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Les Néphropathies Induites Par Les Produits de Contraste by Collectif

Les Néphropathies Induites Par Les Produits de Contraste

by Collectif
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Book cover type: Paperback
  • ISBN13: 9783841628770
  • Binding: Paperback
  • Subject: N/A
  • Publisher: Omniscriptum
  • Publisher Imprint: Omniscriptum
  • Publication Date:
  • Pages: 60
  • Original Price: GBP 38.0
  • Language: French
  • Edition: N/A
  • Item Weight: 100 grams
  • BISAC Subject(s): General

Les néphropathies induites par les produits de contraste (CIN) sont une des complications fréquentes des patients présentant un infarctus du myocarde (IDM) traités par angioplastie primaire. Les CIN sont associées à une augmentation de la mortalité. Notre objectif était d'évaluer l'utilité d'une nouvelle définition de CIN basée sur l'estimation de la clairance de la créatinine (eCrCl) ou l'estimation du débit de filtration glomérulaire (eDFG) plutôt que sur la concentration de créatinine (CrCo) pour identifier les patients à haut risque de mortalité. De plus nous avons évaluer l'impact du volume de contraste iodé et de l'instabilité hémodynamique dans l'apparition des CIN. 1114 patients consécutifs admis pour IDM traités par angioplastie primaire ont été inclus. Les CIN étaient observées dans 18.2% (203), 12.9% (144) et dans 15.6% (174) selon la définition classique, la définition CG et la définition MDRD respectivement. La nouvelle définition de la CIN basée sur une baisse de 25% de la CrCl est plus discriminante pour identifier les patients avec IDM à haut risque de mortalité plutôt que la définition actuelle et devrait ètre utilisée dans les essais thérapeutiques.

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