Usefulness of Peritoneal Ultrafiltration in Patients with Diuretic Resistant Heart Failure without End-Stage Renal Disease
Conclusion: Peritoneal UF is a treatment method that maintains renal function and electrolyte balance, improves cardiac function, and reduces hospitalizations in CRS patients. We observed that this treatment significantly increased functional capacity and quality of life and significantly reduced hospital admissions.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - October 6, 2020 Category: Urology & Nephrology Source Type: research

Serum Cystatin C, Klotho, and Neutrophil Gelatinase-Associated Lipocalin in the Risk Prediction of Acute Kidney Injury after Acute Myocardial Infarction
Conclusion: Elevated cystatin C levels are associated with AKI in patients with AMI. This study provides reliable evidence that cystatin C levels may be superior to serum creatinine for predicting AKI after AMI at admission.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - October 5, 2020 Category: Urology & Nephrology Source Type: research

A Prospective Single-Blind Randomized Trial of Ramipril, Eplerenone and Their Combination in Type 2 Diabetic Nephropathy
Conclusion: Addition of eplerenone to ACEI shows an added antialbuminuric effect without significant change of the serum K level compared with eplerenone or ACEI.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - September 30, 2020 Category: Urology & Nephrology Source Type: research

Slow Recovery from Critical Coronavirus Disease 2019 Pneumonia in an Immunosuppressed Renal Transplant Recipient with Early Acute Cardiorenal Syndrome
We report here the complete clinical course of a renal transplant recipient with critical COVID-19 pneumonia. In the early phase of SARS-Cov-2 infection, the patient exhibited extensive lung lesions and significant acute kidney and heart injuries, which required treatment in the ICU. After correcting the arrhythmia and heart failure, the patient recovered quickly from the acute kidney injury with a treatment of intensive diuresis and strict control of fluid intake. Without cessation of oral immunosuppressive agents, the patient presented a delayed and low antibody response against SARS-Cov-2 and reappeared positive for the...
Source: Cardiorenal Medicine - September 28, 2020 Category: Urology & Nephrology Source Type: research

The Impact of Diabetes Mellitus on Clinical Outcomes after Percutaneous Coronary Intervention with Drug-Eluting Stents for Left Main Distal Bifurcation Lesions in Patients with Chronic Kidney Disease
Conclusion: DM is strongly associated with adverse event after PCI for ULM distal bifurcation lesions in CKD patients compared to those without DM.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - September 7, 2020 Category: Urology & Nephrology Source Type: research

Chronic Kidney Disease in Adolescents after Surgery for Congenital Heart Disease
Conclusions: There was no evidence of CKD in the present population aged 10 –18 years. The significance of an eGFR between 60 and 90 mL min–1 1.73 m–2 is not concordant for this age range and requires further investigations.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - July 28, 2020 Category: Urology & Nephrology Source Type: research

Early Spot Urinary Sodium and Diuretic Efficiency in Acute Heart Failure and Concomitant Renal Dysfunction
Conclusions: In patients with AHF and RD at presentation, early spot UNa was inversely related to 24-h diuretic efficiency.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - July 28, 2020 Category: Urology & Nephrology Source Type: research

Association between Serum Dickkopf-1 (DKK-1) Glycoprotein and Calcific Deposits on Cardiac Valves and Carotid Intimal-Medial Thickness in Hemodialysis Patients
Conclusions: CVC is almost present in all HD patients. DKK-1 seems to have a direct relation with CVC and CIMT in HD patients. Age is the strongest independent determinant of CVC.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - July 8, 2020 Category: Urology & Nephrology Source Type: research

Cardiorenal Syndrome in Renal Transplant Recipients: Prevalence, Clinical Presentation, Treatment, and Outcome
Conclusion: CRS after renal transplantation was rare (#x3c;1.0%), but CRS in HFreF patients was associated with a poor outcome.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - July 6, 2020 Category: Urology & Nephrology Source Type: research

Weathering the Cytokine Storm in COVID-19: Therapeutic Implications
The objective of this article is to explore and comment on the potential role of the promising immunomodulatory therapies using pharmacological and nonpharmacological approaches to overcome the dysregulated proinflammatory response in COVID-19.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - June 29, 2020 Category: Urology & Nephrology Source Type: research

Clinical and Operative Determinants of Acute Kidney Injury after Cardiac Surgery
Conclusions: Use of minimally invasive surgery and therapies mitigating PSPAP and intraoperative blood loss may offer protection against CSA-AKI.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - June 29, 2020 Category: Urology & Nephrology Source Type: research

Clinical Characteristics and Outcomes of Community- and Hospital-Acquired Acute Kidney Injury with COVID-19 in a US Inner City Hospital System
Conclusion: We report a high burden of AKI among underserved COVID-19 patients with multiple comorbidities. Those who had HA-AKI had worse clinical outcomes compared to those who with CA-AKI. A history of heart failure is an independent predictor of AKI in patients with COVID-19.Cardiorenal Med 2020;10:223 –231 (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - June 18, 2020 Category: Urology & Nephrology Source Type: research

NT-proBNP Concentration and Early Cardiac Dysfunction in Patients Receiving Dialysis: A Prospective Cohort Study
Conclusions: Our cohort study demonstrated that serial plasma NT-proBNP concentrations may be useful for early identification of individuals with worsening cardiac function over time.Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - May 27, 2020 Category: Urology & Nephrology Source Type: research

Need for Objective Assessment of Volume Status in Critically Ill Patients with COVID-19: The Tri-POCUS Approach
As the coronavirus disease 2019 (COVID-19) continues to spread across the globe, the knowledge of its epidemiology, clinical features, and management is rapidly evolving. Nevertheless, the data on optimal fluid management strategies for those who develop critical illness remain sparse. Adding to the challenge, the fluid volume status of these patients has been found to be dynamic. Some present with several days of malaise, gastrointestinal symptoms, and consequent hypovolemia requiring aggressive fluid resuscitation, while a subset develop acute respiratory distress syndrome with renal dysfunction and lingering congestion ...
Source: Cardiorenal Medicine - May 27, 2020 Category: Urology & Nephrology Source Type: research

A Prospective, Randomized, Open-Label Trial of Atorvastatin versus Rosuvastatin in the Prevention of Contrast-Induced Acute Kidney Injury, Worsened Renal Function at 30 Days, and Clinical Events After Acute Coronary Angiography: the PRATO-ACS-2 Study
Conclusions: High-dose rosuvastatin or atorvastatin started upon hospital admission led to similar rates of AKI, 30-day renal function changes, and 12-month death or MI in NSTE-ACS patients who underwent an early invasive strategy (clinical trial registration: https://www.clinicaltrials.gov; unique identifier: NCT01870804).Cardiorenal Med (Source: Cardiorenal Medicine)
Source: Cardiorenal Medicine - May 20, 2020 Category: Urology & Nephrology Source Type: research