Your browser doesn't support javascript.
loading
Predictors of Contrast-Induced Nephropathy in Acute Coronary Syndrome Patients with Renal Dysfunction / 대한내과학회지
Korean Journal of Medicine ; : 185-193, 2012.
Article Dans Coréen | WPRIM | ID: wpr-208723
ABSTRACT
BACKGROUND/

AIMS:

Contrast-induced nephropathy (CIN) is an important complication of diagnostic coronary angiography (CAG) and percutaneous coronary intervention (PCI). We investigated the incidence and predictors of the development of CIN in acute coronary syndrome (ACS) patients with renal dysfunction undergoing PCI.

METHODS:

From January 2005 to June 2010, we evaluated the clinical, laboratory, and angiographic data of 406 patients with ACS who had a serum creatinine > or = 1.3 mg/dL and underwent CAG or PCI. The patients were divided into two groups according to the development of CIN (CIN, n = 92; no CIN, n = 314).

RESULTS:

Of the 406 patients, 92 (22.7%) developed CIN. The development of CIN was associated with a lower baseline body mass index (p = 0.001), decreased left ventricular ejection fraction (LVEF) (p or = 3.5 (OR, 1.964; 95% CI, 1.243-3.101; p = 0.004) were independent predictors of CIN. The cut-off value for CMV/CrCl was 3.5, and that for albumin was 3.55 g/dL.

CONCLUSIONS:

CIN occurred in 22.7% of the patients with ACS and renal dysfunction who underwent CAG or PCI. Independent predictors of CIN were decreased LVEF, decreased albumin, and increased CMV/CrCl ratio.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Débit systolique / Hémoglobines / Indice de masse corporelle / Modèles logistiques / Incidence / Coronarographie / Créatinine / Syndrome coronarien aigu / Intervention coronarienne percutanée Type d'étude: Etude d'incidence / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Coréen Texte intégral: Korean Journal of Medicine Année: 2012 Type: Article

Documents relatifs à ce sujet

MEDLINE

...
LILACS

LIS

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Débit systolique / Hémoglobines / Indice de masse corporelle / Modèles logistiques / Incidence / Coronarographie / Créatinine / Syndrome coronarien aigu / Intervention coronarienne percutanée Type d'étude: Etude d'incidence / Étude pronostique / Facteurs de risque Limites du sujet: Humains langue: Coréen Texte intégral: Korean Journal of Medicine Année: 2012 Type: Article