Idioma:

Contrast-induced acute kidney injury in patients with stable coronary artery disease: the most important risk factors and prevalence

Mironova, O I ; Staroverov, I I ; Sivakova, O A ; Fomin, V V

Terapevtic̆eskii arhiv, 2020-10, Vol.92 (9), p.44-48 [Periódico revisado por pares]

Russia (Federation): "Consilium Medicum" Publishing house

Texto completo disponível

Citações Citado por

Enviar para

Título:
Contrast-induced acute kidney injury in patients with stable coronary artery disease: the most important risk factors and prevalence
Autor: Mironova, O I ; Staroverov, I I ; Sivakova, O A ; Fomin, V V
Assuntos: Acute Kidney Injury - chemically induced ; Acute Kidney Injury - diagnosis ; Acute Kidney Injury - epidemiology ; contrast ; Contrast Media - adverse effects ; contrast-associated acute kidney injury ; contrast-induced acute kidney injury ; contrast-induced nephropathy ; Coronary Angiography ; coronary artery disease ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - epidemiology ; Creatinine ; Female ; Humans ; Male ; Middle Aged ; Percutaneous Coronary Intervention ; Prevalence ; prognosis ; Prospective Studies ; Risk Factors
É parte de: Terapevtic̆eskii arhiv, 2020-10, Vol.92 (9), p.44-48
Descrição: The aim of our study was to assess the prevalence of contrast-induced acute kidney injury (CI-AKI) in patients with stable coronary artery disease (CAD) receiving optimal medical treatment with indications to coronary angiography and intraarterial administration of contrast agents. 1023 patients with stable CAD were included in the open prospective observational cohort study. The CI-AKI was defined as a rise in serum creatinine 25% from baseline. The mean age of the study group was 61.710.1 years; 72.4% were males and 84.4% had arterial hypertension. A multiple logistic regression model of prediction of CI-AKI was created. CI-AKI developed in 132 (12.9%) of the patients. The multiple logistic regression model included gender, BMI, weight, age, heart failure, diabetes mellitus, arterial hypertension, anemia, hyperuricemia, proteinuria and baseline serum creatinine. Area under the curve for the model was 0.749 (95% confidence interval 0.7030,795;p0.0001). When trying to build a prognostic model, including baseline GFR and contrast volume, the model lost significance and the AUC diminished. The CI-AKI remains quite a common kidney injury developing in patients with stable CAD undergoing percutaneous interventions. Several risk factors need to be assessed very carefully before any intervention requiring intraarterial contrast media administration especially in patients with comorbidities.
Editor: Russia (Federation): "Consilium Medicum" Publishing house
Idioma: Russo;Inglês

Links

View this record in MEDLINE/PubMed

Voltar para lista de resultados

Anterior Resultado 5 Avançar Ir para próxima página

Realização: Logos de Redes Sociais:

Contrast-induced acute kidney injury in patients with stable coronary artery disease: the most important risk factors and prevalence

Mironova, O I ; Staroverov, I I ; Sivakova, O A ; Fomin, V V

Russia (Federation): "Consilium Medicum" Publishing house

Buscando em bases de dados remotas. Favor aguardar.