Nephrology Medical News about Kidney Failure, Acute Natriuretic Peptides

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Atrial natriuretic peptide for preventing and treating acute kidney injury
Cochrane Reviews, 10/20/09

Nigwekar SU et al. – The authors identified 19 studies (11 prevention and 8 treatment) using low or high dose atrial natriuretic peptide (ANP), enrolling 1,861 patients. There was no difference in the number of deaths between ANP and control for studies preventing or treating AKI. The need for dialysis was significantly lower in both the low dose ANP treatment and prevention studies as well as for patients undergoing major surgery. The length of time spend in hospital and ICU was shorter for patients receiving low dose ANP. High dose ANP was associated with more hypotension and cardiac arrhythmias in patients with established AKI. ANP may be associated with improved outcomes when used in low doses for preventing AKI and in managing postsurgery AKI. There were no significant adverse events in the prevention studies, however in the high dose ANP treatment studies there were significant increases in hypotension and arrhythmias.

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