2023 brought us has dogma shredding data on hyponatremia and the importance of different diuretics. It has new therapies for old diseases like IgA and hypertension. New drugs for new diseases like inaxaplin for AMKD. And it has new data on old debates like what IVF is best and do thiazides really prevent kidney stones. It is a great list. Dig in!
Aldosterone Synthase Inhibitors in Proteinuric CKD: the Visual Abstract
Yet another new medication class for use in the RAAS cascade. BI 690517, an aldosterone synthase inhibitor, has been shown to significantly reduce proteinuria with or without empagliflozin. VA by Brian Rifkin.
Two’s Company but Three maybe the Winner? Aldosterone Synthase Inhibition added to RASi + Flozin
Which were the Top Nephrology Stories of 2023?
ACE-ing the SPACE Trial: traversing the seas of RAS inhibition in non-cardiac surgery
SPACE trial - The Visual abstract
Does the cessation of RAS inhibitors prior to surgery contribute to reduced myocardial injury? Check out the SPACE TRIAL visual abstract by NSMC intern Ali Rizvi
ZENITH: the visual abstract
A very colourful visual abstract from Sabarinath!
Zibotentan and Flozins: Climbing to the ZENITH of nephroprotection?
Optimizing “Sparse” Treatments for FSGS
The Duplex Study - Visual Abstract
Checkout the role of Sparsentan in FSGS - The Duplex Trial VA by NSMC Intern Pallavi Prasad
BEATing Calciphylaxis with an Adaptive Platform design
Salt in the wounds?
Fascinating observational study on hyponatraemia correction rates this week, catch-up here.
The ENAKT-LKD Visual Abstract
Another sterlling visual abstract from Milagros Flores
Unlocking the door to living kidney donor paradise?
This week, nephrologists hope they found the key to no-dialysis-land, where kindness and detailed, multistep interventions make the path to kidney transplant much easier. This was foreseen in our Freely Filtered episode and disputed during #KidneyWK 2023 late-breaking clinical trials session. Still, when it comes to RCTs’ results, will it be Deja Vu or a happy ending?
Standing corrected? New examination of the rate of correcting hyponatremia
Hyponatremia correction - The visual Abstract
Severe hyponatremia correction, Visual Abstract by Arjun Mohan
Check out the beautiful Visual Abstract for this week’s NephJC by Arjun Mohan.
NOSTONE in Kidney Medicine
Our NephJC NOSTONE editorial in Kidney Medicine is live. Great work from Renz Palisan, Nikita Pawar, and Rasha Alawieh; supported by Swap and Jade.
Read it here.
Natriuresis (UNa) measurements to guide diuretic strategies?
TenTweetNephJC on X. Natriuresis guidance for intensification of diuretics is one strategy to PUSH decongestion in patient’s with acute heart failure.
The PUSH-AHF Visual Abstract
Does natriuresis-guided diuretic therapy in patients with acute heart failure improve clinical outcomes?
NSMC Intern Sameen Aamer answers it with a VA