Preventing nephropathy induced by contrast medium
BJ Barrett, PS Parfrey - New England Journal of Medicine, 2006 - Mass Medical Soc
BJ Barrett, PS Parfrey
New England Journal of Medicine, 2006•Mass Medical SocA 71-year-old man with type 2 diabetes and hypertension is referred for coronary
angiography. Medications include metformin and a thiazide. Before the angiogram, his
serum creatinine level is 1.8 mg per deciliter (160 μmol per liter), yielding an estimated
glomerular filtration rate of 40 ml per minute per 1.73 m2 of body-surface area. What can be
done to reduce the risk that an angiographic contrast agent will worsen his kidney function?
angiography. Medications include metformin and a thiazide. Before the angiogram, his
serum creatinine level is 1.8 mg per deciliter (160 μmol per liter), yielding an estimated
glomerular filtration rate of 40 ml per minute per 1.73 m2 of body-surface area. What can be
done to reduce the risk that an angiographic contrast agent will worsen his kidney function?
A 71-year-old man with type 2 diabetes and hypertension is referred for coronary angiography. Medications include metformin and a thiazide. Before the angiogram, his serum creatinine level is 1.8 mg per deciliter (160 μmol per liter), yielding an estimated glomerular filtration rate of 40 ml per minute per 1.73 m2 of body-surface area. What can be done to reduce the risk that an angiographic contrast agent will worsen his kidney function?
The New England Journal Of Medicine