检查经皮冠状动脉介入治疗(PCI)患者造影剂肾病的危险因素及其并发症的发生率

Gauhar Rahman, Hibba Aziz, Naveed Yaqoob, R. Yasmin, M. Tareen, Faizan Ahmed
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摘要

目的:本研究的目的是确定多支经皮冠状动脉介入治疗(PCI)患者造影剂肾病的发生率和危险因素。研究设计:前瞻性/观察性研究地点和时间:2022年11月至2023年4月白沙瓦白沙瓦心脏病研究所介入心脏病科。方法:对168例年龄20 ~ 70岁的男女患者进行分析。在获得每位患者的书面许可后,收集入组患者的年龄、性别、BMI、婚姻状况和受教育程度等数据。这项研究包括接受过经皮冠状动脉介入治疗的人。血清肌酐比基线值>0.5mg/dl为造影剂肾病。研究cin相关危险因素。数据采用SPSS 22.0进行分析。结果:患者平均年龄49.8±19.44岁,平均体重指数24.1±7.37 kg/m2。男性90例。42例(25%)发现CIN。造影剂、高血压、糖尿病和年龄>60岁是CIN最常见的危险因素。结论:造影剂肾病是PCI患者的严重危险。贫血(年龄>60岁)、糖尿病(造影剂>150 ml)和心力衰竭可增加发生CIN的可能性。关键词:造影剂肾病,经皮冠状动脉介入治疗,危险因素
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Examine the Risk Factors for Contrast-Induced Nephropathy in Patients Undergoing Percutaneous Coronary Intervention (PCI) and the Prevalence of this Complication
Objective: The purpose of this study was to determine the incidence of contrast-induced nephropathy and risk variables among patients undergoing multi-vessel percutaneous coronary intervention (PCI). Study Design: Prospective / Observational study Place and Duration: Department of Interventional Cardiology, Peshawar Institute of Cardiology Peshawar in the duration from November 2022 to April, 2023. Methods: There were 168 patients of both genders with ages 20-70 years were presented in this study. Data on enrolled patients' age, gender, BMI, marital status and education level were collected after receiving written permission from each patient. This research included people who had undergone a percutaneous coronary intervention. Serum creatinine >0.5mg/dl from the baseline value was classified as contrast induced nephropathy. CIN-related risk factors were studied. Data was analyzed using SPSS 22.0. Results: Patients mean age was 49.8±19.44 years and with mean body mass index 24.1±7.37 kg/m2. 90 patients were males. CIN was found in 42 (25%) cases. Contrast volume, hypertension, diabetes mellitus, and age >60 were the most common risk factors for CIN. Conclusion: Contrast-induced nephropathy is a serious danger for patients undergoing PCI. Anemia (age >60), diabetes mellitus (contrast volume >150 ml), and heart failure were found to increase the likelihood of developing CIN. Keywords: Contrast Induced Nephropathy, Percutaneous Coronary Intervention, Risk Factors
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