Preoperative 24-hour urine amount as an independent predictor of renal outcome in poor cardiac function patients after coronary artery bypass grafting.

Purpose: To investigate the incidence and the main pre-operative risk factors for the development of acute renal failure (ARF) in triple vessels coronary artery bypass grafting (CABG) with special reference to a subset of patients with poor cardiac function (ejection fraction <50%).

Patients: The study included the patients (n = 66) requiring CABG from January 1, 1995 to January 1, 2002 in a medical center.

Results: A high percentage (84.

Reduction of advanced glycation end product levels by on-line hemodiafiltration in long-term hemodialysis patients.

Background: Advanced glycation end products (AGEs) are thought to be involved in many complications of end-stage renal disease. This study analyzed serum AGE level reduction rates and corresponding long-term changes in serum levels among different dialysis modes.

Methods: Eighty-one patients with chronic uremia were divided into 3 groups receiving conventional hemodialysis (HD), high-flux HD, or on-line hemodiafiltration (HDF).

Refractory hypertension and anemia in end-stage renal disease: an unusual manifestation of Kimura's disease.

Hypertension and anemia are common in uremic patients. This article describes a 35-year-old uremic Taiwanese who was admitted to our hospital with refractory hypertension and refractory anemia following chronic hemodialysis for more than two years. He was diagnosed with Kimura's disease finally.

Low dose intravenous ascorbic acid for erythropoietin-hyporesponsive anemia in diabetic hemodialysis patients with iron overload.

Background: Recent report demonstrates that inadequate iron mobilization and defective iron utilization may cause recombinant erythropoieitin (rEPO) hyporesponsiveness in hemodialysis (HD) patients with iron overload. The effect of intravenous ascorbic acid (IVAA) in HD patients selected on the basis of iron overload and EPO resistance also has been proven. However, it is uncertain whether IVAA still works in diabetic ESRD patients with hyperferritinemia.

LV mass index significantly impacts on patient and renal outcomes in patients with coronary artery bypass grafting and poor left-ventricular function.

Background: A recent report demonstrated that the presence of left ventricular hypertrophy was an independent predictor of mortality in patients with coronary artery bypass grafting (CABG) severely depressed left ventricular function. However, the impact of left ventricle (LV) mass index on the renal and patient outcomes in such patients with CABG has previously not been addressed. The present study thus considers this group of patient and uses LV mass index to assess renal and patient outcomes for these patients.