BACKGROUND Despite the existence of controversial debates on the efficiency of coronary endarterectomy (CE), it is still used as an adjunct to coronary artery bypass grafting (CABG). This is particularly true in patients with endstage coronary artery disease. Given the improvements in cardiac surgery and postoperative care, as well as the rising number of elderly patient with numerous co-morbid...

certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (cabg) as compared with the on-pump cabg. the superiority is more evident in patients with multiple co morbidities including renal failure.we reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-sta...

BACKGROUND Acute kidney injury (AKI) is independently associated with the development of chronic kidney disease, endstage kidney disease and increased all-cause and cardiovascular-specific mortality. The severity of the renal insult and the development of multiple AKI episodes increase the risk of occurrence of these outcomes. Despite these long-term effects, only a minority of patients receive...

rone metabolites in the plasma of these patients. The effect of this is that a commonly used automated aldosterone immunoassay overestimates plasma aldosterone in renal impairment, and the magnitude of this bias increases with the worsening of renal function. In comparison to results for individuals with normal renal function, the assay overestimates aldosterone on average by 129% in hemodialys...

Certain benefits are clearly associated with the use of off-pump coronary artery bypass grafting (CABG) as compared with the on-pump CABG. The superiority is more evident in patients with multiple co morbidities including renal failure.We reviewed the medical records of a 67-year-old male with a past medical history that was significant for multiple cardiovascular diseases and new-onset end-sta...

OBJECTIVE To define recent trends (1993-1996) in incidence of endstage renal disease (ESRD) among Australian Aboriginal people in the Top End of the Northern Territory (NT). DESIGN Analysis of hospital and clinical records of the Darwin-based ESRD treatment program from 1993 to 1996 and comparison with data accumulated since 1978. PARTICIPANTS All people entering the ESRD treatment program ...

INTRODUCTION Cardiac-surgery-associated-acute-kidney-injury (CSA-AKI) is associated with increased morbidity and mortality. Recent data from patients undergoing on-pump coronary artery bypass grafting suggest that a perioperative infusion of sodium-bicarbonate may decrease the incidence of CSA-AKI. The present study aims to analyze the renoprotective effects of a 24h infusion of sodium-bicarbon...

Background: Despite marked improvement in therapy and monitoring of patients with insulindependent (type1) diabetes, diabetic nephropathy remains a serious complication, with subsequent endstage renal disease in about 20% of cases. Objective: To investigate in young patients with type1 diabetes whether urine -Glutathione Stransferase to creatinine ratio (-GST:crea) relates to markers of syste...

Renal transplantation is firmly established as the preferred treatment for many patients suffering from endstage renal disease. Nonetheless no absolute consensus has developed on how to achieve optimal immunosuppression, and many individual centres employing somewhat different protocols report excellent graft and patient survival. Immunological considerations, including antirejection therapy, a...

CASE REPORT The patient was a 26 year old man who presented with typical symptoms of endstage renal failure in December, 1971. Prior to this he had always been well, though his mother remembered that he had a "chill on the kidneys" at the age of 6 years. The family history was negative for renal disease. He had a twin brother. On examination he was clinically anaemic and uraemric. Blood pressur...