Table of contents

November 2007 Volume 3 No 11

Diabetes and hypertension: inextricably linked


Web Collection CoverThe treatment of diabetes and hypertension has become one of the greatest challenges for medical professionals today. It is estimated that by 2025 some 1.56 billion people will have hypertension and by 2030 around 366 million will have diabetes. From October 22nd 2007, Nature Clinical Practice will be presenting a selection of articles from a variety of Nature Publishing Group journals that will focus on these conditions.

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Editorial

Our sister journal, Nature Clinical Practice Cardiovascular Medicine, to publish original research

Hannah Camm and Suzanne J Farley

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doi:10.1038/ncpneph0639 | Full Text | PDF (129K)

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Viewpoints

Primary aldosteronism: the case against screening

Paul Padfield

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This, the first of two opposing Viewpoints, sets out the arguments against screening for primary aldosteronism. The author, from the Western General Hospital in Edinburgh, UK, asserts that the majority of individuals with a high aldosterone:renin ratio have a normal plasma aldosterone level. Physicians should, therefore, focus on optimizing the excretion of salt and water in hypertensive patients rather than on expensive tests to detect an aldosterone-secreting adenoma.

doi:10.1038/ncpneph0625 | Full Text | PDF (160K)

Primary aldosteronism: the case for screening

Richard D Gordon and Michael Stowasser

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In the second of two opposing Viewpoints, these authors from the Greenslopes and Princess Alexandra Hospital Hypertension Units in Brisbane, Australia, describe why, who, and how they screen for primary aldosteronism. They argue that diagnosing (using a stepwise selective approach) and curing or specifically treating aldosterone excess is good for the patient and inexpensive compared with potentially lifelong and less-effective nonspecific antihypertensive therapy.

doi:10.1038/ncpneph0626 | Full Text | PDF (161K)

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Research Highlights

High risk of stroke events in patients with kidney dysfunction

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doi:10.1038/ncpneph0580 | Full Text | PDF (102K)

CKD as a global health problem: KDIGO position statement

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doi:10.1038/ncpneph0607 | Full Text | PDF (102K)

Children with a solitary kidney should avoid riding dirt bikes and all-terrain vehicles

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doi:10.1038/ncpneph0619 | Full Text | PDF (114K)

Presentation and progression of atypical HUS varies with type of complement-gene mutation

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doi:10.1038/ncpneph0603 | Full Text | PDF (105K)

Systematic review of ANCA-associated vasculitis treatments

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doi:10.1038/ncpneph0606 | Full Text | PDF (115K)

Cost-effectiveness of management strategies for renal artery stenosis

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doi:10.1038/ncpneph0589 | Full Text | PDF (105K)

Stoke comorbidity grade predicts survival in ESRD patients on non-dialytic treatment

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doi:10.1038/ncpneph0618 | Full Text | PDF (117K)

Outcomes of access procedures at a high-volume outpatient vascular access center

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doi:10.1038/ncpneph0577 | Full Text | PDF (117K)

Hitting K/DOQI targets—except for blood pressure—reduces mortality in HD patients

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doi:10.1038/ncpneph0602 | Full Text | PDF (107K)

Antibiotic locks not effective against S. aureus catheter-related bacteremia

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doi:10.1038/ncpneph0608 | Full Text | PDF (107K)

CRRT not superior to IRRT in hemodynamically stable patients with acute renal failure

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doi:10.1038/ncpneph0588 | Full Text | PDF (115K)

Intensive insulin therapy associated with reduced risk of AKI in critically ill adults

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doi:10.1038/ncpneph0604 | Full Text | PDF (103K)

High initial tacrolimus dosage recommended in patients switched from ciclosporin

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doi:10.1038/ncpneph0590 | Full Text | PDF (105K)

Body-weight-adjusted mycophenolate mofetil doses in Asian renal transplant recipients

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doi:10.1038/ncpneph0605 | Full Text | PDF (105K)

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Practice Points

Diagnosis of distal renal tubular acidosis: use of furosemide plus fludrocortisone versus ammonium chloride

George J Schwartz

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doi:10.1038/ncpneph0596 | Full Text | PDF (167K)

Eprodisate slows the progression of renal disease in patients with AA amyloidosis

Andrew D Rule and Nelson Leung

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doi:10.1038/ncpneph0615 | Full Text | PDF (165K)

Is angiotensin-converting-enzyme inhibition renoprotective in young patients with IgA nephropathy?

Philip KT Li

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doi:10.1038/ncpneph0611 | Full Text | PDF (166K)

Does automated peritoneal dialysis provide better outcomes than continuous ambulatory peritoneal dialysis?

Sydney CW Tang and Kar Neng Lai

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doi:10.1038/ncpneph0616 | Full Text | PDF (164K)

Is skin perfusion pressure a useful screening tool for peripheral arterial disease in patients on hemodialysis?

Michael Davis and Sanjay Rajagopalan

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doi:10.1038/ncpneph0613 | Full Text | PDF (165K)

A total ischemia time of >24 h does not preclude transplantation of kidneys from non-heartbeating donors

Peter S Veitch and Arunthathi O Mahendran

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doi:10.1038/ncpneph0614 | Full Text | PDF (164K)

Is mycophenolate mofetil really necessary in renal transplantation? A review of the MYSS follow-up study

Daniel C Brennan and Matthew J Koch

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doi:10.1038/ncpneph0597 | Full Text | PDF (166K)

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Reviews

The new peritoneal dialysis solutions: friends only, or foes in part?

Pieter M ter Wee and Frans J van Ittersum

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The bio-incompatible characteristics of standard peritoneal dialysis solutions, such as high glucose concentration and nonphysiologic pH, have spurred the development of a new generation of more-biocompatible solutions. In this overview of available clinical data, the advantages and drawbacks of using fluids that contain amino acids or icodextrin, or that have a neutral pH, are debated. The authors conclude that the new peritoneal dialysis solutions hold great promise for improving ultrafiltration and clinical outcomes.

doi:10.1038/ncpneph0620 | Full Text | PDF (319K)

Continuing Medical Education

Hypertension in pregnancy: an emerging risk factor for cardiovascular disease

Vesna D Garovic and Suzanne R Hayman

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It is important that care providers recognize that increased blood pressure during gestation increases a woman's chances of developing cardiovascular problems later in life. To that end, authors from the Mayo Clinic have brought together data that support this association. As we lack large-scale studies of prevention strategies, Garovic and Hayman recommend that women who have had hypertensive pregnancies should be carefully monitored after pregnancy for risk factors associated with cardiovascular disease.

doi:10.1038/ncpneph0623 | Full Text | PDF (381K)

Mechanisms of Disease: WNK-ing at the mechanism of salt-sensitive hypertension

Chou-Long Huang and Elizabeth Kuo

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Members of the WNK family of novel serine/threonine kinases inhibit secretion of potassium from the kidney via ROMK. Potassium deficiency—a common problem of modern diets—promotes potassium retention by upregulating WNK1. In this Review of data from animal and human studies, Huang and Kuo frame the hypothesis that WNK-mediated potassium retention is accompanied by sodium retention, and thereby contributes to the development of salt-sensitive hypertension.

doi:10.1038/ncpneph0638 | Full Text | PDF (391K)

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Case Study

Continuing Medical Education

Acute renal infarction from a cardiac thrombus

Nicola J Nasser, Sobhi Abadi and Zaher S Azzam

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Acute renal infarction (ARI) is a rare disease that is often misdiagnosed initially because of its nonspecific presentation. In this Case Study, Nasser and colleagues describe a patient with ARI due to a thromboembolism from a cardiac thrombus. They discuss the common presenting symptoms of ARI and comment on the various treatment options that are available.

doi:10.1038/ncpneph0624 | Full Text | PDF (307K)

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Article Responses

Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam

Malvinder S Parmar

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doi:10.1038/ncpneph0635 | Full Text

Authors' response to "Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam"

Tausif Zar, Irfan Yusufzai, Anna Sullivan and Charles Graeber

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doi:10.1038/ncpneph0636 | Full Text

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