STUDY ON INCIDENCE AND RISK FACTORS OF CONTRAST INDUCED NEPHROPATHY IN PATIENTS UNDERGOING CARDIAC CATHETERIZATION STUDIES

Dr. K. Sreekanth; Dr. K.V.L. Sudha Rani; Dr. Sharath Chandra Shetty

Volume : VIII, Issue : VIII, August - 2018

STUDY ON INCIDENCE AND RISK FACTORS OF CONTRAST INDUCED NEPHROPATHY IN PATIENTS UNDERGOING CARDIAC CATHETERIZATION STUDIES

Dr. K. Sreekanth, Dr. K. V. L. Sudha Rani, Dr. Sharath Chandra Shetty

Abstract :

Contrast induced nephropathy (CIN) is a significant problem in clinical practice with the increasing use of contrast media in diagnostic and interventional procedures. In our hospital (Osmania General Hospital, Hyderabad), we conducted a study of the incidence and risk factors of contrast – induced nephropathy among the patients undergoing cardiac catheterisation studies, based on the increase in post – procedural serum creatinine from the baseline. In the results of the present study, 28% of the patients presented with CIN. Incidence of CIN is increasing with age, 58.9% patients of CIN are in between 51–60 years age (p<0.05). There was no statistically significant difference observed between CIN and No CIN patients based on gender (p >0.05). There was no statistically significant difference observed in presence of HTN and DM between CIN and No CIN patients (p >0.05). It is observed that 12.5% patients with CIN had significantly higher baseline Creatinine compared to 4.2 % in no CIN group (p <0.05). 30.4% of patients in CIN group had LVEF < 40% which was significant higher than when compared to 8.3% in no CIN group (p<0.05).