Role of remote ischemic preconditioning in prevention of contrast induced -nephropathy in elderly patients undergoing coronary artery angiography
10.3760/cma.j.issn.1008-6706.2016.01.010
- VernacularTitle:远端缺血预处理对老年患者造影剂肾病的预防作用
- Author:
Chaoyong ZHU
;
Jie LI
;
Ganlin HUANG
;
Mingfeng MAO
;
Lie JIN
- Publication Type:Journal Article
- Keywords:
Remote ischemic preconditioning;
Coronary angiography;
Contrast -induced nephropathy;
Elderly
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;(1):32-34,35
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the role of remote ischemic preconditioning(RIPC)in prevention of contrast -induced nephropathy(CIN)in elderly patients undergoing coronary artery angiography(CAA).Methods 106 elderly patients were enrolled in this randomized control trial.According to random number table,the patients were randomized into control group (n =53)and RIPC group(n =53).All of the patients received 1 000mL of 0.9% sodium chloride injection before CAA.The RIPC group patients underwent RIPC in their right arms with sphygmomanometer cuff infla-tion for 5 minutes prior to the CAA,three cycles were repeated.Serum creatinine was detected before and 48 hours after CAA.Results CIN was reported in 10 cases in the control group and 3 cases in the RIPC group(χ2 =4.30, P =0.04).The levels of serum creatinine were increased[(96.38 ±9.50)μmol/L vs (88.87 ±10.24)μmol/L] after CAA in the control group(t =2.28,P =0.03),and there was no difference in the RIPC group(t =1.17,P =0.24).Conclusion RIPC has a protective effect on CIN in elderly patients in our study.Since this method is harm-less and cost effective,further studies is required to popularize PIPC to our clinical practice for prevention of CIN.
