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s unavailable, inconvenient, and costly. Contrast induced nephropathy (CIN) is considered one of the most common causes of hospital acquired renal failure and severely affects morbidity and mortality. Our objective was to investigate incidence, predictors and outcomes of CIN in patients with ST elevation myocardial infarction (STEMI) undergoing primary percutaneous coronary intervention (PPCI). The study was conducted on 550 patients with STEMI subjected to PPCI. Patients were classified into two groups according to th