Relation of Contrast-Induced Nephropathy to Long-Term Mortality After Percutaneous Coronary Intervention

There is little information on the effect of contrast-induced nephropathy (CIN) on long-term mortality after percutaneous coronary intervention in patients with or without chronic kidney disease (CKD). Of 4,371 patients who had paired serum creatinine (SCr) measurements before and after percutaneous...

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Veröffentlicht in:	The American journal of cardiology 2014-08, Vol.114 (3), p.362-368
Hauptverfasser:	Abe, Mitsuru, MD, Morimoto, Takeshi, MD, MPH, Akao, Masaharu, MD, Furukawa, Yutaka, MD, Nakagawa, Yoshihisa, MD, Shizuta, Satoshi, MD, Ehara, Natsuhiko, MD, Taniguchi, Ryoji, MD, Doi, Takahiro, MD, Nishiyama, Kei, MD, Ozasa, Neiko, MD, Saito, Naritatsu, MD, Hoshino, Kozo, MD, Mitsuoka, Hirokazu, MD, Toma, Masanao, MD, Tamura, Toshihiro, MD, Haruna, Yoshisumi, MD, Kita, Toru, MD, Kimura, Takeshi, MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Aged, 80 and over Cardiology Cardiovascular Contrast Media - adverse effects Coronary Angiography - adverse effects Coronary Angiography - methods Coronary Artery Disease - diagnostic imaging Coronary Artery Disease - mortality Coronary Artery Disease - surgery Coronary vessels Creatinine - metabolism Female Follow-Up Studies Glomerular Filtration Rate Heart attacks Hospital Mortality - trends Humans Japan - epidemiology Male Mortality Percutaneous Coronary Intervention Prognosis Renal Insufficiency - chemically induced Renal Insufficiency - diagnosis Renal Insufficiency - mortality Retrospective Studies Risk Factors Survival Rate - trends Time Factors
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Zusammenfassung:	There is little information on the effect of contrast-induced nephropathy (CIN) on long-term mortality after percutaneous coronary intervention in patients with or without chronic kidney disease (CKD). Of 4,371 patients who had paired serum creatinine (SCr) measurements before and after percutaneous coronary intervention and were discharged alive in the Coronary REvascularization Demonstrating Outcome Study in Kyoto registry, the incidence of CIN (an increase in SCr of ≥0.5 mg/dl from the baseline) was 5% in our study cohort. The rate of CIN in patients with CKD was 11%, although it was 2% without CKD (p
ISSN:	0002-9149 1879-1913
DOI:	10.1016/j.amjcard.2014.05.009