Impact of albuminuria on the incidence of periprocedural myocardial injury in patients undergoing elective coronary stent implantation

Naohiro Osugi, Susumu Suzuki, Hideki Ishii, Yoshinari Yasuda, Yohei Shibata, Yosuke Tatami, Tomoyuki Ota, Yoshihiro Kawamura, Satoshi Okumura, Akihito Tanaka, Yosuke Inoue, Seiichi Matsuo, Toyoaki Murohara

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5 Citations (Scopus)

Abstract

Albuminuria has traditionally been associated with an elevated risk of cardiovascular events. However, few studies have examined the potential relation between albuminuria and periprocedural risk in percutaneous coronary intervention (PCI). The aim of this study was to evaluate the impact of albuminuria on the incidence of periprocedural myocardial injury (PMI) in patients who underwent PCI. The study included 252 consecutive patients who underwent PCI. The incidence of PMI was significantly higher in patients with albuminuria than in those with normoalbuminuria (31.9% vs 43.3%, respectively, p = 0.014). Even after adjustment for confounders, the presence of albuminuria predicted PMI (odds ratio 2.07, 95% confidence interval 1.08 to 3.97, p = 0.029). Furthermore, patients with albuminuria and preserved estimated glomerular filtration rate had a 4.2-fold higher risk for PMI than did patients with normoalbuminuria and preserved estimated glomerular filtration rate. In conclusion, albuminuria was a strong predictor of PMI in patients who underwent PCI.

Original languageEnglish
Pages (from-to)42-46
Number of pages5
JournalAmerican Journal of Cardiology
Volume114
Issue number1
DOIs
Publication statusPublished - 01-07-2014

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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    Osugi, N., Suzuki, S., Ishii, H., Yasuda, Y., Shibata, Y., Tatami, Y., Ota, T., Kawamura, Y., Okumura, S., Tanaka, A., Inoue, Y., Matsuo, S., & Murohara, T. (2014). Impact of albuminuria on the incidence of periprocedural myocardial injury in patients undergoing elective coronary stent implantation. American Journal of Cardiology, 114(1), 42-46. https://doi.org/10.1016/j.amjcard.2014.03.058