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    Mehran Score for Post-PCI Contrast Nephropathy

    Predicts risk of contrast-induced nephropathy (CIN) after percutaneous coronary intervention (PCI).

    INSTRUCTIONS

    Use variables at the time of PCI.

    When to Use
    Pearls/Pitfalls

    Use in patients undergoing PCI. Do not use in patients with pre-existing end-stage renal disease on dialysis or patients with contrast exposure within 1 week of the index procedure.

    In the original study, “contrast-induced nephropathy” was defined as an increase ≥0.5 mg/dL (or ≥25%) in pre-PCI serum creatinine at 48 hours post-PCI.

    No
    0
    Yes
    +5
    No
    0
    Yes
    +5
    No
    0
    Yes
    +5
    No
    0
    Yes
    +4
    No
    0
    Yes
    +3
    No
    0
    Yes
    +3
    mL
    ≥60
    0
    40 to <60
    +2
    20 to <40
    +4
    <20
    +6

    Result:

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    Next Steps
    Evidence
    Creator Insights
    Dr. Roxana Mehran

    About the Creator

    Roxana Mehran, MD, FACC, FACP, FCCP, FESC, FAHA, FSCAI, is a professor in the department of medicine, cardiology, and population health science and policy at the Icahn School of Medicine at Mount Sinai. She is also the director of the Center for Interventional Cardiovascular Research and Clinical Trials at the Zena and Michael A. Wiener Cardiovascular Institute. Dr. Mehran’s primary research is focused on angioplasty and stent placement, cardiac catheterization, and acute coronary syndromes.

    To view Dr. Roxana Mehran's publications, visit PubMed

    Are you Dr. Roxana Mehran? Send us a message to review your photo and bio, and find out how to submit Creator Insights!
    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Roxana Mehran
    Are you Dr. Roxana Mehran?