A Risk Score To Predict Contrast-Induced Nephropathy After Percutaneous Coronary Angioplasty  
  Risk Factors Select Values Here Risk Score  
  Age (yrs)  
  Gender See GFR  
  Is The Patient African-American? See GFR  
  Is Hypotension Present?*  
  Is Intra-Aortic Balloon Pump Present?  
  Congestive Heart Failure**  
  Volume Of Contrast Medium Used in cc  
  Serum Creatinine in mg/dl See GFR  
  Glomerular Filtration Rate Index (GFR)  
  Risk of Contrast-Induced Nephropathy***  
  Risk of Need For Dialysis    
  One-Year Mortality Risk    
  Mehran R et al. J. Am. Coll. Cardiol. 2004;44:1393-1399. (Columbia University)  
  *Hypotension = systolic blood pressure <80 mmHg for at least 1 hr requiring inotropic  
  support or intra-aortic balloon pump support within 24 hr periprocedurally.  
  **CHF = congestive heart failure class III/IV by New York Heart Association and/or  
  history of pulmonary edema. ***Contrast-induced nephropathy is increase in serum creatinine >=25% and/or >=0.5 mg/dl at 48 hours after PCI vs. baseline.  
  Web calculator design and HTML transfer by Dr. John Coyle (2006) who has made minor adjustments to the calculator to avoid paradoxical outcomes.  

       For Prevention of CIN:   http://www.zunis.org/SCAI_CIN_Recs.htm,
                                    For Comments on this study:
http://www.zunis.org/CIN Risk Pop.png

For A Flow Chart for CIN Prevention: http://zunis.org/management_of_cin_risk.htm