David MacDougall

All articles by David MacDougall

Office BP Predicts Microalbuminuria

High ambulatory but normal or well-controlled office BP, a condition known as “reverse white-coat hypertension,” is an independent risk factor for microalbuminuria in patients with treated hypertension.

Factors Predict Response to Epoetin

Older age, elevated BMI, and use of ACE inhibitors and/or angiotensin receptor blockers (ARBs) are associated with increased epoetin requirements when normalizing blood hemoglobin levels in CKD patients.

Primary Screening in Renal Patients

The medical care care of patients with renal disease includes notonly disease-specific care but preventive and general care as well as the treatment of minor acute illnesses, according to Kevin M. Fosnocht, MD, clinical assistant professor of medicine at the University of Pennsylvania School of Medicine in Philadelphia.

How to Optimize Aldosterone Blockade

The renin-angiotensin-aldosterone system (RAAS) is a well-known regulator of BP, and angiotensin II (AII) plays the primary role in constricting the postglomerular arterioles. This increases both the glomerular hydraulic pressure and the ultrafiltration of plasma proteinseffects that may con- tribute to chronic renal damage. AII may stimulate renal cell growth, inflammation, and fibrosis.

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