Table of contents
November 2007 Volume 3 No 11
Diabetes and hypertension: inextricably linked
The 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.
Editorial
Our sister journal, Nature Clinical Practice Cardiovascular Medicine, to publish original research
579doi:10.1038/ncpneph0639 | Full Text | PDF (129K)
Viewpoints
Primary aldosteronism: the case against screening
580This, 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
582In 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)
Research Highlights
High risk of stroke events in patients with kidney dysfunction
584doi:10.1038/ncpneph0580 | Full Text | PDF (102K)
CKD as a global health problem: KDIGO position statement
584doi:10.1038/ncpneph0607 | Full Text | PDF (102K)
Children with a solitary kidney should avoid riding dirt bikes and all-terrain vehicles
584doi:10.1038/ncpneph0619 | Full Text | PDF (114K)
Presentation and progression of atypical HUS varies with type of complement-gene mutation
585doi:10.1038/ncpneph0603 | Full Text | PDF (105K)
Systematic review of ANCA-associated vasculitis treatments
585doi:10.1038/ncpneph0606 | Full Text | PDF (115K)
Cost-effectiveness of management strategies for renal artery stenosis
586doi:10.1038/ncpneph0589 | Full Text | PDF (105K)
Stoke comorbidity grade predicts survival in ESRD patients on non-dialytic treatment
586doi:10.1038/ncpneph0618 | Full Text | PDF (117K)
Outcomes of access procedures at a high-volume outpatient vascular access center
587doi:10.1038/ncpneph0577 | Full Text | PDF (117K)
Hitting K/DOQI targets—except for blood pressure—reduces mortality in HD patients
587doi:10.1038/ncpneph0602 | Full Text | PDF (107K)
Antibiotic locks not effective against S. aureus catheter-related bacteremia
587doi:10.1038/ncpneph0608 | Full Text | PDF (107K)
CRRT not superior to IRRT in hemodynamically stable patients with acute renal failure
588doi:10.1038/ncpneph0588 | Full Text | PDF (115K)
Intensive insulin therapy associated with reduced risk of AKI in critically ill adults
588doi:10.1038/ncpneph0604 | Full Text | PDF (103K)
High initial tacrolimus dosage recommended in patients switched from ciclosporin
589doi:10.1038/ncpneph0590 | Full Text | PDF (105K)
Body-weight-adjusted mycophenolate mofetil doses in Asian renal transplant recipients
589doi:10.1038/ncpneph0605 | Full Text | PDF (105K)
Practice Points
Diagnosis of distal renal tubular acidosis: use of furosemide plus fludrocortisone versus ammonium chloride
590doi:10.1038/ncpneph0596 | Full Text | PDF (167K)
Eprodisate slows the progression of renal disease in patients with AA amyloidosis
592doi:10.1038/ncpneph0615 | Full Text | PDF (165K)
Is angiotensin-converting-enzyme inhibition renoprotective in young patients with IgA nephropathy?
594doi:10.1038/ncpneph0611 | Full Text | PDF (166K)
Does automated peritoneal dialysis provide better outcomes than continuous ambulatory peritoneal dialysis?
596doi:10.1038/ncpneph0616 | Full Text | PDF (164K)
Is skin perfusion pressure a useful screening tool for peripheral arterial disease in patients on hemodialysis?
598doi:10.1038/ncpneph0613 | Full Text | PDF (165K)
A total ischemia time of >24 h does not preclude transplantation of kidneys from non-heartbeating donors
600doi:10.1038/ncpneph0614 | Full Text | PDF (164K)
Is mycophenolate mofetil really necessary in renal transplantation? A review of the MYSS follow-up study
602doi:10.1038/ncpneph0597 | Full Text | PDF (166K)
Reviews
The new peritoneal dialysis solutions: friends only, or foes in part?
604The 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)

Hypertension in pregnancy: an emerging risk factor for cardiovascular disease
613It 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
623Members 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)
Case Study

Acute renal infarction from a cardiac thrombus
631Acute 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)
Article Responses
Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam
E1doi:10.1038/ncpneph0635 | Full Text
Authors' response to "Acute kidney injury, hyperosmolality and metabolic acidosis associated with lorazepam"
E2doi:10.1038/ncpneph0636 | Full Text


