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

https://doi.org/10.20996/1819-6446-2021-02-08

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Abstract

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.

About the Authors

E. A. Son
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Elena A. Son

Moscow

eLibrary 1224-7753



M. R. Kondratyuk
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Mikhail R. Kondratiuk

Moscow



E. V. Fominykh
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Ekaterina V. Fominykh

Moscow



V. V. Fomin
I.M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation

Viktor V. Fomin

Moscow



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For citation:


Son E.A., Kondratyuk M.R., Fominykh E.V., Fomin V.V. A Clinical Case: the Risk Factors of Acute Kidney Injury in a Cardiological Patient. Rational Pharmacotherapy in Cardiology. 2021;17(1):140-145. (In Russ.) https://doi.org/10.20996/1819-6446-2021-02-08

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ISSN 1819-6446 (Print)
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