطة القيمة", Heart mirror journal, 2011
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Aly Mohamed Abdelrahman Saad, "Prognosis, disease progression, and treatment of atrial fibrillation patients during 1 year: follow-up of the Euro Heart Survey on atrial fibrillation", Oxford University Press, 2008
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Tamer Mohamed Mostafa Abdelghany, "Longitudinal function and ventricular dyssynchrony are restored in children with pulmonary stenosis after percutaneous balloon pulmonary valvuloplasty استعادة الوظيفة الطولية وعدم التناسق البطينى في الأطفال الذين يعانون من ضيق الصمام ال", Int J Cardiovasc Imaging, 2016
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