P6088Predictors of contrast induced nephropathy in patients with metabolic syndrome

Alyavi, Anis; Alyavi, Baxrom; Uzokov, Jamol; Payziev, J.J.; Ishakov, S.A.; Азизов, Ш И

doi:10.1093/eurheartj/ehx493.p6088

Cited by 5 publications

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“…Obesity, especially central obesity, is characterized by the presence of metabolic syndrome, itself a risk factor for renal impairment [ 21 ]. Previous studies have documented the association of obesity and/or metabolic syndrome and the development of CIN among patients undergoing any contrast administration [ 22 ] as well as those undergoing coronary angiography procedures [ 23 , 24 ]. However, others have dismissed this association as an independent risk factor [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Magnitude and associated factors of contrast induced nephropathy among patients undergoing coronary angiography and interventions at a cardiac referral hospital in Tanzania - a cross-sectional study

Chillo¹,

Malaja²,

Kisenge³

2021

Pan Afr Med J

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Introduction contrast media are increasingly used in diagnostic and interventional procedures but are also known causes of acute kidney injury - a condition known as contrast induced nephropathy (CIN). We aimed to determine the magnitude and associated factors of CIN among patients undergoing coronary angiography and percutaneous coronary intervention at a cardiac referral hospital in Tanzania. Methods all adult patients undergoing elective coronary angiography and percutaneous coronary intervention at Jakaya Kikwete Cardiac Institute were consecutively enrolled between August 2017 and January 2018, if they fulfilled the inclusion criteria. Pre-procedure, 24- and 72-hours' post procedure serum creatinine was measured. CIN was defined as increase of ≥25% or absolute increase of ≥44μmol/L of serum creatinine within 72 hours following exposure to contrast media. Data analysis were done using SPSS Version 20. P-value of <0.05 was considered statistically significant. Results in total, 210 (94.6%) out of 222 patients seen during the study period fulfilled the inclusion criteria and were enrolled. Their mean (SD) age was 61.3 (10.9) years and 64.3% were men. Hypertension, diabetes, smoking and alcohol consumption was present in 86.7%, 37.7%, 12.4% and 37.6% respectively. The incidence of CIN was 19% within 72 hours post procedure. On multivariate logistic regression analysis, independent factors for developing CIN were history of heart failure (aOR=7.34), central obesity (aOR=3.12), triple vessel disease (aOR=10.14) and post procedure stay of ≥3 days (aOR=4.1), all p<0.05. Conclusion the incidence of CIN found in this population is high (19%) and is associated with heart failure, obesity, multi-vessel disease and longer post-procedure hospital stay.

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Section: Discussionmentioning

confidence: 99%

Magnitude and associated factors of contrast induced nephropathy among patients undergoing coronary angiography and interventions at a cardiac referral hospital in Tanzania - a cross-sectional study

Chillo¹,

Malaja²,

Kisenge³

2021

Pan Afr Med J

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“…Stress includes a decrease in hemoglobin levels and an increase in circulating blood volume, stroke volume, and heart rate [10]. Cardiac output is increased by 30-50% [11].…”

Section: Pathophysiologymentioning

confidence: 99%

Heart disease in pregnancy

Sattarovna¹,

Kamilovna²

2021

GSC Biol. and Pharm. Sci.

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“…Hemoptysis and pulmonary edema are less common and occur mainly when rheumatic vasculitis is combined with severe congestion in the pulmonary veins and bronchial vessels. Rarely, hemoptysis is associated with pulmonary infarction [10]. Pulmonary edema is caused by severe hypertension of the small circle in combination with left ventricular failure.…”

Section: Introductionmentioning

confidence: 99%

Modern views on treatment of critical mitral stenosis

Salahitdinov¹,

Khaydarov²

2023

World J. Adv. Res. Rev.

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Mitral stenosis - narrowing of the left atrioventricular orifice due to fusion of the leaflets of the bicuspid valve, changes in subvalvular structures and fibrous degeneration of the valve ring. This creates obstacles to the flow of blood from the left atrium and is accompanied by a decrease in stroke volume and cardiac output. Mitral stenosis leads to pulmonary hypertension syndrome. This review provides an update on rheumatic mitral stenosis, its possible causes, clinical picture diagnosis and modern treatment options in the evolving world. The latest therapeutic approaches, including lifestyle changes, medical, surgical, and transcatheter valvular interventions including percutaneous transcatheter mitral valvuloplasty will be discussed.

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P6088Predictors of contrast induced nephropathy in patients with metabolic syndrome

Cited by 5 publications

References 0 publications

Magnitude and associated factors of contrast induced nephropathy among patients undergoing coronary angiography and interventions at a cardiac referral hospital in Tanzania - a cross-sectional study

Magnitude and associated factors of contrast induced nephropathy among patients undergoing coronary angiography and interventions at a cardiac referral hospital in Tanzania - a cross-sectional study

Heart disease in pregnancy

Modern views on treatment of critical mitral stenosis

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