Mineralocorticoid therapy lowers serum potassium in patients with end-stage renal disease.

Abstract:

:Hyperkalemia is a commonly encountered problem in dialysis patients with end-stage renal disease. In this study we evaluated the effect of mineralocorticoid therapy (MCT; fludrocortisone 0.1-0.3 mg per os daily) on serum potassium of hyperkalemic end-stage renal disease patients. Consecutive monthly clinical and biochemical profiles 3-6 months before and after MCT were compared. Twenty-one patients with a mean age (+/- SE) of 54 +/- 4 years (11 male and 10 female) were studied. Two patients were dropped from this study because they required a change in prescription of dialysis after starting MCT. Mean serum potassium levels significantly fell (p < 0.001) during the post-MCT period (4.9 +/- 0.1 mEq/l) compared with potassium levels during the pre-MCT (5.6 +/- 0.1 mEq/l) period. All patients except 1 showed a reduction in serum potassium levels after MCT. Pre- and post-MCT values were not different for body weight, mean blood pressure, blood urea nitrogen, serum glutamic-oxaloacetic transaminase, lactate dehydrogenase, sodium, chloride, bicarbonate, creatinine and albumin. Since the majority of the patients were anuric (n = 15), a decrease in serum potassium values in the post-MCT period was not due to loss of potassium in the urine. MCT appears to decrease serum potassium values in patients with end-stage renal disease by extrarenal mechanisms. We conclude that MCT can be used safely to lower serum potassium in patients with end-stage renal disease.

journal_name

Am J Nephrol

authors

Singhal PC,Desroches L,Mattana J,Abramovici M,Wagner JD,Maesaka JK

doi

10.1159/000168604

subject

Has Abstract

pub_date

1993-01-01 00:00:00

pages

138-41

issue

2

eissn

0250-8095

issn

1421-9670

journal_volume

13

pub_type

杂志文章
  • Lack of transmission of human immunodeficiency virus in chronic hemodialysis patients.

    abstract::We carried out a prospective 2-year study on the transmission of human immunodeficiency virus (HIV) infection in a chronic dialysis unit with a high prevalence (11%) of the infection. Only 1 of 45 HIV-negative patients seroconverted, and this was related to the administration of contaminated blood. We conclude that cu...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000167570

    authors: Perez GO,Ortiz C,De Medina M,Schiff E,Bourgoignie JJ

    更新日期:1988-01-01 00:00:00

  • Gender-dependent effect of ACE I/D and AGT M235T polymorphisms on the progression of urinary albumin excretion in Taiwanese with type 2 diabetes.

    abstract:BACKGROUND:We investigated the gender differences in the effect of ACE I/D and AGT M235T polymorphisms on the prognosis of diabetic nephropathy (DN). METHODS:A total of 525 type 2 diabetics were enrolled to participate in this prospective observational study. ACE and AGT gene polymorphisms were analyzed by polymerase ...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000163592

    authors: Tien KJ,Hsiao JY,Hsu SC,Liang HT,Lin SR,Chen HC,Hsieh MC

    更新日期:2009-01-01 00:00:00

  • Significant racial differences in the key factors associated with early graft loss in kidney transplant recipients.

    abstract:BACKGROUND:There is continued and significant debate regarding the salient etiologies associated with graft loss and racial disparities in kidney transplant recipients. METHODS:This was a longitudinal cohort study of all adult kidney transplant recipients, comparing patients with early graft loss (<5 years) to those w...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000363393

    authors: Taber DJ,Douglass K,Srinivas T,McGillicuddy JW,Bratton CF,Chavin KD,Baliga PK,Egede LE

    更新日期:2014-01-01 00:00:00

  • CAPD-associated peritonitis caused by Alcaligenes xylosoxidans sp. xylosoxidans.

    abstract::Alcaligenes xylosoxidans is an uncommon cause of peritonitis in patients on maintenance continuous ambulatory peritoneal dialysis (CAPD). Peritonitis caused by A. xylosoxidans usually carries a poor prognosis because of the pathogen's virulence and its universal resistance to most antimicrobial agents. Even after earl...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000046657

    authors: Tang S,Cheng CC,Tse KC,Li FK,Choy BY,Chan TM,Lai KN

    更新日期:2001-11-01 00:00:00

  • Daytime rhythm and treatment-related fluctuations of serum phosphorus concentration in dialysis patients.

    abstract:BACKGROUND:Serum phosphorus concentrations reflect a dynamic balance between generation, exchanges, and removal. Time-averaged phosphorus concentrations (TAC(phos)) reflect the overall exposure better than single time-point concentrations, especially in dialysis patients treated with an intermittent modality. The prese...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000336308

    authors: Viaene L,Meijers B,Vanrenterghem Y,Evenepoel P

    更新日期:2012-01-01 00:00:00

  • Correlation of percentage of normal glomeruli with renal outcome in Wegener's granulomatosis.

    abstract:BACKGROUND/AIMS:We examined the correlations between renal biopsy findings in Wegener's granulomatosis and renal function at baseline and 1 year in 22 patients who presented between 1988 and 1999. METHODS:Renal histology was independently reviewed by 2 pathologists who were masked to the clinical data. The primary out...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000065283

    authors: Haroun MK,Stone JH,Nair R,Racusen L,Hellmann DB,Eustace JA

    更新日期:2002-09-01 00:00:00

  • Vancomycin-Associated Acute Kidney Injury in a Large Veteran Population.

    abstract:BACKGROUND:To determine the association of vancomycin with acute kidney injury (AKI) in relation to its serum concentration value and to examine the risk of AKI in patients treated with vancomycin when compared with a matched cohort of patients receiving non-glycopeptide antibiotics (linezolid/daptomycin). METHODS:Fro...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000496484

    authors: Gyamlani G,Potukuchi PK,Thomas F,Akbilgic O,Soohoo M,Streja E,Naseer A,Sumida K,Molnar MZ,Kalantar-Zadeh K,Kovesdy CP

    更新日期:2019-01-01 00:00:00

  • IgA nephropathy in patients with familial Mediterranean fever.

    abstract::Two patients with a long-standing history of familial Mediterranean fever were found to have both microscopic hematuria and proteinuria during the acute attacks. Kidney biopsies from both patients revealed diffuse mesangial proliferative glomerulonephritis with intense mesangial IgA and C3 deposits and no evidence of ...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000167628

    authors: Said R,Nasrallah N,Hamzah Y,Tarawneh M,al-Khatib M

    更新日期:1988-01-01 00:00:00

  • Oxidized low-density lipoprotein and oxidative stress in the development of glomerulosclerosis.

    abstract::Glomerulosclerosis frequently complicates most renal diseases and is characterized by mesangial matrix accumulation. Oxidized low-density lipoprotein (Ox-LDL) could induce oxidative stress and profibrotic gene expression in mesangial cells. This article will review our current understanding of the pathogenetic mechani...

    journal_title:American journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1159/000151277

    authors: Lee HS,Song CY

    更新日期:2009-01-01 00:00:00

  • Association of Acute Kidney Injury with Cardiovascular Events and Death in Systolic Blood Pressure Intervention Trial.

    abstract:RATIONALE AND OBJECTIVE:In the Systolic Blood Pressure Intervention Trial, the possible relationships between acute kidney injury (AKI) and risk of major cardiovascular events and death are not known. STUDY DESIGN:Post hoc analysis of a multicenter, randomized, controlled, open-label clinical trial. SETTING AND PARTI...

    journal_title:American journal of nephrology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1159/000499574

    authors: Dieter BP,Daratha KB,McPherson SM,Short R,Alicic RZ,Tuttle KR

    更新日期:2019-01-01 00:00:00

  • Race/Ethnicity, Dietary Acid Load, and Risk of End-Stage Renal Disease among US Adults with Chronic Kidney Disease.

    abstract:BACKGROUND:Dietary acid load (DAL) contributes to the risk of CKD and CKD progression. We sought to determine the relation of DAL to racial/ethnic differences in the risk of end-stage renal disease (ESRD) among persons with CKD. METHODS:Among 1,123 non-Hispanic black (NHB) and non-Hispanic white (NHW) National Health ...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000487715

    authors: Crews DC,Banerjee T,Wesson DE,Morgenstern H,Saran R,Burrows NR,Williams DE,Powe NR,Centers for Disease Control and Prevention Chronic Kidney Disease Surveillance Team.

    更新日期:2018-01-01 00:00:00

  • Changes of renal AT1/AT2 receptors and structures in ovine fetuses following exposure to long-term hypoxia.

    abstract:BACKGROUND/AIMS:The present study tested the hypothesis that chronic hypoxia adversely affects renal development in the ovine fetus. METHODS:Kidneys were collected from near-term fetuses of pregnant ewes maintained at sea level or high altitude (3,801 m, PaO(2): approx. 60 mm Hg) for 110 days (n = 6 for each group). ...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000259901

    authors: Mao C,Hou J,Ge J,Hu Y,Ding Y,Zhou Y,Zhang H,Xu Z,Zhang L

    更新日期:2010-01-01 00:00:00

  • Serum Creatinine and Chronic Kidney Disease-Epidemiology Estimated Glomerular Filtration Rate: Independent Predictors of Renal Replacement Therapy following Cardiac Surgery.

    abstract:BACKGROUND:Most studies evaluating predictors of renal replacement therapy (RRT) following cardiac surgery use arbitrary defined limits of preoperative serum creatinine. The aim of this study was to evaluate the effect of preoperative renal function using either estimated-glomerular filtration rate (eGFR) derived using...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000492182

    authors: Drosos G,Ampatzidou F,Sarafidis P,Karaiskos T,Madesis A,Boutou AK

    更新日期:2018-01-01 00:00:00

  • Association between circulating thrombopoietin levels and cardiovascular risk prediction scores in renal transplant recipients.

    abstract:BACKGROUND/AIMS:The 7-year Major Adverse Cardiovascular Events Calculator (CRCRTR-MACE) predicts cardiovascular events (CVE) in renal transplant recipients (RTR), and thrombopoietin (TPO) is a humoral inflammatory factor implicated in cardiovascular disease (CVD). The aim of the study was to determine if circulating TP...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000377641

    authors: Mansell H,Elmoselhi H,Shoker A

    更新日期:2015-01-01 00:00:00

  • Rhabdomyolysis among Critically Ill Combat Casualties: Long-Term Outcomes.

    abstract:BACKGROUND:Although rhabdomyolysis has been associated with acute kidney injury and mortality in the short term, the long-term consequences of an episode of rhabdomyolysis remain unknown. We sought to identify the long-term outcomes of rhabdomyolysis, including mortality, renal function, and incidence of hypertension (...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000494337

    authors: Faulk T,Walker LE,Howard JT,Janak JC,Sosnov JA,Stewart IJ

    更新日期:2018-01-01 00:00:00

  • Transglutaminase 2 accelerates vascular calcification in chronic kidney disease.

    abstract:BACKGROUND:Transglutaminase 2 (TGM2) is a calcium-dependent enzyme that can cross-link nearly all extracellular matrix (ECM) proteins and can facilitate cell-ECM interaction through integrins. Given the importance of the ECM in vascular calcification we tested the hypothesis that increased TGM2 activity may accelerate ...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000347031

    authors: Chen NX,O'Neill K,Chen X,Kiattisunthorn K,Gattone VH,Moe SM

    更新日期:2013-01-01 00:00:00

  • Increased Bone Morphogenetic Protein Signaling in the Cutaneous Vasculature of Patients with Calciphylaxis.

    abstract:BACKGROUND:The objective of this study was to investigate the role of bone morphogenetic protein (BMP) signal transduction in the pathogenesis of calciphylaxis. METHODS:Skin biopsy specimens were obtained from 18 patients with, and 12 patients without, calciphylaxis. Tissue sections were stained with antibodies direct...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000484418

    authors: Nigwekar SU,Jiramongkolchai P,Wunderer F,Bloch E,Ichinose R,Nazarian RM,Thadhani RI,Malhotra R,Bloch DB

    更新日期:2017-01-01 00:00:00

  • Adiponectin and cardiovascular remodeling in end-stage renal disease and co-morbid diabetes mellitus.

    abstract:OBJECTIVES AND METHODS:Altered plasma high-sensitivity C-reactive protein (hs-CRP) and adiponectin (ADP) may contribute to increased vascular inflammation and accelerated atherosclerosis in patients with end-stage renal disease (ESRD) and co-morbid diabetes. Common carotid artery intima-media thickness (CCA-IMT) and at...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000094403

    authors: Karakitsos D,De Groot E,Patrianakos AP,Parthenakis F,Boletis J,Karabinis A,Kyriazis J,Vardas P,Daphnis E

    更新日期:2006-01-01 00:00:00

  • Activation of intrarenal renin-angiotensin system during metabolic acidosis.

    abstract:BACKGROUND:Chronic metabolic acidosis is a common metabolic disturbance and its clinical impact can be severe and extensive. The role and the change of the intrarenal renin-angiotensin system (RAS) during metabolic acidosis are uncertain, and whether acidosis can evoke inflammation remains unclear. METHODS:Male Spragu...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000328742

    authors: Ng HY,Chen HC,Tsai YC,Yang YK,Lee CT

    更新日期:2011-01-01 00:00:00

  • Polymorphic genes for kinin receptors, nephropathy and blood pressure in type 2 diabetic patients.

    abstract:BACKGROUND/AIMS:There is evidence that hereditary predisposition contributes to the development of diabetic nephropathy and hypertension. Polymorphisms in the genes for bradykinin receptors (B(1)R and B(2)R) were found to be associated with decreased risk of the development of end-stage renal disease. This study examin...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000068035

    authors: Zychma MJ,Gumprecht J,Trautsolt W,Szydlowska I,Grzeszczak W

    更新日期:2003-03-01 00:00:00

  • Association of prohepcidin and hepcidin-25 with erythropoietin response and ferritin in hemodialysis patients.

    abstract::Hepcidin is a key regulator of iron metabolism. In this study, we examined whether measurement of hepcidin is useful in assessing recombinant human erythropoietin (rHuEPO) responsiveness in regular hemodialysis (HD) patients in a cross-sectional fashion. We examined the association between serum prohepcidin, a prohorm...

    journal_title:American journal of nephrology

    pub_type: 临床试验,杂志文章

    doi:10.1159/000109968

    authors: Kato A,Tsuji T,Luo J,Sakao Y,Yasuda H,Hishida A

    更新日期:2008-01-01 00:00:00

  • Current Canadian approaches to dialysis for acute renal failure in the ICU.

    abstract:BACKGROUND:Although there is a very high mortality rate (>50%) with acute renal failure (ARF) in the intensive care unit (ICU), there is no general consensus on the best dialysis treatment for this condition. METHODS:We surveyed by mail questionnaire, all adult academic and community registered Canadian nephrology cen...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000046671

    authors: Hyman A,Mendelssohn DC

    更新日期:2002-01-01 00:00:00

  • The role of physical activity in chronic kidney disease in the presence of diabetes mellitus: a prospective cohort study.

    abstract:BACKGROUND/AIMS:Although the effect of exercise on health is well established, nephrologists seldom consider physical activity in the treatment of chronic kidney disease (CKD) or CKD in the presence of diabetes mellitus (DM/CKD). The aim of the present study was to analyze the benefits of leisure-time physical activity...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000357133

    authors: Wang IK,Tsai MK,Liang CC,Yen TH,Huang CC,Wen SF,Wen CP

    更新日期:2013-01-01 00:00:00

  • Determination of blood volume in nephrotic patients.

    abstract::We assessed blood volume (BV) in 20 edematous patients with nephrotic syndrome and in 32 subjects without renal or other disease liable to induce BV variation. Two methods were chosen, one using 131I-albumin and the other 51Cr red blood cells. Among the 20 patients, 11 presented minimal-change lesions, and 9 had histo...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000167967

    authors: Olmer M,Berland Y,Purgus R,Schultz G

    更新日期:1989-01-01 00:00:00

  • Measurement of glomerular filtration rate using nonradioactive Iohexol: comparison of two one-compartment models.

    abstract::Radioisotopic methods for the determination of the glomerular filtration rate (GFR) are highly accurate but require the collection of multiple blood and urine samples and are costly to perform due to personnel, material, and analysis costs. Nonradioactive methods of GFR determination have the potential of minimizing p...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000168985

    authors: Rocco MV,Buckalew VM Jr,Moore LC,Shihabi ZK

    更新日期:1996-01-01 00:00:00

  • Reduced Cardiovascular Mortality Associated with Early Vascular Access Placement in Elderly Patients with Chronic Kidney Disease.

    abstract:BACKGROUND:Elderly patients with cardiovascular comorbidities are more likely to die before progressing to the need for undergoing hemodialysis; so deferring their predialysis vascular access (VA) surgery has been suggested. However, recent declines in cardiovascular mortality in the US population may have changed this...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000446159

    authors: Lee T,Thamer M,Zhang Q,Zhang Y,Allon M

    更新日期:2016-01-01 00:00:00

  • Vitalism and synthesis of urea. From Friedrich Wöhler to Hans A. Krebs.

    abstract::In 1828, Friedrich Wöhler, a German physician and chemist by training, published a paper that describes the formation of urea, known since 1773 to be a major component of mammalian urine, by combining cyanic acid and ammonium in vitro. In these experiments the synthesis of an organic compound from two inorganic molecu...

    journal_title:American journal of nephrology

    pub_type: 传,历史文章,杂志文章

    doi:10.1159/000013463

    authors: Kinne-Saffran E,Kinne RK

    更新日期:1999-01-01 00:00:00

  • Role of hypertension in coronary artery disease.

    abstract::Historically, stroke, heart failure and renal insufficiency were seen as the major complications of untreated hypertension. More recently, it has become evident that coronary heart disease is probably the most common outcome of this condition. Unlike the other complications of hypertension, coronary events have not be...

    journal_title:American journal of nephrology

    pub_type: 杂志文章,评审

    doi:10.1159/000169000

    authors: Weber MA

    更新日期:1996-01-01 00:00:00

  • Serum protein profile alterations in hemodialysis patients.

    abstract:BACKGROUND:Serum protein profiling patterns can reflect the pathological state of a patient and therefore may be useful for clinical diagnostics. Here, we present results from a pilot study of proteomic expression patterns in hemodialysis patients designed to evaluate the range of serum proteomic alterations in this po...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000077409

    authors: Langlois RG,Trebes JE,Dalmasso EA,Ying Y,Davies RW,Curzi MP,Colston BW Jr,Turteltaub KW,Perkins J,Chromy BA,Choi MW,Murphy GA,Fitch JP,McCutchen-Maloney SL

    更新日期:2004-03-01 00:00:00

  • Rosiglitazone increases PPARgamma in renal tubular epithelial cells and protects against damage by hydrogen peroxide.

    abstract:BACKGROUND/AIMS:Thiazolidinediones (TZD) are ligands known to bind to and activate the nuclear peroxisome proliferator-activated receptor gamma (PPARgamma), and are currently used as insulin sensitizers in type 2 diabetes. Recently, several studies have shown that TZD may have a role in renal protection in various expe...

    journal_title:American journal of nephrology

    pub_type: 杂志文章

    doi:10.1159/000105125

    authors: Sommer M,Wolf G

    更新日期:2007-01-01 00:00:00