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Published on: April 18, 2013
Clinical survey on contrast-induced nephropathy after coronary angiography
Feng Wang1, Junhui Li, Baorui Huang
1Department of Nephrology and Rheumatology, Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University , Shanghai , China and.
Insights
Contrast-induced nephropathy (CIN) affects 10.5% of patients undergoing coronary angiography (CAG). Key risk factors include hypotension, heart failure, anemia, and poor renal function, necessitating careful patient monitoring.
Area of Science:
- Nephrology
- Cardiology
- Radiology
Background:
- Contrast-induced nephropathy (CIN) is a significant complication following contrast media administration.
- Coronary angiography (CAG) is a common procedure where CIN risk is a concern.
Purpose of the Study:
- To determine the incidence of CIN in patients undergoing CAG.
- To identify clinical risk factors associated with CIN development in this patient population.
Main Methods:
- Retrospective analysis of 487 patient records from Shanghai Sixth People's Hospital (January 2008 - July 2009).
- Evaluation of CIN incidence based on varying conditions and risk stratification (Mehran risk score).
- Multifactor regression analysis to identify independent risk factors for CIN.
Main Results:
- The overall incidence of CIN was 10.5%.
- CIN incidence increased with higher Mehran risk scores, reaching 18.0% in the high-risk group.
- Preoperative hypotension, heart failure, anemia, and low estimated glomerular filtration rate (eGFR ≤30 mL/min) were identified as significant risk factors.
Conclusions:
- CIN following CAG is linked to preoperative hypotension, heart failure, anemia, and impaired renal function.
- Proactive identification and management of at-risk patients are crucial to mitigate CIN incidence.
Objective:
To investigate the incidence and risk factors of contrast-induced nephropathy (CIN) in patients receiving coronary angiography (CAG) in a Chinese medical center.
Methods:
The medical records of the patients receiving CAG at Shanghai Sixth People's Hospital Affiliated to Shanghai Jiaotong University from January 2008 to July 2009 were collected to analyze the incidence of CIN under different conditions and the clinical difference between CIN group and non-CIN group.
Results:
There were 487 cases enrolled in this study and the total incidence of CIN was 10.5%. Through Mehran risk score stratification, incidence of CIN increased with risk scores and in an extremely high-risk group it was as high as 18.0%. Multi-factor regression analysis showed that preoperative hypotension, heart failure, anemia and low estimated glomerular filtration rate (≤30 mL/min) were risk factors of CIN after CAG.
Conclusion:
CIN post CAG is associated with preoperative hypotension, heart failure, anemia and renal function. Close attention should be paid to CIN in patients receiving CAG.
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