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Improved Renal Denervation Mitigated Hypertension Induced by Angiotensin II Infusion
Published on: May 26, 2022
Beneficial effects of human atrial natriuretic peptide on renal function in a patient with repeated coronary
Oscar Luis Paredes1, Junya Shite, Toshiro Shinke
1Division of Cardiovascular and Respiratory Medicine, Department of Internal Medicine, Kobe University Graduate School of Medicine, Kobe.
Abstract:
Among percutaneous coronary intervention post procedural complications, renal acute dysfunction due to administration of contrast agent is commonly seen in patients with pre-existing renal impairment, especially with co-existent diabetes mellitus and/or congestive heart failure. Although several strategies have been proposed to ameliorate this condition, their effects are inconsistent. A 66-year-old diabetic man at high risk for this complication underwent three distinct percutaneous coronary intervention procedures. Different strategies were used during each intervention to prevent the development of contrast medium-induced nephropathy. Dramatic renal protection was observed with human atrial natriuretic peptide administration or hemofiltration, whereas saline hydration had no apparent effect.
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