Risks for renal dysfunction with cardiac angiography

C. P. Taliercio, R. E. Vlietstra, L. D. Fisher, John C Jr. Burnett

Research output: Contribution to journalArticle

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Abstract

In 139 patients with preexisting abnormal renal function (serum creatinine level of 2.0 mg/dL or greater) undergoing cardiac angiography (141 examinations), the incidence of contrast nephropathy, defined as 1 mg/dL or greater rise in serum creatinine, was 23% (95% confidence interval, 17% to 30%). Stepwise logistic regression analysis showed that contrast nephropathy was independently associated with class IV heart failure with low cardiac output (71% incidence in this subgroup; p<0.0001), multiple radiocontrast studies within 72 hours (50%; p=0.002), dose of radiocontrast administered (p=0.009), and insulin-dependent diabetes mellitus (44%; p=0.007). Age, hypertension, and hyperuricemia were not associated. In patients without low cardiac output, other radiocontrast tests, or insulin-dependent diabetes mellitus, there was a 2% incidence of contrast nephropathy in those who received less than 125 mL radiocontrast and a 19% incidence in those who received 125 mL or greater.

Original languageEnglish (US)
Pages (from-to)501-504
Number of pages4
JournalAnnals of Internal Medicine
Volume104
Issue number4
StatePublished - 1986

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Angiography
Kidney
Low Cardiac Output
Incidence
Type 1 Diabetes Mellitus
Creatinine
Hyperuricemia
Serum
Heart Failure
Logistic Models
Regression Analysis
Confidence Intervals
Hypertension

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Taliercio, C. P., Vlietstra, R. E., Fisher, L. D., & Burnett, J. C. J. (1986). Risks for renal dysfunction with cardiac angiography. Annals of Internal Medicine, 104(4), 501-504.

Risks for renal dysfunction with cardiac angiography. / Taliercio, C. P.; Vlietstra, R. E.; Fisher, L. D.; Burnett, John C Jr.

In: Annals of Internal Medicine, Vol. 104, No. 4, 1986, p. 501-504.

Research output: Contribution to journalArticle

Taliercio, CP, Vlietstra, RE, Fisher, LD & Burnett, JCJ 1986, 'Risks for renal dysfunction with cardiac angiography', Annals of Internal Medicine, vol. 104, no. 4, pp. 501-504.
Taliercio CP, Vlietstra RE, Fisher LD, Burnett JCJ. Risks for renal dysfunction with cardiac angiography. Annals of Internal Medicine. 1986;104(4):501-504.
Taliercio, C. P. ; Vlietstra, R. E. ; Fisher, L. D. ; Burnett, John C Jr. / Risks for renal dysfunction with cardiac angiography. In: Annals of Internal Medicine. 1986 ; Vol. 104, No. 4. pp. 501-504.
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