Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization

Safauldeen Ahmed Alhajim; Ahmed Sami Jebur

doi:doi:10.11648/j.ccr.20180203.12

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Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization

Safauldeen Ahmed Alhajim, Ahmed Sami Jebur

Published in Cardiology and Cardiovascular Research (Volume 2, Issue 3)

Received: 25 August 2018 Accepted: 20 September 2018 Published: 17 October 2018

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Abstract

Contrast-induced nephropathy is an important complication after cardiac catheterization, and is associated with accelerated renal disease, increased costs, mortality rate, need for dialysis and prolonged hospital stay. This study aim is to find its incidence and risk factors. It is a cross-sectional study on 160 patients admitted for diagnostic or therapeutic percutaneous coronary intervention in Basra Cardiac Center, from March to September 2016. Data collected were a complete history, examination, blood pressure, Echo study, fasting blood sugar, lipid profile, blood urea, serum creatinine and estimated glomerular filtration rate, the type and duration of procedure, volume of contrast, and after 48 hours renal function tests were repeated. Contrast-induced nephropathy has developed in 7 (8.3%) men and 5 (6.6%) women; 11 (10.8%) from 102 patients with dyslipidemia (P = 0.03); 8 (22.2%) from 36 with preexisting renal impairment (P = 0.01); 11 (10.9%) from 101 with hypertension (P = 0.02); 9 (13.6%) from 66 diabetic (P = 0.016); 9 (17.3%) from 52 smoker (P = 0.002); 4 (23.5%) from 17 alcohol drinkers (P = 0.026); 11 (11.2%) from 98 with ischemic heart disease (P = 0.02); and 9 (25.7%) from 35 with heart failure (P = <0.001). Also found in 1 (1.6%) from 64 diagnostic procedures; 11 (11.5%) from 96 therapeutic procedures (P = 0.016); 5 (3.7%) from 135 patients received < 300 ml of contrast; and 7 (28%) from 25 received ≥ 300 ml (P = 0.001). In conclusion contrast-induced nephropathy is aggravated by increasing age, diabetes mellitus, heart failure, ischemic heart disease, renal impairment, hypertension, dyslipidemia, smoking and alcohol use. The type of procedure (therapeutic vs. diagnostic), and large volume of contrast agent are important risk factors. Gender had no significant effect.

Published in	Cardiology and Cardiovascular Research (Volume 2, Issue 3)
DOI	10.11648/j.ccr.20180203.12
Page(s)	55-60
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2018. Published by Science Publishing Group

Keywords

Cardiac Catheterization, Contrast Media, Acute Kidney Injury

References

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APA Style

Safauldeen Ahmed Alhajim, Ahmed Sami Jebur. (2018). Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization. Cardiology and Cardiovascular Research, 2(3), 55-60. https://doi.org/10.11648/j.ccr.20180203.12

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ACS Style

Safauldeen Ahmed Alhajim; Ahmed Sami Jebur. Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization. Cardiol. Cardiovasc. Res. 2018, 2(3), 55-60. doi: 10.11648/j.ccr.20180203.12

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AMA Style

Safauldeen Ahmed Alhajim, Ahmed Sami Jebur. Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization. Cardiol Cardiovasc Res. 2018;2(3):55-60. doi: 10.11648/j.ccr.20180203.12

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@article{10.11648/j.ccr.20180203.12,
  author = {Safauldeen Ahmed Alhajim and Ahmed Sami Jebur},
  title = {Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization},
  journal = {Cardiology and Cardiovascular Research},
  volume = {2},
  number = {3},
  pages = {55-60},
  doi = {10.11648/j.ccr.20180203.12},
  url = {https://doi.org/10.11648/j.ccr.20180203.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20180203.12},
  abstract = {Contrast-induced nephropathy is an important complication after cardiac catheterization, and is associated with accelerated renal disease, increased costs, mortality rate, need for dialysis and prolonged hospital stay. This study aim is to find its incidence and risk factors. It is a cross-sectional study on 160 patients admitted for diagnostic or therapeutic percutaneous coronary intervention in Basra Cardiac Center, from March to September 2016. Data collected were a complete history, examination, blood pressure, Echo study, fasting blood sugar, lipid profile, blood urea, serum creatinine and estimated glomerular filtration rate, the type and duration of procedure, volume of contrast, and after 48 hours renal function tests were repeated. Contrast-induced nephropathy has developed in 7 (8.3%) men and 5 (6.6%) women; 11 (10.8%) from 102 patients with dyslipidemia (P = 0.03); 8 (22.2%) from 36 with preexisting renal impairment (P = 0.01); 11 (10.9%) from 101 with hypertension (P = 0.02); 9 (13.6%) from 66 diabetic (P = 0.016); 9 (17.3%) from 52 smoker (P = 0.002); 4 (23.5%) from 17 alcohol drinkers (P = 0.026); 11 (11.2%) from 98 with ischemic heart disease (P = 0.02); and 9 (25.7%) from 35 with heart failure (P = <0.001). Also found in 1 (1.6%) from 64 diagnostic procedures; 11 (11.5%) from 96 therapeutic procedures (P = 0.016); 5 (3.7%) from 135 patients received < 300 ml of contrast; and 7 (28%) from 25 received ≥ 300 ml (P = 0.001). In conclusion contrast-induced nephropathy is aggravated by increasing age, diabetes mellitus, heart failure, ischemic heart disease, renal impairment, hypertension, dyslipidemia, smoking and alcohol use. The type of procedure (therapeutic vs. diagnostic), and large volume of contrast agent are important risk factors. Gender had no significant effect.},
 year = {2018}
}

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TY  - JOUR
T1  - Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization
AU  - Safauldeen Ahmed Alhajim
AU  - Ahmed Sami Jebur
Y1  - 2018/10/17
PY  - 2018
N1  - https://doi.org/10.11648/j.ccr.20180203.12
DO  - 10.11648/j.ccr.20180203.12
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 55
EP  - 60
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20180203.12
AB  - Contrast-induced nephropathy is an important complication after cardiac catheterization, and is associated with accelerated renal disease, increased costs, mortality rate, need for dialysis and prolonged hospital stay. This study aim is to find its incidence and risk factors. It is a cross-sectional study on 160 patients admitted for diagnostic or therapeutic percutaneous coronary intervention in Basra Cardiac Center, from March to September 2016. Data collected were a complete history, examination, blood pressure, Echo study, fasting blood sugar, lipid profile, blood urea, serum creatinine and estimated glomerular filtration rate, the type and duration of procedure, volume of contrast, and after 48 hours renal function tests were repeated. Contrast-induced nephropathy has developed in 7 (8.3%) men and 5 (6.6%) women; 11 (10.8%) from 102 patients with dyslipidemia (P = 0.03); 8 (22.2%) from 36 with preexisting renal impairment (P = 0.01); 11 (10.9%) from 101 with hypertension (P = 0.02); 9 (13.6%) from 66 diabetic (P = 0.016); 9 (17.3%) from 52 smoker (P = 0.002); 4 (23.5%) from 17 alcohol drinkers (P = 0.026); 11 (11.2%) from 98 with ischemic heart disease (P = 0.02); and 9 (25.7%) from 35 with heart failure (P = <0.001). Also found in 1 (1.6%) from 64 diagnostic procedures; 11 (11.5%) from 96 therapeutic procedures (P = 0.016); 5 (3.7%) from 135 patients received < 300 ml of contrast; and 7 (28%) from 25 received ≥ 300 ml (P = 0.001). In conclusion contrast-induced nephropathy is aggravated by increasing age, diabetes mellitus, heart failure, ischemic heart disease, renal impairment, hypertension, dyslipidemia, smoking and alcohol use. The type of procedure (therapeutic vs. diagnostic), and large volume of contrast agent are important risk factors. Gender had no significant effect.
VL  - 2
IS  - 3
ER  -

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Author Information

Safauldeen Ahmed Alhajim

Department of Medicine, University of Basrah, Basrah, Iraq
Ahmed Sami Jebur

Department of Medicine, Shifa Hospital, Basrah, Iraq

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Safauldeen Ahmed Alhajim, Ahmed Sami Jebur. (2018). Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization. Cardiology and Cardiovascular Research, 2(3), 55-60. https://doi.org/10.11648/j.ccr.20180203.12

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ACS Style

Safauldeen Ahmed Alhajim; Ahmed Sami Jebur. Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization. Cardiol. Cardiovasc. Res. 2018, 2(3), 55-60. doi: 10.11648/j.ccr.20180203.12

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AMA Style

Safauldeen Ahmed Alhajim, Ahmed Sami Jebur. Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization. Cardiol Cardiovasc Res. 2018;2(3):55-60. doi: 10.11648/j.ccr.20180203.12

Copy | Download

@article{10.11648/j.ccr.20180203.12,
  author = {Safauldeen Ahmed Alhajim and Ahmed Sami Jebur},
  title = {Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization},
  journal = {Cardiology and Cardiovascular Research},
  volume = {2},
  number = {3},
  pages = {55-60},
  doi = {10.11648/j.ccr.20180203.12},
  url = {https://doi.org/10.11648/j.ccr.20180203.12},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ccr.20180203.12},
  abstract = {Contrast-induced nephropathy is an important complication after cardiac catheterization, and is associated with accelerated renal disease, increased costs, mortality rate, need for dialysis and prolonged hospital stay. This study aim is to find its incidence and risk factors. It is a cross-sectional study on 160 patients admitted for diagnostic or therapeutic percutaneous coronary intervention in Basra Cardiac Center, from March to September 2016. Data collected were a complete history, examination, blood pressure, Echo study, fasting blood sugar, lipid profile, blood urea, serum creatinine and estimated glomerular filtration rate, the type and duration of procedure, volume of contrast, and after 48 hours renal function tests were repeated. Contrast-induced nephropathy has developed in 7 (8.3%) men and 5 (6.6%) women; 11 (10.8%) from 102 patients with dyslipidemia (P = 0.03); 8 (22.2%) from 36 with preexisting renal impairment (P = 0.01); 11 (10.9%) from 101 with hypertension (P = 0.02); 9 (13.6%) from 66 diabetic (P = 0.016); 9 (17.3%) from 52 smoker (P = 0.002); 4 (23.5%) from 17 alcohol drinkers (P = 0.026); 11 (11.2%) from 98 with ischemic heart disease (P = 0.02); and 9 (25.7%) from 35 with heart failure (P = <0.001). Also found in 1 (1.6%) from 64 diagnostic procedures; 11 (11.5%) from 96 therapeutic procedures (P = 0.016); 5 (3.7%) from 135 patients received < 300 ml of contrast; and 7 (28%) from 25 received ≥ 300 ml (P = 0.001). In conclusion contrast-induced nephropathy is aggravated by increasing age, diabetes mellitus, heart failure, ischemic heart disease, renal impairment, hypertension, dyslipidemia, smoking and alcohol use. The type of procedure (therapeutic vs. diagnostic), and large volume of contrast agent are important risk factors. Gender had no significant effect.},
 year = {2018}
}

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TY  - JOUR
T1  - Contrast-Induced Nephropathy Among Patients Undergoing Cardiac Catheterization
AU  - Safauldeen Ahmed Alhajim
AU  - Ahmed Sami Jebur
Y1  - 2018/10/17
PY  - 2018
N1  - https://doi.org/10.11648/j.ccr.20180203.12
DO  - 10.11648/j.ccr.20180203.12
T2  - Cardiology and Cardiovascular Research
JF  - Cardiology and Cardiovascular Research
JO  - Cardiology and Cardiovascular Research
SP  - 55
EP  - 60
PB  - Science Publishing Group
SN  - 2578-8914
UR  - https://doi.org/10.11648/j.ccr.20180203.12
AB  - Contrast-induced nephropathy is an important complication after cardiac catheterization, and is associated with accelerated renal disease, increased costs, mortality rate, need for dialysis and prolonged hospital stay. This study aim is to find its incidence and risk factors. It is a cross-sectional study on 160 patients admitted for diagnostic or therapeutic percutaneous coronary intervention in Basra Cardiac Center, from March to September 2016. Data collected were a complete history, examination, blood pressure, Echo study, fasting blood sugar, lipid profile, blood urea, serum creatinine and estimated glomerular filtration rate, the type and duration of procedure, volume of contrast, and after 48 hours renal function tests were repeated. Contrast-induced nephropathy has developed in 7 (8.3%) men and 5 (6.6%) women; 11 (10.8%) from 102 patients with dyslipidemia (P = 0.03); 8 (22.2%) from 36 with preexisting renal impairment (P = 0.01); 11 (10.9%) from 101 with hypertension (P = 0.02); 9 (13.6%) from 66 diabetic (P = 0.016); 9 (17.3%) from 52 smoker (P = 0.002); 4 (23.5%) from 17 alcohol drinkers (P = 0.026); 11 (11.2%) from 98 with ischemic heart disease (P = 0.02); and 9 (25.7%) from 35 with heart failure (P = <0.001). Also found in 1 (1.6%) from 64 diagnostic procedures; 11 (11.5%) from 96 therapeutic procedures (P = 0.016); 5 (3.7%) from 135 patients received < 300 ml of contrast; and 7 (28%) from 25 received ≥ 300 ml (P = 0.001). In conclusion contrast-induced nephropathy is aggravated by increasing age, diabetes mellitus, heart failure, ischemic heart disease, renal impairment, hypertension, dyslipidemia, smoking and alcohol use. The type of procedure (therapeutic vs. diagnostic), and large volume of contrast agent are important risk factors. Gender had no significant effect.
VL  - 2
IS  - 3
ER  -

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