Coronary Artery Disease
Conditions
Keywords
n-acetyl cysteine, percutaneous coronary intervention
Brief summary
The aim of this study is to evaluate the effects of N-acetyl cysteine on periprocedural myocardial infarction and major cardiac and cerebral events in patients undergoing percutaneous coronary intervention and who have moderate to high risk for contrast induced nephropathy.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients \> 18 years old undergoing percutaneous coronary intervention and who have moderate to high risk for contrast induced nephropathy (Mehran Score ≥ 5)
Exclusion criteria
* Primary percutaneous coronary intervention * Low risk for contrast induced nephropathy (Mehran Score \< 5) * Use of nephrotoxic agents (NSAIDs, aminoglycosides,recent contrast injection...) * Infection * Pregnancy, Lactation * Renal failure requiring dialysis * Hepatic failure * History allergy for NAC * History of Asthma * Chronic nitrate usage * Malignancy * Use of corticosteroids * Leukocytosis,Thrombocytosis,Anemia * Blood pressure of \>180/100mmHg despite anti-hypertensive therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| periprocedural myocardial infarction | postprocedural 3-6 h |
Secondary
| Measure | Time frame |
|---|---|
| NAC side effects (Asthma exacerbation, pruritus, dyspnea) | during hospitalization at 48 hours |
| major cardiac and cerebral events | 1 year follow-up |
Countries
Turkey (Türkiye)