Sub Logo

Dr K K Aggarwal

Top 10 ways to keep the kidneys healthy

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Top 10 ways to keep the kidneys healthy

  1. Monitor blood pressure and cholesterol.
  2. Control weight.
  3. Dont overuse over-the-counter (OTC) painkillers.
  4. Monitor blood glucose.
  5. Get an annual physical exam.
  6. Know if chronic kidney disease (CKD), diabetes or heart disease run in your family. If so, you may be at risk.
  7. Dont smoke.
  8. Exercise regularly.
  9. Follow a healthy diet.
  10. Get tested for chronic kidney disease if you are at risk.

Kidney patients more at risk for future heart attacks

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Kidney patients more at risk for future heart attacks

Chronic kidney disease patients with kidney function less than 60% are included in the list of criteria for defining people at highest risk for future heart attacks. In a large cohort Canadian study published in The Lancet led by Dr Marcello Tonelli at University of Alberta, patients with only chronic kidney disease had a significantly higher rate of heart attacks than those who only had diabetes. Those who had already had a heart attack had the highest overall rate of heart attacks.Chronic kidney disease should be regarded as a coronary heart disease risk equivalent, similar to diabetes, as patients with the condition have high rates of cardiovascular events, particularly when they also have proteinuria. When chronic kidney disease was defined more stringently with kidney function less than 45% and increased proteinuria, the rate of first heart attack was higher in those with both chronic kidney disease and diabetes than in those with either disorder alone.

Top 10 ways to keep the kidneys healthy

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , | | Comments Off on Top 10 ways to keep the kidneys healthy

  1. Monitor blood pressure and cholesterol.
  2. Control weight.
  3. Dont overuse over-the-counter painkillers.
  4. Monitor blood glucose.
  5. Get an annual physical exam.
  6. Know if chronic kidney disease (CKD), diabetes or heart disease runs in your family. If so, you may be at risk.
  7. Dont smoke.
  8. Exercise regularly.
  9. Follow a healthy diet.
  10. Get tested for chronic kidney disease if youre at risk.

Kidney patients more at risk for future heart attacks

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Kidney patients more at risk for future heart attacks

Chronic kidney disease patients with kidney function less than 60% are included in the list of criteria for defining people at highest risk for future heart attacks.

In a large cohort Canadian study published in The Lancet led by Dr Marcello Tonelli at University of Alberta, patients with only chronic kidney disease had a significantly higher rate of heart attacks than those who only had diabetes. Those who had already had a heart attack had the highest overall rate of heart attacks.

Chronic kidney disease should be regarded as a coronary heart disease risk equivalent, similar to diabetes, as patients with the condition have high rates of cardiovascular events, particularly when they also have proteinuria. When chronic kidney disease was defined more stringently with kidney function less than 45% and increased proteinuria, the rate of first heart attack was higher in those with both chronic kidney disease and diabetes than in those with either disorder alone.

Top 10 Ways to Keep the Kidneys Healthy

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Top 10 Ways to Keep the Kidneys Healthy

  1. Monitor blood pressure and cholesterol.
  2. Control weight.
  3. Dont overuse over-the-counter painkillers.
  4. Monitor blood glucose.
  5. Get an annual physical exam.
  6. Know if chronic kidney disease (CKD), diabetes or heart disease runs in your family. If so, you may be at risk.
  7. Dont smoke.
  8. Exercise regularly.
  9. Follow a healthy diet.
  10. Get tested for chronic kidney disease if youre at risk.

Kidney patients more at risk for future heart attacks

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Kidney patients more at risk for future heart attacks

Chronic kidney disease patients with kidney function less than 60% are included in the list of criteria for defining people at highest risk for future heart attacks. In a large cohort Canadian study published in The Lancet led by Dr Marcello Tonelli at University of Alberta, patients with only chronic kidney disease had a significantly higher rate of heart attacks than those who only had diabetes. Those who had already had a heart attack had the highest overall rate of heart attacks.

Chronic kidney disease should be regarded as a coronary heart disease risk equivalent, similar to diabetes, as patients with the condition have high rates of cardiovascular events, particularly when they also have proteinuria. When chronic kidney disease was defined more stringently with kidney function less than 45% and increased proteinuria, the rate of first heart attack was higher in those with both chronic kidney disease and diabetes than in those with either disorder alone.

Blood pressure drugs should be taken at night

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , | | Comments Off on Blood pressure drugs should be taken at night

Uncontrolled blood pressure can lead to heart attacks, paralysis and heart failure. Most such attacks occur in the early morning hours. Pulse, blood pressure and thickening of platelets are all higher in the early morning hours.  Controlling early morning blood pressure can reduce cardiovascular mortality. According to a study published in the Journal of the American Society of Nephrology, among patients with chronic kidney disease and high blood pressure, taking at least one antihypertensive drug at bedtime significantly improves blood pressure control, with an associated decrease in risk for cardiovascular events.  The study included 661 patients with chronic kidney disease who were randomly assigned either to take all prescribed anti BP drugs on awakening or to take at least one of them at bedtime. Patients were followed for a median of 5.4 years; during that time, patients who took at least 1 BP–lowering drug at bedtime had approximately one third of the cardiac risk compared with those who took all medications on awakening. A similar significant reduction in cardiac deaths, heart attacks and paralysis was noted with bedtime dosing. Patients taking their medications at bedtime also had a significantly lower mean BP while sleeping. For each 5 mmHg decrease in mean sleep–time systolic upper BP, there was a 14% reduction in the risk for cardiovascular events during follow–up. Potential explanation for the benefit of night time treatment may be associated with the effect of night time treatment on urinary albumin excretion levels. Urinary albumin excretion is significantly reduced after bedtime, but not morning, treatment.

Blood pressure drugs should be taken at night

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on Blood pressure drugs should be taken at night

Uncontrolled blood pressure can lead to heart attacks paralysis and heart failure. Most such attacks occur in the early morning hours. Pulse blood pressure and thickening of platelets are all higher in the early morning hours. Controlling early morning blood pressure can reduce cardiovascular mortality. According to a study published in the Journal of the American Society of Nephrology among patients with chronic kidney disease and high blood pressure taking at least one antihypertensive drug at bedtime significantly improves blood pressure control with an associated decrease in risk for cardiovascular events. The study included 661 patients with chronic kidney disease who were randomly assigned either to take all prescribed anti BP drugs on awakening or to take at least one of them at bedtime. Patients were followed for a median of 5.4 years during that time patients who took at least 1 BP lowering drug at bedtime had approximately one third of the cardiac risk compared with those who took all medications on awakening. A similar significant reduction in cardiac deaths heart attacks and paralysis was noted with bedtime dosing. Patients taking their medications at bedtime also had a significantly lower mean BP while sleeping. For each 5 mmHg decrease in mean sleep time systolic upper BP there was a 14 reduction in the risk for cardiovascular events during follow up. Potential explanation for the benefit of night time treatment may be associated with the effect of night time treatment on urinary albumin excretion levels. Urinary albumin excretion is significantly reduced after bedtime but not morning treatment.

Use painkillers with caution in the elderly

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on Use painkillers with caution in the elderly

Painkillers can cause stroke via irregular heart rhythm. Non selective non steroidal anti inflammatory drugs NSAIDs and new generation selective COX 2 inhibitors commonly used to treat inflammation are now linked to an increased risk of irregular heart rhythm called atrial fibrillation AF as per a Danish Research of 32602 patients led by Professor Henrik Toft Sorensen at Aarhus University Hospital in Denmark. These drugs are already linked to increased risk of heart attacks and strokes. And now through AF the risk gets intensified for stroke and new risk added of heart failure and death. In the study compared with non users new users first drug within 60 days of diagnosis showed 40 increased risk of AF with non selective NSAIDS and 70 increased risk with COX 2 inhibitors. This means four extra cases of AF per year per 1000 new users of non selective NSAIDS and seven extra cases of AF per 1000 new users of COX 2 inhibitors. The risk was highest in the elderly patients with chronic kidney disease or rheumatoid arthritis especially on COX 2 inhibitors. NSAIDs should be used very cautiously in older patients with a history of hypertension or heart failure.

Keep your kidneys healthy

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , , , | | Comments Off on Keep your kidneys healthy

We all want our kidneys to last for a lifetime. We all should show our love for kidneys by adopting a 10-step program for protecting kidney health. Begin with monitoring blood pressure and controlling weight and then move on to the rest of the kidney-healthy tips. 1. Monitor blood pressure and cholesterol. 2. Control weight. 3. Don’t overuse over-the-counter (OTC) painkillers. 4. Monitor blood glucose. 5. Get an annual physical exam. 6. Know if chronic kidney disease (CKD), diabetes or heart disease runs in your family. If so, you may be at risk. 7. Don’t smoke. 8. Exercise regularly. 9. Follow a healthy diet. 10. Get tested for chronic kidney disease if you are at risk.