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The statistical analyses were made with SPSS 20 (IBM? SPSS? Statistics IBM Cooperation, Armonk, USA). Differences among the biomarkers were estimated with Student's t-test for independent or t-test for dependent variables. Details of the study population are shown in Table?1. There was no difference in the ET-1 concentration at any time between groups with diabetes mellitus, congestive heart failure, coronary artery disease, hypertension, hydration or smoking and the groups without these risk factors (p?>?0.05 for all). The concentration of ET-1 and the urinary ET-1/creatinine ratio decreased in spot urine after CM application (ET-1 concentration: 0.91?��?1.23?pg/ml versus 0.63?��?1.03?pg/ml, p? http://www.selleckchem.com/screening/selective-library.html more than in patients without CIN (??0.26?��?1.42?pg/ml vs. ??0.79?��?1.69?pg/ml, p?=?0.041), whereas the decrease of the urinary ET-1/creatinine https://en.wikipedia.org/wiki/Adenine ratio was not significantly different (non-CIN patients: ??0.05?��?0.30; CIN patients: ??0.11?��?0.21, p?=?0.223). Urinary ET-1 concentrations as well as the urinary ET-1/creatinine ratio were not associated with clinical events (need for dialysis, rehospitalization or death) during the 90?day follow-up after contrast media exposure (see also Table?2?and?Table?3). The concentration of ET-1 and the urinary ET-1/creatinine ratio in spot urine 24?h after CM application were, however, higher in those patients who had a decrease of GFR of at least 25% after 90?days of follow-up (Table?2?and?Table?3). This prospective study with 327 participants showed a significant decrease of the urinary endothelin concentration as well as the urinary ET-1/creatinine http://www.selleckchem.com/products/Thiazovivin.html ratio after CM application. Death (all cause mortality), need for permanent or transient dialysis or rehospitalization during the follow-up of 90?days after CM application was not associated with urinary ET-1 concentrations �� neither before nor after CM exposure. The urinary ET-1 concentration and the urinary ET-1/creatinine ratio after CM application, however, were higher in those patients who had a decrease of GFR of at least 25% after 90?days of follow-up. Few studies analyzed ET-1after CM application yet. An overview is shown in Table?4. The total number of patients analyzed is far less than the number of patients in our study. Ulas et al. (2013). showed an increase in the urinary as well as in the plasma ET-1 concentrations in only 78 patients. It is of note that the applied contrast media volume was much higher in this study as compared to our study (192?ml vs. 113?ml). However, CM volume matters. This was shown by Clark et al. (1997). They divided their patients into two groups. One got less than 150?ml, the other more than 150?ml CM. Only the group with more than 150?ml had an increase of the ET-1 level. In the small study by Fujisaki et al.
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