ジュウジョウ　ケンタロウ   JUJO Kentaro   重城　健太郎    所属   埼玉医科大学  医学部 総合医療センター　心臓内科    職種   教授
論文種別	学術雑誌(原著)
言語種別	日本語
査読の有無	査読あり
表題	Clinical impact of nephropathy induced by contrast medium in patients with acute myocardial infarction undergoing emergent coronary angiography
掲載誌名	正式名：Journal of Cardiology ISSNコード：09145087
巻・号・頁	48(1),9-16頁
著者・共著者	Kentaro Jujo,Junichi Yamaguchi,Kenji Obayashi,Kaori Suzuki,Haruki Sekiguchi,Michitaka Nagashima,Yukio Tsurumi,Hiroshi Kasanuki
発行年月	2006
概要	Objectives. The incidence of contrast-induced nephropathy (CIN) after coronaiy angiography and the prognostic value in patients with acute myocardial infarction remains to be determined. This study investigated the frequency, predictors of CIN, and the prognostic significance of CIN in acute myocardial infarction patients undergoing emergent coronary angiography. Methods. This study included 132 consecutive acute myocardial infarction patients undergoing emergent coronary angiography within 24 hr after the onset between January 1999 and June 2001. The serum creatinine concentration was measured on admission and at 48 hr after contrast medium exposure. CIN was defined as an increase in serum creatinine from the baseline ≥ 0.5 mgldl or ≥ 25% at 48 hr after emergent coronary angiography. The patient characteristics, and in-hospital and long-term mortality were compared between the CIN and non-CIN groups. Results. CIN occurred in 15 patients(l1.4%) after emergent coronary angiography. The predictor of CIN development was preexisting renal impairment (serum creatinine concentration ≥ 1.2mgIdl on presentation 21.9% vs 8.0%, odds ratio 3.22, 95% confidence interval l.O7-9.74,p 0.04
PMID	16886495