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Raphael

@raphapalma.bsky.social

Nephrologist/Brazil

1 Posts12 Follower12 Folgt
Kajaree@kajareeg.bsky.social · 11mo ago

✅Mayo MGRS Prediction Tool has good performance in finding the risk of MGRS in kidney biopsy in patients with MG 🔆Happy to contribute in this #videoabstract 🎉Thank you @theisn.org and @dilushiwijay.bsky.social for the opportunity @myadla.bsky.social @arvindcanchi.bsky.social

ISNkidneycare@theisn.org · 11mo ago

𝗜𝗦𝗡 𝗩𝗜𝗗𝗘𝗢 𝗔𝗕𝗦𝗧𝗥𝗔𝗖𝗧 𝗦𝗘𝗥𝗜𝗘𝗦: The Mayo MGRS Prediction Tool calculates the risk of finding monoclonal gammopathy of renal significance in a kidney biopsy in patients with monoclonal gammopathy. 2025 from @kidneyint.bsky.social By @kajareeg.bsky.social & @dilushiwijay.bsky.social

ISNkidneycare@theisn.org · last yr.

🔥🫀ARNI showed superior cardioprotective effects. May have renoprotective effects as per their molecular mechanism, but the evidence to date applies only to heart failure. Future studies in CKD are needed, perhaps? 🤔

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ISNkidneycare@theisn.org · last yr.

🔥SGLT2 Inhibitors: Game-changers! They reduce HF hospitalisations, preserve GFR, slow CKD progression and improve outcomes in CRS. 🔹 Trials: DAPA-HF, EMPA-KIDNEY show mortality & renal benefits. Do check out the link for the new SGLT2i toolkit there: theisn.org/initiatives/...

ISNkidneycare@theisn.org · last yr.

Decongestion Therapy 🔹 Loop diuretics = cornerstone 🔹 Use high doses for diuretic resistance; consider thiazides for synergy. 🔹 UF for refractory cases, but monitor renal function closely. 🔹 Aggressive diuresis improves outcomes even with transient ↑ creatinine.

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ISNkidneycare@theisn.org · last yr.

Key Principles in Rx 1️⃣ Decongestion (diuretics/ultrafiltration). 2️⃣ Neurohormonal modulation (RAASI, SGLT2i). 3️⃣ Volume assessment (CVP, intrarenal Doppler). 4️⃣ Treat underlying systemic disease (e.g., sepsis). 5️⃣ Multidisciplinary care doi.org/10.3390/hear...

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ISNkidneycare@theisn.org · last yr.

🫀🔥Now, the million-dollar question: Why does this happen? —it’s a cocktail of mechanisms: 🩺 Central players: Congestion → ↓ Renal perfusion RAAS & SNS activation → Maladaptive changes Inflammation & oxidative stress → Organ damage doi.org/10.1161/CIR....

Cardiorenal Syndrome: Classification, Pathophysiology, Diagnosis, and Treatment Strategies: A Scientific Statement From the American Heart Association | Circulation

Cardiorenal syndrome encompasses a spectrum of disorders involving both the heart and kidneys in which acute or chronic dysfunction in 1 organ may induce acute or chronic dysfunction in the other orga...

doi.org

ISNkidneycare@theisn.org · last yr.

🔑What is CRS? nature.com/articles/nrn... Types of CRS: 1️⃣ Type I: Acute HF → AKI 2️⃣ Type II: Chronic HF → CKD 3️⃣ Type III: AKI → Acute HF 4️⃣ Type IV: CKD → Chronic HF 5️⃣ Type V: Systemic diseases (e.g., sepsis) → Combined dysfunction

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ISNkidneycare@theisn.org · last yr.

🚨 Cardiorenal Syndrome (CRS): A Deadly Duo 🚨 Did you know the heart & kidneys are so intertwined that dysfunction in one can wreak havoc on the other? Let's dive into CRS today. A lucid read for every nephrology & cardiology fellow 🫀🩺 #MedTwitter #ISNTweetorial

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ISNkidneycare@theisn.org · last yr.

As WHA78 unites global health leaders, kidney care must stay a priority. 🗳️ We urge Member States to back the kidney health resolution. Explore the ISN-GKHA Map for key insights. 🔗 http://lite.spr.ly/6... #ISNGKHA #WHA78 #KidneyHealthMatters #UHC

International Society of Nephrology: ISN-Global Kidney Health Atlas

Explore comprehensive data on global kidney care readiness and delivery across countries and regions. Based on the International Society of Nephrology's worldwide survey, this interactive atlas helps inform healthcare policy and advocacy for improved kidney disease treatment.

lite.spr.ly

ISNkidneycare@theisn.org · last yr.

Great meeting with the @ISNEducation social media team; lots of exciting projects on the horizon! We're looking forward to what’s coming next, so stay tuned!

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