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Radiocontrast Nephropathy:Increase in Serum Creatine

Excerpted from an article in JAMA by Glenn M. Chertow, MD, MPH

Radiocontrast nephropathy, defined as an increase of 25% or more in serum creatinine, developed in less than 2% of patients receiving sodium bicarbonate compared with 14% in the group receiving saline.

The 2% rate in the intervention group was confirmed in an open-label follow-up registry. The authors postulated that the effects of bicarbonate on urine pH might reduce oxygen free-radical formation, thereby reducing radiocontrast-induced injury.

JAMA. 2004;291:2376-2377.

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