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Tytuł: The use of continuous veno-venous hemofiltration in patients with an advanced heart failure and at high risk of contrast induced nephropathy who undergone interventional cardiac procedures

Autor:

Trębacz, Oksana

Data:

2016

Typ:

Praca doktorska

Abstrakt:

Introductio nUse of contrast media in heart failure (HF) patients can cause a contrast-induced nephropathy (CIN), which can be prevented by a continuous veno-venous hemofiltration (CVVH). Aims To assess safety of CVVH, its influence on heart- and renal failure markers, risk of CIN and prognosis. Methods Half of 52 HF and renal failure patients undergoing coronary angiography/PCI were treated by CVVH (group A), while others were treated in a standard manner. Results In group A creatinine level decreased significantly at day 1 post PCI (161,87±63,4 vs 124,71±39,8 μmol/l, p=0,003), while it raised in group B (129,9±38,1 vs 136,4±43,6, p=0,049). In group A, NT-proBNP level dropped significantly but CRP level raised. CIN frequency in group A was non-significantly lower (15,4%, vs 26,9%, p=0,49). Female gender was an independent predictor of CIN (OR 2,15, CI (1,03-4,49), p=0,04). Puncture site bleedingincidence was higher in CVVH women. One-year survival was significantly higher in group A (p=0,03). Conclusions CVVH in HF patients decreases creatinine and NT-proBNP levels and non-significantly lowers CIN risk, probably providing 1-year survival benefit while increasing bleeding risk in women.

Miejsce wydania:

Kraków

Stopień studiów:

2 - studia doktoranckie

Dyscyplina:

choroby układu krążenia ; nefrologia

Instytucja nadająca tytuł:

Wydział Lekarski

Promotor:

Gackowski, Andrzej

Data wydania:

2016

Identyfikator:

oai:dl.cm-uj.krakow.pl:4153

Sygnatura:

ZB-126138

Język:

pol

Prawa dostępu:

nieograniczony

Temat i słowa kluczowe:

continuous veno-venous hemofiltration contrast induced nephropathy cardio-renal syndrome heart failure

Kolekcje, do których przypisany jest obiekt:

Data ostatniej modyfikacji:

26 cze 2023

Data dodania obiektu:

22 mar 2017

Liczba wyświetleń treści obiektu:

212

Liczba wyświetleń treści obiektu w formacie PDF

14

Wszystkie dostępne wersje tego obiektu:

http://dl.cm-uj.krakow.pl:8080/publication/4153

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Nazwa wydania Data
ZB-126138 26 cze 2023

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Biblioteka Medyczna
ul. Medyczna 7
30-688 Kraków

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517 385 669

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