Incidence of Contrast-induced Nephropathy in Patients Undergoing Coronary Angiography: An Annual Review in A University Hospital
10.35460/2546-1621.2017-0062
- Author:
Katherine Ann N TAN
1
;
John Patrick F ONA
2
;
Marcellus Francis L RAMIREZ
3
;
Wilson L TAN DE GUZMAN
4
Author Information
1. Resident-in-Training, Department of Medicine, University of Santo Tomas Hospital, Manila, Philippines, Contact Number: (0922) 805 5135
2. Fellow-in-Training, Section of Cardiology, Department of Medicine, University of Santo Tomas Hospital, Manila, Philippines, Contact Number: (0916) 241 5869
3. Consultant, Section of Cardiology, Department of Medicine, University of Santo Tomas Hospital, Manila, Philippines, Contact Number: (0917) 883 1000
4. Consultant, Section of Cardiology, Department of Medicine, University of Santo Tomas Hospital, Manila, Philippines, Contact Number: (0917) 892 9998
- Publication Type:Journal Article
- Keywords:
Contrast Induced Nephropathy;
Transluminal Coronary Angioplasty
- MeSH:
Coronary Angiography;
ErbB Receptors
- From:
Journal of Medicine University of Santo Tomas
2018;2(1):185-191
- CountryPhilippines
- Language:English
-
Abstract:
Introduction:The rapidly growing number of percutaneous coronary interventions has led to a considerable improvement in the outcome of patients
with acute coronary syndromes, yet concurrently
exposing patients to enormous volumes of contrast
media with the inherent risk of renal function impairment.
Objective:To determine the incidence of contrast induced nephropathy of patients admitted at
University of Santo Tomas Hospital (USTH) who
underwent coronary angiography with or without
Percutaneous Transluminal Coronary Angioplasty
(PTCA).
Methodology:This is a retrospective, descriptive
study including patients aged 18 years and above,
of any gender, admitted at the USTH from January
1, 2016 to December 31, 2016, who underwent
coronary angiography with or without PTCA with
baseline and follow up creatinine levels 48-72 hours
after the procedure. Data were retrieved by review
of medical records of these patients.
Results:Three out of 78 patients (3.8%) had elevated creatinine but all three patients also underwent
major surgery within 48 hours after coronary angiography which could explain the renal impairment.
Conclusion:Although contrast induced nephropathy was described as the third most common cause
of new Acute Kidney Injury in hospitalized patients,
it was accordingly nil among those who underwent
coronary angiography at USTH from January to
December 2016. Benefi ts and risks of undergoing
coronary angiography should always be weighed individually. Risk stratifi cation scores should only
serve as a guide in managing patients and proper
preventive measures should be applied.
- Full text:JMUST 9.pdf
