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Published byGergő Nemes Modified over 5 years ago
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Maximizing Organ Protection in Patients With CKD and Comorbidities on RAAS Therapy
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Introduction
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Program Overview
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RAAS Inhibitors Are Recommended to Improve Outcomes in Patients With CKD and Comorbidities
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Potential Risks in Patients With CKD on RAAS Inhibitor Therapy
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RAAS Inhibition Benefit vs Risk: A Dichotomy
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RCTs Support the Use of MRAs Across the CV Continuum
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Establishing the Role of MRAs in Patients With CKD
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Elevated Serum Potassium Is Associated With Increased Mortality in At-Risk Populations
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Multiple Studies Have Demonstrated the Benefits of RAAS Inhibitor Therapy
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Multiple Studies Have Demonstrated the Benefits of RAAS Inhibitor Therapy (cont)
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Multiple Studies Have Demonstrated the Benefits of RAAS Inhibitor Therapy (cont)
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Using Maximum vs Submaximum Doses of RAAS Inhibitors Is Associated With Reductions in Mortality
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Evidence-Based Doses of RAAS Inhibitors From Key HFrEF Trials
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Traditional Interventions for the Management of Chronic Hyperkalemia
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Newer Agents for the Treatment of Hyperkalemia: Patiromer
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OPAL-HK: Patiromer in Patients with CKD and Hyperkalemia Receiving RAAS Inhibitors
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Patiromer Is Effective for the Initial Treatment of Hyperkalemia: OPAL-HK (Part A)
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Patiromer Helps to Maintain RAAS Inhibitor Dose: OPAL-HK (Part B)
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OPAL-HK: Most Common AEs
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AMETHYST-DN: Patiromer Reduces Serum Potassium in Patients With Diabetic Kidney Disease
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AMETHYST-DN: Most Common AEs Occurring in ≥ 5% of Patients
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PEARL-HF: Patiromer Reduces Serum Potassium in Patients With HF
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PEARL-HF: Uptitration of Spironolactone and Incidence of Hyperkalemia
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Area of Clinical Interest: Use of Patiromer in Patients With ESRD on HD
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AMBER: Rationale and Study Design
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Newer Agents for the Treatment of Hyperkalemia: SZC
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SZC Treatment Among Outpatients With Hyperkalemia: HARMONIZE
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HARMONIZE: Change in Serum Potassium Over Time (Randomized Phase)
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HARMONIZE: AEs Reported in ≥ 5% of Patients
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SPS for the Management of Hyperkalemia
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Optimizing the Use of RAAS Inhibitors in Cardiorenal Patients
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When Should a Potassium Binder Be Started?
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RAAS Inhibitor Use vs Hyperkalemia: Historical Perspective
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Cardiorenal Patients Are Dependent on RAAS Inhibitors
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Hyperkalemia Is Common: Data From PARADIGM-HF
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Management of Hyperkalemia in Patients Taking RAAS Inhibitors
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Summary and Conclusions
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Summary and Conclusions (cont)
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Abbreviations
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Abbreviations (cont)
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Abbreviations (cont)
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