Open AccessA Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient
Author(s) -
Е. А. Сон,
M. R. Kondratyuk,
Е. В. Фоминых,
В В Фомин
Publication year - 2021
Publication title -
racionalʹnaâ farmakoterapiâ v kardiologii
Language(s) - English
Resource type - Journals
eISSN - 2225-3653
pISSN - 1819-6446
DOI - 10.20996/1819-6446-2021-02-08
Subject(s) - medicine , myocardial infarction , acute kidney injury , heart failure , cardiology , kidney disease , disease , intensive care medicine , coronary artery disease , epidemiology
Recent epidemiological studies have demonstrated that the development of a potentially reversible moderate acute kidney injury is associated with worsening clinical outcomes and an increased risk of death. This is especially true for patients with plural comorbidities who require procedures with IV radiopaque agents. This paper presents a clinical case of an elderly patient who requires coronary angiography, and who has common clinical conditions such as hypertension, multifocal atherosclerosis with the development of renal artery disease and the presence of a history of acute cerebrovascular accident and myocardial infarction, and chronic heart failure as well. Particular attention is given to assessing the risk of developing contrast-induced acute kidney injury in patients with cardiovascular disease, as well as discussing current views on the possibility of prescribing drugs that affect the reninangiotensin system in cardiac patients with concomitant renal artery disease.