Diuretic Therapy for Patients With Heart Failure: JACC State-of-the-Art Review

GM Felker, DH Ellison, W Mullens, ZL Cox… - Journal of the American …, 2020 - jacc.org
Expansion of extracellular fluid volume is central to the pathophysiology of heart failure.
Increased extracellular fluid leads to elevated intracardiac filling pressures, resulting in a …

Glomerular hyperfiltration in diabetes: mechanisms, clinical significance, and treatment

L Tonneijck, MHA Muskiet, MM Smits… - Journal of the …, 2017 - journals.lww.com
An absolute, supraphysiologic elevation in GFR is observed early in the natural history in
10%–67% and 6%–73% of patients with type 1 and type 2 diabetes, respectively. Moreover …

Understanding and preventing contrast-induced acute kidney injury

M Fähling, E Seeliger, A Patzak… - Nature Reviews …, 2017 - nature.com
Contrast-induced acute kidney injury (CIAKI) occurs in up to 30% of patients who receive
iodinated contrast media and is generally considered to be the third most common cause of …

Pathophysiology of diuretic resistance and its implications for the management of chronic heart failure

CS Wilcox, JM Testani, B Pitt - Hypertension, 2020 - Am Heart Assoc
Diuretic resistance implies a failure to increase fluid and sodium (Na+) output sufficiently to
relieve volume overload, edema, or congestion, despite escalating doses of a loop diuretic …

Clinical pharmacology in diuretic use

DH Ellison - Clinical Journal of the American Society of …, 2019 - journals.lww.com
Diuretics are among the most commonly prescribed drugs and, although effective, they are
often used to treat patients at substantial risk for complications, making it especially …

Structural bases for Na+-Cl cotransporter inhibition by thiazide diuretic drugs and activation by kinases

Y Zhao, H Schubert, A Blakely, B Forbush… - Nature …, 2024 - nature.com
Abstract The Na+-Cl− cotransporter (NCC) drives salt reabsorption in the kidney and plays a
decisive role in balancing electrolytes and blood pressure. Thiazide and thiazide-like …

Effects of rapid uptitration of neurohormonal blockade on effective, sustainable decongestion and outcomes in STRONG-HF

J Biegus, A Mebazaa, B Davison, G Cotter… - Journal of the American …, 2024 - jacc.org
Background Comprehensive uptitration of neurohormonal blockade targets fundamental
mechanisms underlying development of congestion and may be an additional approach for …

Recognition and management of resistant hypertension

B Braam, SJ Taler, M Rahman, JA Fillaus… - Clinical journal of the …, 2017 - journals.lww.com
Despite improvements in hypertension awareness and treatment, 30%–60% of hypertensive
patients do not achieve BP targets and subsequently remain at risk for target organ damage …

The proximal tubule as the pathogenic and therapeutic target in acute kidney injury

KM Ho, DJR Morgan - Nephron, 2022 - karger.com
Background: In 2004, the term acute kidney injury (AKI) was introduced with the intention of
broadening our understanding of rapid declines in renal function and to replace the …

SGLT2 inhibitor and loop diuretic induce different vasopressin and fluid homeostatic responses in nondiabetic rats

T Masuda, K Ohara, V Vallon… - American Journal of …, 2022 - journals.physiology.org
Loop diuretics are commonly used diuretics in the treatment of fluid retention but induce
hypovolemia-related renal dysfunction. Na+-glucose cotransporter 2 (SGLT2) inhibitors …