Forecasting the risk of forming postcontrast acute kidney injury in patients with acute coronary syndrome


DOI: https://dx.doi.org/10.18565/therapy.2020.4.124-130

Kobzeva N.D., Terentiev V.P., Batyushin M.M.

Rostov State medical University of the Ministry of Healthcare of Russia, Rostov-on-Don
Aim: predicting the risk of post-contrast acute kidney damage in patients with acute coronary syndrome (ACS).
Material and methods. The study included 323 patients with ACS who were treated in the cardiology department of the regional vascular center.
Results. During a two-factor logistic regression analysis, it was demonstrated that the combination of hemodynamically significant stenosis and ejection fraction, patient age, as well as a combination of kidney disease with urea level before coronary angiography, ejection fraction increased the risk of post-contrast acute kidney damage in patients with ACS.
Conclusions. Prediction tables have been developed, the use of which made it possible to assess the risk of developing post-contrast acute renal damage before coronary angiography and to take measures to prevent renal damage in patients with ACS.
Keywords: acute coronary syndrome, post-contrast acute kidney damage, risk factors,renal vascular stenosis,multifocal atherosclerosis
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About the Autors

Natalia D. Kobzeva, PhD, assistant of the Department of internal medicine No. 1 of Rostov State medical University of the Ministry of Healthcare of Russia. Address: 344000, Rostov-on-Don, 29 Nakhichevansky Lane. Tel.: +7 (988) 897-77-71. E-mail: kobzeva.nataliya1@gmail.com
Vladimir Р. Terentiev, MD, professor, head of the Department of internal medicine No. 1 of Rostov State medical University of the Ministry of Healthcare of Russia. Address: 344000, Rostov-on-Don, 29 Nakhichevansky Lane. E-mail: vpterentev@mail.ru
Mikhail М. Batyushin, MD, professor, professor of the Department of internal medicine No. 2 of Rostov State medical University of the Ministry of Healthcare of Russia. Address: 344000, Rostov-on-Don, 29 Nakhichevansky Lane. E-mail: batjushin-m@rambler.ru

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