Open AccessContrast-induced nephropathy in cardiology practice: Risk factors and approaches to prevention
Author(s) -
Ю. Ф. Салахова,
Д. В. Дупляков,
Е. Р. Перунова,
С. Е. Бурназян,
Э. И. Баженова,
Г. В. Косицина,
С. М. Хохлунов
Publication year - 2012
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2012-18-3-222-227
Subject(s) - medicine , contrast induced nephropathy , nephropathy , renal function , diabetes mellitus , incidence (geometry) , percutaneous coronary intervention , cardiology , psychological intervention , diabetic nephropathy , coronary angiography , surgery , myocardial infarction , endocrinology , nursing , physics , optics
Objective. To study the incidence and risk factors of contrast-induced nephropathy (CIN) resulted from percutaneous coronary interventions in cardiology practice. Design and methods. Retrospective analysis of 100 history cases of patients aged 37-73 years (mean age 56,1 ± 6,0 years) was preformed. 0mnipac-350 was used as a contrast agent during angiography. Glomerular filtration rate (GFR) was assessed by Cockroft-Gault formula before and 48 hours after the intervention. The patients were divided into 2 groups depending on the type of intervention: the first group included the patients with planned intervention and the second — with urgent endovascular intervention. Results. In the first group 3,0 % (n = 2) patients developed CIN, and one case was registered (2,95 %) in the second group. It developed in patients with initial decrease of GFR, in patients with diabetes mellitus and with the combination of both factors.