A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient

Recent epidemiological studies have demonstrated that the development of a potentially reversible moderate acute kidney injury is associated with worsening clinical outcomes and an increased risk of death. This is especially true for patients with plural comorbidities who require procedures with IV...

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Main Authors: E. A. Son, M. R. Kondratyuk, E. V. Fominykh, V. V. Fomin
Format: Article
Language:English
Published: Столичная издательская компания 2021-03-01
Series:Рациональная фармакотерапия в кардиологии
Subjects:
Online Access:https://www.rpcardio.online/jour/article/view/2399
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author E. A. Son
M. R. Kondratyuk
E. V. Fominykh
V. V. Fomin
author_facet E. A. Son
M. R. Kondratyuk
E. V. Fominykh
V. V. Fomin
author_sort E. A. Son
collection DOAJ
description Recent epidemiological studies have demonstrated that the development of a potentially reversible moderate acute kidney injury is associated with worsening clinical outcomes and an increased risk of death. This is especially true for patients with plural comorbidities who require procedures with IV radiopaque agents. This paper presents a clinical case of an elderly patient who requires coronary angiography, and who has common clinical conditions such as hypertension, multifocal atherosclerosis with the development of renal artery disease and the presence of a history of acute cerebrovascular accident and myocardial infarction, and chronic heart failure as well. Particular attention is given to assessing the risk of developing contrast-induced acute kidney injury in patients with cardiovascular disease, as well as discussing current views on the possibility of prescribing drugs that affect the reninangiotensin system in cardiac patients with concomitant renal artery disease.
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spelling doaj.art-9ef6f0d349aa4f96bce8434264aad1222024-04-01T07:43:40ZengСтоличная издательская компанияРациональная фармакотерапия в кардиологии1819-64462225-36532021-03-0117114014510.20996/1819-6446-2021-02-081851A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological PatientE. A. Son0M. R. Kondratyuk1E. V. Fominykh2V. V. Fomin3I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)I.M. Sechenov First Moscow State Medical University (Sechenov University)Recent epidemiological studies have demonstrated that the development of a potentially reversible moderate acute kidney injury is associated with worsening clinical outcomes and an increased risk of death. This is especially true for patients with plural comorbidities who require procedures with IV radiopaque agents. This paper presents a clinical case of an elderly patient who requires coronary angiography, and who has common clinical conditions such as hypertension, multifocal atherosclerosis with the development of renal artery disease and the presence of a history of acute cerebrovascular accident and myocardial infarction, and chronic heart failure as well. Particular attention is given to assessing the risk of developing contrast-induced acute kidney injury in patients with cardiovascular disease, as well as discussing current views on the possibility of prescribing drugs that affect the reninangiotensin system in cardiac patients with concomitant renal artery disease.https://www.rpcardio.online/jour/article/view/2399acute kidney injurycontrast-induced nephropathyrenal artery stenosisrenal artery diseaseangiotensin-converting enzyme inhibitor
spellingShingle E. A. Son
M. R. Kondratyuk
E. V. Fominykh
V. V. Fomin
A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient
Рациональная фармакотерапия в кардиологии
acute kidney injury
contrast-induced nephropathy
renal artery stenosis
renal artery disease
angiotensin-converting enzyme inhibitor
title A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient
title_full A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient
title_fullStr A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient
title_full_unstemmed A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient
title_short A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient
title_sort clinical case the risk factors of acute kidney injury in a cardiological patient
topic acute kidney injury
contrast-induced nephropathy
renal artery stenosis
renal artery disease
angiotensin-converting enzyme inhibitor
url https://www.rpcardio.online/jour/article/view/2399
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