Study on Incidence and Risk Factors of Contrast Induced Nephropathy in Patients Undergoing Cardiac Catheterization studies

Radhika, R (2007) Study on Incidence and Risk Factors of Contrast Induced Nephropathy in Patients Undergoing Cardiac Catheterization studies. Masters thesis, Madras Medical College, Chennai.

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Abstract

Contrast induced nephropathy is a significant problem in clinical practice with the increasing use of contrast media in diagnostic and interventional procedures. In our hospital we conducted a study of the incidence of contrast - induced nephropathy among the patients undergoing cardiac catheterisation studies, based on the increase in post - procedural serum creatinine from the baseline. It was noted that among the 122 patients followed up in the Department of Cardiology 18 developed CIN (14.75%). Among the patients who developed CIN, it was noted that common risk factors were increased Age, elevated baseline serum creatinine, low baseline creatinine clearance, and multi-vessel coronary disease. It was also noted that incidence of CIN was higher among patients with hypertension, diabetes, poor LV function, and among the patients who underwent studies with high osmolar contrast medium and in whom higher amounts of contrast medium was used. Identification of these risk factors before subjecting the patient to angiogram studies gives us an opportunity to anticipate development of CIN and to use prophylactic measures to prevent CIN.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Incidence ; Risk Factors ; Contrast Induced Nephropathy ; Patients ; Undergoing Cardiac Catheterization studies.
Subjects: MEDICAL > General Medicine
Depositing User: Subramani R
Date Deposited: 28 Mar 2018 03:40
Last Modified: 30 Mar 2018 16:03
URI: http://repository-tnmgrmu.ac.in/id/eprint/6647

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