Contrast induced nephropathy in hypertensive patients after elective percutaneous coronary intervention

Andra, Cut Aryfa; Khairul, A H; Arina, Cut Aria; Mukhtar, Zulfikri; Kaoy, Isfanuddin Nyak

doi:10.1088/1755-1315/130/1/012006

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Проведенные исследования показывают негативное влияние таких факторов риска, как АГ, ИБС, на развитие КИ-ОПП вследствие внутриартериального введения КП [13,14]. Однако соответствующих данных относительно внутривенного введения КП в настоящее время недостаточно.…”

Section: Discussionunclassified

Contrast-induced acute kidney injury after computed tomography with contrast media in patients with cardiovascular diseases

2021

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Aim. To assess the frequency of contrast-induced acute kidney injury (CI-AKI) in patients with cardiovascular diseases (CVD) undergoing computed tomography (CT) with intravenous contrast media. Materials and methods. In prospective observational study (ClinicalTrials.gov ID NCT04666389) were included 51 patients with CVD undergoing CT with intravenous contrast media administration. The primary endpoint was CI-AKI according to KDIGO criteria [the 25% rise (or 0.5 mg/dl) of serum creatinine from baseline assessed 4872 hours after administration of contrast media]. There were 51% of women included in the study. The average age was 61.741.5. The most frequent cardiovascular disease was hypertension in both men and women 52 and 39% respectively. Results. CI-AKI was diagnosed in 2 (3.92%) patients. At the same time, it was not possible to establish statistically significant relationship (p0.05) between risk factors and the development of CI-AKI. Conclusion. Cardiovascular diseases may increase the risk of CI-AKI after CT with intravenous contrast media administration. Therefore, it is recommended to evaluate the serum creatinine concentration in such patients.

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Contrast-induced acute kidney injury after computed tomography with contrast media in patients with cardiovascular diseases

2021

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“…In the group with door to wire crossing below 140 minutes, there were 1 incidents while in the group with door to wire crossing above 140 minutes there were 0.392 the incidence of CIN was more often in patients with hypertension but no difference in contrast between the two groups was found. 12 Based on STEMI's guidelines from the European Society of Cardiology, the expected door to wire crossing is less than 60 minutes at hospitals with Primary PCI facilities and less than 90 minutes for patients referred from other hospitals to the primary PCI center and at the latest the decision to perform primary PCI is less than 120 minutes. 13 In this study the cut-off point for door to wire crossing was 140 minutes.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Door to Wire Crossing and the Incidence of Acute Kidney Injury in ST Segment Elevation Myocardial Infarction Patients Underwent Primary Percutaneous Coronary Intervention at H. Adam Malik Hospital Medan

Cancerita

Hasan

Mukhtar

et al. 2020

Acta Cardiol Indones

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Background: ST segment elevation myocardial infarction (STEMI) causes hemodynamic changes and an increase in endogenous vasoconstrictor release leads to renal arteriolar vasoconstriction and decreases renal perfusion and may causes acute kidney injury (AKI). Door to wire crossing is a very important prognostic marker in STEMI patients. Aims: To assess the effect of door to wire crossing and the incidence of AKI in STEMI patients with onset <12 hours undergoing primary percutaneous coronary intervention (PCI) at H. Adam Malik General Hospital Medan. Methods: This study is a cohort study conducted from October 2018 to July 2019 with study subjects of STEMI patients with onset <12 hours who underwent primary PCI that met the inclusion and exclusion criteria. Creatinine levels will be checked before and 48-72 hours after the primary PCI as well as the door to wire crossing will be recorded and compared. Result: The incidence of AKI was found around 14% in the group with a door to wire crossing <140 minutes and by 39% in the group with a door to wire crossing> 140 minutes. It was found that the final urea (p = 0.03), creatinine (p = 0.01), CrCl (p = 0.004) and changes in creatinine (p = 0.008) were statistically significant, while the contrast volume was not. In addition, the door to wire cossing >140 minutes (OR: 4.6; p = 0.032), hypertension (OR: 5.96; p = 0.018) and STEMI onset >6 hours (OR: 7.3; p = 0.019) emerged as independent predictors of AKI. Conclusion: STEMI patients with onset <12 hours who underwent primary PCI with the door to wire cossing >140 minutes have 4.6 times likelihood to develop AKI rather than those with door to wire cossing <140 minutes. The incidence of AKI ranges from 14% -39%. The independent predictors of AKI besides door to wire crossing are hypertension and STEMI's onset.

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Contrast induced nephropathy in hypertensive patients after elective percutaneous coronary intervention

Cited by 2 publications

References 10 publications

Contrast-induced acute kidney injury after computed tomography with contrast media in patients with cardiovascular diseases

Contrast-induced acute kidney injury after computed tomography with contrast media in patients with cardiovascular diseases

The Effect of Door to Wire Crossing and the Incidence of Acute Kidney Injury in ST Segment Elevation Myocardial Infarction Patients Underwent Primary Percutaneous Coronary Intervention at H. Adam Malik Hospital Medan

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