Cardiovascular diseases and endothelial disfunction are major causes of mortality in patients with end stage renal disease (ESRD). Treatment strategies like continuous ambulatory peritoneal dialysis (CAPD) and hemodialysis (HD) have different effects on different parameters. Asymmetric dimethylarginine (ADMA) is an endogenous nitric oxide (NO) synthase inhibitor and it has been reported to be a...

Case 1 A 54-year-old man was admitted with sudden onset of headache with vomiting and diarrhoea without neurological failure. Computer tomography (CT-scan) confirmed the diagnosis of a subarachnoid bleeding. Cerebral angiography could not show an aneurysm or other cause of bleeding. During the admission period a spontaneous International Normalized Ratio (INR) elevation was seen. Over a period ...

THE BENEFITS OF YOGA THERAPY FOR HEART FAILURE PATIENTS by Paula R. Pullen STATEMENT OF THE PROBLEM The number of patients living with heart failure (HF) is on the rise. Yoga has been found to improve physical and psychological parameters amongst healthy individuals. The effects of yoga on HF patients are unknown. The purpose of this study was to examine the effects of yoga on cardio-vascular e...

a case of rheumatic fever, at least one of its five chief manifestations must be recognized, namely, mitral valvulitis, aortic valvulitis, partial heart block, pericarditis, and cardiac failure. It is doubted that there are other manifestations of rheumatic carditis. Sinus tachycardia is not disproportionate to fever, anxiety, pericardial effusion, or heart failure. Gallop rhythm in a child is ...

Dr. J.L. Miguel Alonso, Servicio de Nefrología, Hospital La Paz, Castellana 261, E-28046 Madrid (Spain) Table 1. Clinical data Group HD CAPD Dear Sir, We have read with interest the letter by Sethi et al. [1]. Since the first report by Ballardie et al. in 1986 [2] the question has not been answered. Until now, few studies have been published showing evidence of dialysis-associated amyloidosis (...

584 35%). Transesophageal echocardiography demonstrated marked dilation of the left main coronary artery (LMCA), up to 1 cm with turbulent flow. Invasive coronary angiography showed ectasia of both LMCA and the left circumflex artery (Cx), with a communication between the Cx and the right atrium (FIGURE 1A). Computed tomography (CT) revealed a fistula between the Cx and coronary sinus (FIGURE 1...

3.1 What laboratory tests are needed? At the time of diagnosis, certain laboratory tests are useful along with joint examination and eye checks. These tests help to define the type of JIA and to identify patients at risk of developing specific complications such as chronic iridocyclitis. Rheumatoid factor (RF) is a laboratory test detecting an autoantibody, which, if positive and persistent in ...

ing from the extrahepatic bile duct is extremely rare, and preoperative diagnosis is difficult because symptoms and imaging are nonspecific [1,2]. The most common symptoms of primary biliary lymphoma are abdominal pain, weight loss, fever, and obstructive jaundice [1,2]. A total of 23 cases have been reported in literature [1–5], and, to the best of our knowledge, this is the fourth case of dia...

CASE REPORT An 80 year old man was admitted to hospital with a one month history of progressive malaise and a five day history of vomiting, renal failure and jaundice. He had a past history of a right hip replacement but otherwise had been in reasonable health. A provisional diagnosis of hepatitis had been made by his local medical officer and he was admitted to hospital for further management....

A woman of 46 with seropositive rheumatoid arthritis had been treated for 9 years with 10 mg methotrexate and 5 mg folic acid. She took the methotrexate on Fridays. On a Saturday she was admitted to hospital with right lower lobe pneumonia and proved to be in acute renal failure: urea 23.0 mmol/L, creatinine 377 mmol/L, potassium 7.4 mmol/L. On previous routine testing these had been normal. Al...