medicina45巻9号

2008年09月発行

今月の主題 Multiple problemsの治療戦略 内科診療におけるmultiple problems 【利害相反する治療のジレンマ】

腎機能低下時の心臓カテーテル施行―循環器内科医の立場から／腎臓内科医の立場から

著者： 三谷治夫¹ 山口徹¹ 小松康宏²

所属機関： ¹虎の門病院循環器センター内科 ²聖路加国際病院腎臓内科

ページ範囲：P.1635 - P.1640

設定シナリオ

75歳，男性．狭心痛があり，内科的治療にてコントロール不十分のため心臓カテーテル検査を予定している．高血圧のほかは併存症なし．血清クレアチニン(酵素法)1.5mg/dl．

参考文献

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4)Stacul F, et al：Strategies to reduce the risk of contrast-induced nephropathy. Am J Cardiol 98：59K-77K, 2006

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