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Formerly Journal of Turgut Ozal Medical Center - ISSN 1300-1744

  • Annals of Medical Research



    Annals of Medical Research International Monthly Published Medical Journal

  • Annals of Medical Research

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  • Annals of Medical Research


    Annals of Medical Research indexed in TÜBİTAK/ULAKBİM Tıp Veri Tabanı

  • Annals of Medical Research


    Annals of Medical Research indexed in

  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research
  • Annals of Medical Research

Dear readers,

Our journal is the official publication of Inonu University Medical Faculty and published uninterruptedly for 25 years. It was first published as the name of Inonu University Medical Journal and later as Journal of Turgut Ozal Medical Center. During its publication period, the journal accepted Turkish or English articles for publication.

Abstracting in an international index is just a paramount objective in the 25th year of the journal. Because of this goal, it was necessary to make a decision both in terms of journal name and publication language. It was important in this respect that the name of a general medical journal should be related to medicine again and it should be in English. For these reasons, the name of the journal was switched to Annals of Medical Research and its publication language is changed to in English. The logo of the journal was chosen as an apricot, which is the symbol of our city Malatya, the world capital of apricot. I hope the journal succeeds with its new name. Annals of Medical Research is It is published monthly.

Editor-in-Chief
Cuneyt Kayaalp

 

Severity of coronary artery disease is associated with contrast induced nephropathy in patients with impaired renal function (p. 164-9)

Severity of coronary artery disease is associated with contrast induced nephropathy in patients with impaired renal function (p. 164-9)

Serhat Sigirci, Ahmet Gurdal, Kadriye Orta Kilickesmez
Sisli Hamidiye Etfal Training and Research Hospital, Department of Cardiology, Istanbul, Turkey
Copyright © 2020 by authors and Annals of Medical Research Publishing Inc.

Abstract

Aim: Patients with acute coronary syndrome who underwent percutaneous coronary intervention (PCI) constitute the group with the highest risk of contrast-induced nephropathy development. Contrast media exposure might increase in patients who have lesions with >70% stenosis in the major epicardial arteries. Also, the impaired kidney function is associated with severity of coronary artery disease. We evaluated the relationship with severity of coronary artery disease (CAD) calculated by Gensini score and contrast induced nephropathy (CIN) in patients with mild renal insufficiency in acute coronary syndrome (ACS).
Material and Methods: We enrolled 227 patients with ACS who underwent percutaneous coronary intervention. Patients were divided into groups according to CIN development. Severity of CAD was evaluated by Gensini score. Logistic regression analysis (univariate and multivariate) was performed to evaluate the predictors of CIN using variables that are clinically related to CIN. The 95% confidence interval (CI) and odds ratios (OR) were presented. Receiver–operating characteristic (ROC) curve was performed to demonstrate the sensitivity and specificity of the Gensini score.
Results: A total of 69 (30.1%) patients with ACS had CIN. Compared to CIN (-) patients, CIN (+) patients had higher Gensini score, incidence of diabetes mellitus and amount of contrast media. Multivariate logistic regression analyses demonstrated that Gensini score, DM and amount of contrast media were independent risk factors for CIN development (p 0.05 for all parameters).
Conclusion: Gensini score, which simply shows severity of CAD, may be helpful in the determination of CIN risk in patients with ACS.

Keywords: Acute renal injury; SYNTAX; severity of coronary artery disease

 

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doi: 10.5455/annalsmedres.2019.10.678

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Annals of Medical Research is the scientific official journal of the Inonu University Faculty of Medicine. It is published monthly. The essential aim of the Annals of Medical Research is to publish scientifically high quality clinical and experimental research articles on fields of medicine which can contribute to the literature data. In addition, review articles, case reports, editorials, letters to the editors and manuscripts on publication ethics and medical history, which can contribute to the education and practices of physicians and health sector professionals within the scope of the journal’s target audience and which can increase the level of scientific communication between the authors and readers, are included in the scope of the journal.

 

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