1
|
Ishibashi Y, Yamauchi M, Musha H, Mikami T, Kawasaki K, Miyake F. Impact of Contrast-Induced Nephropathy and Cardiovascular Events by Serum Cystatin C in Renal Insufficiency Patients Undergoing Cardiac Catheterization. Angiology 2010; 61:724-30. [DOI: 10.1177/0003319710379108] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
We assessed the usefulness of serum cystatin C for predicting contrast-induced nephropathy (CIN) in patients (n = 100) undergoing coronary catheterization. After a 12-month follow-up, the incidence of CIN was 8.3% (n = 5) in patients with mild renal insufficiency (estimated glomerular filtration rate [eGFR] 60-89 mL/min per 1.73 m2), 34.4% (n = 10) in those with moderate renal insufficiency (eGFR 30-59 mL/min per 1.73 m2), and 100% (n = 3) in those with severe renal insufficiency (eGFR 15-29 mL/min per 1.73 m2). The sensitivity was 81.8% and specificity was 90.9% at the cutoff level of serum cystatin C >1.18 mg/L. Serum cystatin C levels were significantly ( P < .001) higher in the patients with moderate renal insufficiency in the CIN group than those in the non-CIN group. Multivariate logistic regression analysis demonstrated that baseline serum cystatin C independently predicted short-term mortality (odds ratio [OR], 0.311; 95% confidence interval [CI] 0.058-0.538; P = .026). Baseline serum cystatin C significantly predicted the occurrence of CIN in the patients with moderate renal insufficiency.
Collapse
Affiliation(s)
- Yuki Ishibashi
- Division of Cardiology, Department of Internal Medicine, St Marianna University School of Medicine, Kawasaki, Japan, Division of Cardiology, St Marianna University School of Medicine Yokohama-city Seibu Hospital, Yokohama, Japan,
| | - Masahiro Yamauchi
- Division of Cardiology, St Marianna University School of Medicine Yokohama-city Seibu Hospital, Yokohama, Japan
| | - Haruki Musha
- Division of Cardiology, St Marianna University School of Medicine Yokohama-city Seibu Hospital, Yokohama, Japan
| | - Taishi Mikami
- Division of Cardiology, St Marianna University School of Medicine Yokohama-city Seibu Hospital, Yokohama, Japan
| | - Kensuke Kawasaki
- Division of Cardiology, St Marianna University School of Medicine Yokohama-city Seibu Hospital, Yokohama, Japan
| | - Fumihiko Miyake
- Division of Cardiology, Department of Internal Medicine, St Marianna University School of Medicine, Kawasaki, Japan
| |
Collapse
|