Nephropathy
Conditions
Keywords
Contrast,nephropathy, angioplasty, stable coronary
Brief summary
The investigators analyzed the HMG-CoA reductase inhibitor, rosuvastatin, for the prevention of contrast-medium-induced nephropathy in patients undergoing primary angioplasty.
Detailed description
Patients with stable coronary artery disease already taking chronic statin undergoing elective angioplasty are at risk for contrast-medium-induced nephropathy because there are specified risk factors as age more than 75 years, chronic renal insufficiency, diabetes, use of contrast and the lack of effective prophylaxis.
Interventions
40 mg of rosuvastatin before angioplasty
Sponsors
Study design
Eligibility
Inclusion criteria
* chronic statin use * positive stress test findings (electrocardiography, nuclear imaging, or stress echocardiography * elective angioplasty.
Exclusion criteria
* non-statin therapy * any presentation of ACS within 24 hours before the time of randomization * current use of potent CYP3A4 inhibitors, including azole antifungals, protease inhibitors, macrolide antibiotics, and cyclosporine * renal replacement therapy, a history of kidney transplant, pregnant and with renal failure (serum creatinine \> 3.0 mg/dl).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Contrast induce nephropathy defined by serum creatinine increase more than 0.3mg/dl or 50% higher than baseline | 48 hours | Serum creatinine increase more than 0.3mg/dl or 50% higher than baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Composite end-point ( all cause of death; acute renal failure and no-fatal mayocardial infarctio. | 48 hours | Death, myocardial infarction or kidney insufficiency |
Countries
Brazil