To the editor: In the April issue, Taliercio and colleagues (1) present an interesting analysis of 139 patients with baseline-depressed renal function who had coronary angiography. They identify four factors that were independently associated with subsequent development of contrast nephropathy: class IV heart failure with low cardiac output; multiple radiographic studies; high dose of radiocontrast; and insulin-dependent diabetes mellitus. They mention that previous studies have shown an increased risk of nephropathy in diabetic patients (2) but note that their data showed increased risk only in patients with insulin-dependent diabetes.
Their data show that 11% of their study population had insulin-dependent
Cardiac Angiography and Renal Dysfunction. Ann Intern Med. ;105:298–299. doi: 10.7326/0003-4819-105-2-298
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Published: Ann Intern Med. 1986;105(2):298-299.
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