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Terminal chronic kidney disease courses with high mortality and is a serious public health problem on a global scale. In Portugal, it involves about 14,000 patients of whom 5,000 are transplanted. The remaining require permanent renal replacement techniques. Every year, there are 2,200 new cases and the mortality rate is around 20%. One of the most(More)
OBJECTIVE To assess the hemodynamic and vasodilating effects of milrinone lactate (ML) in patients with dilated cardiomyopathy (DCM) and New York Heart Association (NYHA) class III and IV heart failure. METHODS Twenty patients with DCM and NYHA class III and IV heart failure were studied. The hemodynamic and vasodilating effects of ML, administered(More)
A 17-year-old black African female from Saint Thomas and Prince with growth failure and a 5-year history of frothy urine and periorbitary oedema was referred to our department for evaluation of renal insufficiency. At admission, the patient was hypertensive and malnourished, and presented with jugular engorgement, pulmonary rales, liver enlarged to 9 cm(More)
INTRODUCTION Intra-atrial catheter (IAC) placement through an open surgical approach has emerged as a life-saving technique in hemodialysis (HD) patients with vascular access exhaustion. OBJECTIVE To assess the complications of IAC placement, as well as patient and vascular access survival after this procedure. METHODS The authors retrospectively(More)
Q fever is a zoonosis caused by Coxiella burnetii that presents with a wide spectrum of acute and chronic manifestations. Progression to chronic Q fever is frequently associated with valve and vascular prosthesis, aneurisms, pregnancy, immunosuppression, and advanced chronic kidney disease. We present a case of a kidney transplant recipient with persistent(More)
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