医学
急性肾损伤
重症监护医学
对比度(视觉)
造影剂肾病
心脏病学
内科学
经皮冠状动脉介入治疗
人工智能
计算机科学
心肌梗塞
作者
Lalitha Padmanabha Vemireddy,Shweta Bansal
标识
DOI:10.1016/j.iccl.2023.06.007
摘要
Acute kidney injury (AKI) is a common occurrence after contrast media administration. Hemodynamic changes, direct tubular injury, and reactive oxygen species are the proposed mechanisms involved in AKI. However, in most scenarios, it is not possible to establish causality despite extensive clinical evaluation, therefore, contrast-associated AKI (CA-AKI) has become a widely accepted term to define AKI postcontrast. CA-AKI is associated with worse clinical outcomes including cardiovascular events and mortality; however, discussions are ongoing whether CA-AKI is a marker of an increased risk of adverse outcomes or a mediator of such outcomes.
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