Race and contrast-induced nephropathy in patients undergoing coronary angiography and cardiac catheterization

Int J Cardiol. 2017 Mar 1:230:610-613. doi: 10.1016/j.ijcard.2016.12.046. Epub 2016 Dec 23.

Abstract

Contrast-induced nephropathy (CIN) is an acute worsening of renal function after receiving intravascular contrast during a procedure. Some of the predisposing factors include underlying diabetes, chronic kidney disease, congestive heart failure, periprocedural hypotension, anemia, contrast volume, and osmolality of contrast; however, it remains unclear if risk varies for CIN with race and ethnicity. There is evidence in the literature showing the link between race/ethnicity and the discrepancies in the utilization of preventive care services and the resources related to cardiovascular and renal health. While these disparities continue to exist and affect some of the predictors of CIN, this review will explore the extent to which race and ethnicity directly affect CIN.

Keywords: Cardiac catheterization; Contrast-induced nephropathy; Disparity; Outcome research; Race.

Publication types

  • Review

MeSH terms

  • Acute Kidney Injury / chemically induced
  • Acute Kidney Injury / epidemiology*
  • Animals
  • Cardiac Catheterization / adverse effects*
  • Contrast Media / adverse effects*
  • Coronary Angiography / adverse effects*
  • Coronary Artery Disease / diagnosis*
  • Global Health
  • Humans
  • Incidence
  • Racial Groups*
  • Risk Factors

Substances

  • Contrast Media