Contrast-induced nephropathy (CIN) develops after the injection of iodinated contrast media. This is a post hoc analysis of the data obtained from the TRUST study, which was a prospective, multicentre, observational study conducted to evaluate the safety and tolerability of the contrast medium iopromide in patients undergoing cardiac catheterization from August 2010 to September 2011 in China, conducted to explore the current status, trends and risk predictors of hydration treatment. The status of hydration to prevent CIN in each patient was recorded. Of the total 17,139 patients from the TRUST study (mean age, 60.33 ± 10.38 years), the overall hydration usage was 46.1% in patients undergoing percutaneous coronary intervention (PCI) and 77.4%, 51.7%, and 48.5% in patients with pre-existing renal disease, diabetes mellitus, and hypertension, respectively. The proportion of hydration use increased from 36.5% to 55.5% from August 2010 to September 2011, which was independently associated with risk predictors like older age, pre-existing renal disease, hypertension, diabetes mellitus, prior myocardial infarction, ST segment elevation MI, high contrast dose, multi-vessel disease and reduced LVEF (<45%). Overall, the usage of intravenous hydration treatment for patients with a high risk of CIN following PCI was high in China.
Although the overall short follow-up of the present study should be taken into account, lercanidipine is an effective and safe treatment option for BP control in adult patients with mild-to-moderate primary hypertension.
Oppositely charged natural polyelectrolyte Heparin (HS) and chitosan (CS) were immobilized on the surface of poly(ε-caprolactone) (PCL) by a layer-bylayer (LBL) self-assembly procedure. Positively charged poly(allylamine hydrochloride) (PAH) was used as the first layer onto the surface of PCL. Then negatively charged HS and positively charged CS were deposited in a LBL assembly manner. The effect of this surface modification method was evaluated by ATR-FTIR spectroscopy and static contact angle measurements. The anticoagulant activity of modified PCL was evaluated using full human blood. The modified PCL samples showed prolonged activated partial thromboplastin time (APTT), prothrombin time (PT) and thromboplastin time (TT) compared with neat PCL. Scanning electron microscopy (SEM) indicated that adhered platelets retained their natural, round morphology on the modified PCL surface. The cytocompatibility of the HS/CS surface modified PCL sample was evaluated with pig iliac arteries endothelial cells (PIECs). The proliferation of the cells cultured on modified PCL films was better than those on neat PCL films.
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