Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxis
In modern medical practice, contrast-induced nephropathy (CIN) is an urgent problem in patients with acute coronary syndrome that underwent percutaneous interventions. It worsens prognosis, increases the number of cardiovascular complications and the length of hospital stay. Despite the use of moder...
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| Format: | Article |
| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2020-04-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/2367 |
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| author | O. V. Demchuk I. A. Sukmanova I. V. Ponomarenko V. A. Elykomov |
| author_facet | O. V. Demchuk I. A. Sukmanova I. V. Ponomarenko V. A. Elykomov |
| author_sort | O. V. Demchuk |
| collection | DOAJ |
| description | In modern medical practice, contrast-induced nephropathy (CIN) is an urgent problem in patients with acute coronary syndrome that underwent percutaneous interventions. It worsens prognosis, increases the number of cardiovascular complications and the length of hospital stay. Despite the use of modern radiocontrast agents, the incidence of CIN can increase in a certain patients up to 50%. Risk factors for CIN can be associated both with the patient and directly with the x-ray procedures. The diagnosis is mainly based on the pre- and postprocedural determination of creatinine. However, more modern biomarkers of kidney injury can be used at present, which allow diagnosing the acute kidney injury as soon as possible. A huge role is played not only by treatment, but also by the prevention of CIN, which consists in the timely identification of high-risk patients. The current study presents the main points of pathogenesis, methods for diagnosing CIN, as well as methods for its prevention and treatment in patients with acute coronary syndrome. |
| format | Article |
| id | doaj-art-27fb566450dd4fbc853db437e7ef2fd0 |
| institution | DOAJ |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| publishDate | 2020-04-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj-art-27fb566450dd4fbc853db437e7ef2fd02025-08-20T02:59:15Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252020-04-0119210.15829/1728-8800-2019-22551995Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxisO. V. Demchuk0I. A. Sukmanova1I. V. Ponomarenko2V. A. Elykomov3Altai Regional Cardiology DispensaryAltai Regional Cardiology Dispensary; Altai State Medical UniversityAltai Regional Cardiology DispensaryAltai State Medical UniversityIn modern medical practice, contrast-induced nephropathy (CIN) is an urgent problem in patients with acute coronary syndrome that underwent percutaneous interventions. It worsens prognosis, increases the number of cardiovascular complications and the length of hospital stay. Despite the use of modern radiocontrast agents, the incidence of CIN can increase in a certain patients up to 50%. Risk factors for CIN can be associated both with the patient and directly with the x-ray procedures. The diagnosis is mainly based on the pre- and postprocedural determination of creatinine. However, more modern biomarkers of kidney injury can be used at present, which allow diagnosing the acute kidney injury as soon as possible. A huge role is played not only by treatment, but also by the prevention of CIN, which consists in the timely identification of high-risk patients. The current study presents the main points of pathogenesis, methods for diagnosing CIN, as well as methods for its prevention and treatment in patients with acute coronary syndrome.https://cardiovascular.elpub.ru/jour/article/view/2367contrast-induced nephropathyacute coronary syndromeradiocontrast agentsbiomarkersacute kidney injury |
| spellingShingle | O. V. Demchuk I. A. Sukmanova I. V. Ponomarenko V. A. Elykomov Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxis Кардиоваскулярная терапия и профилактика contrast-induced nephropathy acute coronary syndrome radiocontrast agents biomarkers acute kidney injury |
| title | Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxis |
| title_full | Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxis |
| title_fullStr | Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxis |
| title_full_unstemmed | Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxis |
| title_short | Contrast-induced nephropathy in patients with acute coronary syndrome: clinical significance, diagnosis, prophylaxis |
| title_sort | contrast induced nephropathy in patients with acute coronary syndrome clinical significance diagnosis prophylaxis |
| topic | contrast-induced nephropathy acute coronary syndrome radiocontrast agents biomarkers acute kidney injury |
| url | https://cardiovascular.elpub.ru/jour/article/view/2367 |
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