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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Front+Pharmacol
2018 ; 9
(ä): 427
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
High Plasma Exposure of Statins Associated With Increased Risk of
Contrast-Induced Acute Kidney Injury in Chinese Patients With Coronary Artery
Disease
#MMPMID29760658
Cai L
; Bai X
; Lei H
; Wu H
; Liu Y
; Zhu Q
; Zhang S
; Liu Y
; Lin Q
; Chen J
; Zhang B
; He G
; Geng Q
; Huang M
; Zhong S
Front Pharmacol
2018[]; 9
(ä): 427
PMID29760658
show ga
The role of statins in reducing the incidence of contrast-induced acute kidney
injury (CI-AKI) remains controversial. We sought to evaluate the association
between CI-AKI and high plasma exposure of statins in coronary artery disease
(CAD) patients undergoing coronary angiography (CAG). This association was first
evaluated in 1,219 patients with CAD receiving atorvastatin (AT) therapy and
validated in 635 patients receiving rosuvastatin (RST) therapy. The plasma
concentrations of statins were quantified using validated UPLC-MS/MS methods and
CI-AKI incidence was assessed during the first 48 h postoperatively. Among all
participants (n = 1,854), AKI occurred in 57 of 1219 (4.7%) in the AT cohort and
30 of 635 (4.7%) in the RST cohort. High plasma AT-all exposure was associated
with increased risk of CI-AKI (odds ratio [OR]: 2.265; 95% confidence interval
[CI]: 1.609-3.187; p < 0.0001). Plasma AT-all concentration in the CI-AKI group
(22.40 ± 24.63 ng/mL) was 2.6-fold higher than that in the control group (8.60 ±
9.65 ng/mL). High plasma RST exposure also significantly increased the risk of
CI-AKI (OR: 2.281; 95% CI: 1.441-3.612; p = 0.0004). We further divided patients
into two subgroups for each statin according to baseline renal function, and
association between high plasma statin exposure and CI-AKI still remained highly
significant in both subgroups. This study suggests for the first time that high
plasma exposure of statins may significantly increase the risk of CI-AKI. Statins
should be used with greater caution in CAD patients undergoing CAG to reduce the
occurrence of CI-AKI.