Is Spironolactone a 'Savior' for Hemodialysis Patients?Is Spironolactone a 'Savior' for Hemodialysis Patients?

A new study found that spironolactone significantly reduced the risk for cardiovascular and cerebrovascular morbidity and death in hemodialysis patients, reports Dr Jeffrey Berns. Medscape Nephrology
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Nephrology Commentary Source Type: news

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Conclusions Patients with longer duration of HD, male sex, and the presence of dyspepsia had higher odds to exhibit H. pylori infection. Helicobacter pylori infection did not seem to have an influence on iron deficiency or anemia severity in HD patients and does not have relation with serum hepcidin level. However, H. pylori may to be related to inflammation in HD patients.
Source: Infectious Diseases in Clinical Practice - Category: Infectious Diseases Tags: Original Articles Source Type: research
Publication date: July 2019Source: The Lancet Haematology, Volume 6, Issue 7Author(s): Frank Bridoux, Sylvie Chevret, Jean-Paul Fermand
Source: The Lancet Haematology - Category: Hematology Source Type: research
Conclusion: CRBSI is confirmed in 85% of catheter-dependent hemodialysis patients in whom it is suspected.S. epidermidis CRBSI tends to present with atypical symptoms.S. aureus CRBSI is more likely to require hospitalization or intensive care admission. Metastatic infection is relatively uncommon, and death due to CRBSI is rare.Am J Nephrol
Source: American Journal of Nephrology - Category: Neurology Source Type: research
Authors: DeGiovanni J, Son A, Salehi P Abstract We are reporting a case of venous thoracic outlet syndrome with recurrent subclavian vein thrombosis in the setting of an ipsilateral brachiocephalic arteriovenous fistula for hemodialysis that was malfunctioning due to the central vein obstruction. The patient also had a concomitant external jugular vein origin stenosis. Given her body habitus and aversion to recovery after traditional first rib resection, we elected for an alternative treatment with an external jugular vein to internal jugular vein transposition with balloon angioplasty of the stenosed external jugu...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Condition:   Hemodialysis Intervention:   Other: Exercise education Sponsor:   Taipei Veterans General Hospital, Taiwan Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusion: We identified a novel panel of biomarkers that can be utilized in predicting survival in ESRD patients. This biomarker signature could enable better monitoring of patients and stratification into appropriate treatment groups.Am J Nephrol
Source: American Journal of Nephrology - Category: Neurology Source Type: research
Rationale: Low physical activity is frequent in end stage renal disease. We evaluated the longitudinal change in physical activity and its barriers in hemodialysis (HD) patients and the association between the patterns of physical activity change, body composition, and beta-aminoisobutyric acid (BAIBA), as circulating myokine. Methods: This is an observational study where HD patients were considered in a 24-month follow-up. We assessed overtime the change of physical inactivity and its barriers by validated questionnaires, body composition by bioimpedance analysis, muscle strength by hand-dynamometer, and plasma BAIBA le...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
Authors: Niyyar VD Abstract Sonography is increasingly being used by nephrologists and the field of dialysis access is no exception. Advances in technology have allowed the addition of this universally available, portable, non-invasive tool to the nephrologist's armamentarium, which provides information on both morphology and physiology without the need for contrast or radiation. Ultrasound may be used across the spectrum of dialysis access, including central venous catheter placements, vascular mapping, regional anesthesia, creation, maintenance and assessment of hemodialysis access as well as assessment of the ab...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Publication date: Available online 21 June 2019Source: Journal of Vascular Surgery: Venous and Lymphatic DisordersAuthor(s): Cassius Iyad Ochoa Chaar, Navid Gholitabar, Issa Rezek, Randy Luciano, Jude ClancyAbstractSuperior vena cava syndrome is an uncommon but challenging complication of patients undergoing hemodialysis through upper extremity access as well as of patients with indwelling pacemakers. This case report and Video demonstrate the multidisciplinary management of a complex patient with hemodialysis access and indwelling pacemaker for whom multiple attempts at balloon angioplasty for superior vena cava syndrome ...
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - Category: Surgery Source Type: research
CONCLUSION: 18F-FDG PET/CT and 99mTc-HMPAO-WBC SPECT/CT can both serve as important tools contributing to early diagnosis of AVG infection. PMID: 31219107 [PubMed - as supplied by publisher]
Source: Biomedical Papers of the Medical Faculty of the Univ Palacky Olomouc Czech Repub - Category: Biomedical Science Tags: Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub Source Type: research
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