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接受冠状动脉造影和心导管插入术患者的种族与对比剂肾病

Race and contrast-induced nephropathy in patients undergoing coronary angiography and cardiac catheterization.

作者信息

Chawla Raveen, Turlington Jeremy, Arora Pradeep, Jovin Ion S

机构信息

Department of Medicine, Virginia Commonwealth University Health System and McGuire VAMC, Richmond, VA, United States.

Division of Cardiology, Virginia Commonwealth University Health System and McGuire VAMC, Richmond, VA, United States.

出版信息

Int J Cardiol. 2017 Mar 1;230:610-613. doi: 10.1016/j.ijcard.2016.12.046. Epub 2016 Dec 23.

Abstract

Contrast-induced nephropathy (CIN) is an acute worsening of renal function after receiving intravascular contrast during a procedure. Some of the predisposing factors include underlying diabetes, chronic kidney disease, congestive heart failure, periprocedural hypotension, anemia, contrast volume, and osmolality of contrast; however, it remains unclear if risk varies for CIN with race and ethnicity. There is evidence in the literature showing the link between race/ethnicity and the discrepancies in the utilization of preventive care services and the resources related to cardiovascular and renal health. While these disparities continue to exist and affect some of the predictors of CIN, this review will explore the extent to which race and ethnicity directly affect CIN.

摘要

对比剂肾病(CIN)是指在进行一项操作过程中接受血管内对比剂后肾功能急性恶化。一些易感因素包括潜在的糖尿病、慢性肾病、充血性心力衰竭、围手术期低血压、贫血、对比剂用量以及对比剂的渗透压;然而,CIN的风险是否因种族和民族而异仍不清楚。文献中有证据表明种族/民族与预防性医疗服务的利用以及与心血管和肾脏健康相关资源的差异之间存在联系。虽然这些差异仍然存在并影响CIN的一些预测因素,但本综述将探讨种族和民族直接影响CIN的程度。

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