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العنوان
Efficacy of Short-Term Low Dose Versus High Dose Statin in Preventing Contrast-Induced Nephropathy /
المؤلف
Abd Al Salam, Shady Gamal Al Din.
هيئة الاعداد
باحث / Shady Gamal Al Din Abd Al Salam
مشرف / Hayam Mohamed Basiouny El Damanhoury
مشرف / Mohamed Abd El Razik Ghazy
مناقش / Mohamed Abd El Razik Ghazy
تاريخ النشر
2014.
عدد الصفحات
93 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض القلب والطب القلب والأوعية الدموية
تاريخ الإجازة
1/1/2014
مكان الإجازة
جامعة عين شمس - كلية الطب - Cardiology
الفهرس
Only 14 pages are availabe for public view

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from 93

Abstract

Background:
A few studies focused on statin therapy as specific prophylactic measures of contrast-induced nephropathy have been published with conflicting results.
In this prospective study we aimed to assess the effectiveness of short-term high-dose versus short term low – dose statin treatment for the prevention of CIN .
Methods:
A prospective study that includes 100 patient undergoing coronary angiography or percutanous coronary intervention at ( al galaa military hospital ) from Jan.2013 to June 2o13 .
Patients were divided into 2 groups: Group A: includes fifty patients received low dose statin (10mg atorvastatin) one day before procedure. Group B: includes fifty patients received high dose statin (80mg atorvastatin) one day before procedure.
Patients received 6 hours periprocedural hydration using 500 cc of normal saline , the dye used was Monomeric Low osmolar nonionic dye Iopromide (Ultravist )
Results were recorded using serum creatinine and glomerluar filtration rate before and after procedure .
Results :
CIN has been found in 32 % between group I while occurred in 16 % between group II, and this was statistically non significant with P value = 0.061 also mean level of serum creatinine in group I was lower than group II before and after administration of statin therapy with P value = 0.357 which is statistically non significant
Conclusion :
This study proved that there is no benefit of using short term statin ( high dose or low dose ) as a preventive measure of contrast induced nephropathy.