Document Type
Original Article
Abstract
Background: Iodinated contrast material injections may lead to a serious angiography complication known as contrast-induced nephropathy (CIN).
Objectives: This study aimed to compare the contrast medium volume (CMV) to the estimated glomerular filtration rate (eGFR) in patients undergoing percutaneous coronary intervention who have diabetes and those who do not.
Methods: This Prospective Cohort research included 200 individuals, regardless of sex, over the age of 18, who underwent elective or emergent percutaneous coronary intervention (PCI). Subjects were separated into two equal groups: Group "I" had 100 diabetic individuals.
Group "II" included 100 patients without diabetes.
Results: Diabetics had a considerably higher CMV/eGFR ratio than non-diabetics, and positive CIN was greater than negative CIN. At a cut-off of >1.3, the CMV/eGFR ratio can strongly predict CIN, with 35% of diabetic patients developing CIN and only 15% of non-diabetics developing CIN.
Conclusion: The CMV/eGFR ratio can indicate CIN in diabetic and non-diabetic patients after PCI, and it is considerably greater in diabetic than non-diabetic groups. Because it shows the quantity of contrast medium and renal function, two major risk factors for CIN development, it has predictive value.
Keywords
Contrast Medium; Glomerular Filtration Rate; Percutaneous Coronary Intervention; Diabetes Mellitus; Contrast medium volume/estimated glomerular filtration rate Ratio
Subject Area
Cardiovascular
How to Cite This Article
Elkafrawy, Fayez Abo-bakr; Nouh, Samy Hassan; and Khalaf, Hani Abd Elshafook
(2024)
"Correlation between Contrast Medium Amount and the Estimated Glomerular Filtration Rate before and after Percutaneous Coronary Intervention in Diabetic and Non-Diabetic Patients,"
Al-Azhar International Medical Journal: Vol. 5:
Iss.
8, Article 25.
DOI: https://doi.org/10.58675/2682-339X.2601
