دورية أكاديمية
Contrast-induced nephropathy in a patient with type 2 diabetes and coronary artery disease: a case report
| العنوان: | Contrast-induced nephropathy in a patient with type 2 diabetes and coronary artery disease: a case report |
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| المؤلفون: | Jelena P. Seferovic, Milorad Tesic, Visnja Lezaic, Petar M. Seferovic, Nebojsa M. Lalic |
| المصدر: | Journal of International Medical Research, Vol 49 (2021) |
| بيانات النشر: | SAGE Publishing |
| سنة النشر: | 2021 |
| المجموعة: | Directory of Open Access Journals: DOAJ Articles |
| مصطلحات موضوعية: | Medicine (General), R5-920 |
| الوصف: | Contrast-induced nephropathy (CIN) is the impairment of kidney function defined as a serum creatinine increase of 25% or 44 µmol/L compared with baseline, usually occurring 24 to 48 hours after the use of intravenous contrast. Important risk factors for CIN include female sex, advanced age (>65 years), type 2 diabetes (T2D), kidney disease, advanced heart failure, and intravascular volume depletion. We herein present a male patient with T2D, moderately reduced renal function, no albuminuria, and a positive echocardiography stress test. He underwent percutaneous coronary intervention (PCI), and two drug-eluting stents (in the left anterior descending coronary artery) and three bare-metal stents (in the right coronary artery) were implanted. Despite adequate rehydration (0.9% intravenous NaCl with 8.4% sodium bicarbonate) before and after the procedures, he developed irreversible kidney injury after coronary angiography and PCI. This case report demonstrates the unpredictable clinical course of CIN. Patients with T2D are at high risk for the occurrence of CIN, so careful clinical assessment is recommended with global renal functional reserve evaluation. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| تدمد: | 1473-2300 |
| العلاقة: | https://doi.org/10.1177/03000605211033177Test; https://doaj.org/toc/1473-2300Test; https://doaj.org/article/450345723cb1414484ea399f9d4f92fbTest |
| DOI: | 10.1177/03000605211033177 |
| الإتاحة: | https://doi.org/10.1177/03000605211033177Test https://doaj.org/article/450345723cb1414484ea399f9d4f92fbTest |
| رقم الانضمام: | edsbas.13E157E8 |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 14732300 |
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| DOI: | 10.1177/03000605211033177 |