hypertension or heart failure) have been relatively low (0.4–8.1% [3,20]) while data on the patterns of RAASi therapy following hyperkalemia in CKD in routine clinical settings are limited. Renin-angiotensin-aldosterone system inhibitors. Reported percentages of RAASi therapy (single or dual) discontinuation due to hyperkalemia from randomized trials of various patient groups (e.g. Reported percentages of RAASi therapy (single or dual) discontinuation due to hyperkalemia from randomized trials of various patient groups (e.g. and enabling optimal RAASi therapy in patients with CKD. But what if there was a better way to lower potassium levels so that these patients could reach those target doses? A common side effect of ACE inhibitors is a bradykinin-induced cough, which may necessitate switching to an alternative therapy (e.g. The proposed study consists of 2 sub-studies. failure receiving a sub-optimal dose of RAASi therapy. hypertension or heart failure) have been relatively low (0.4–8.1% [3,20]) while data on the patterns of RAASi therapy following hyperkalemia in CKD in routine clinical settings are limited. Methods: A patient-level simulation model was designed to fully characterise the natural history of CKD over a lifetime horizon, and predict the associations between serum potassium levels, RAASi use … Since RAASi therapy reduces mortality and morbidity in patients with cardiovascular disease but can increase K + levels, therapies aimed at lowering K + levels and enabling patients to continue RAASi therapy should be considered. However, kidney function was defined by a single baseline serum creatinine level within 12 months and single follow-up creatinine level within 2 months of RAASI therapy initiation. ARBs), while angioedema and hyperkalemia may occur in both ARBs and ACE inhibitor use. Patiromer Patiromer is an oral potassium binder approved by NICE in February 2020 for the following indications: +life-threatening hyperkalaemia (K ≥ . In this study the adjusted incidence rates of hyperkalemia in CKD patients with and without RAASi therapy were 8.22 and 1.77 per 100 patient-months, respectively. Such an approach is already implemented in other fields of medicine, e.g. They block the production of angiotensin II, a substance that narrows blood vessels and releases hormones such as aldosterone … Angiotensin-converting enzyme inhibitors (ACE inhibitors) are a group of medicines that are mainly used to treat certain heart and kidney conditions; however, they may be used in the management of other conditions such as migraine and scleroderma.. Users of renin angiotensin aldosterone system inhibitors (RAASi) or diuretics have a slightly increased risk of acute kidney injury (AKI), new study findings in BMC Nephrology confirm.. Definition of RAASi in the Abbreviations.com acronyms and abbreviations directory. mmol/l) alongside standard treatment with insulin -glucose and salbutamol. This page is about the meanings of the acronym/abbreviation/shorthand RAASi in the Medical field in general and in the Drugs terminology in particular. 2 Interestingly, RAASis seem to induce hyperkalemia even in patients receiving maintenance dialysis, 10 most likely due to their effect on gastrointestinal potassium secretion. Sub-study 1 is about patients with new diagnosis of heart failure with reduced ejection fraction (HFrEF) and how often these patients develop hyperkalaemia over 1 year and if hyperkalaemia leads to any changes to RAASi. A dramatic reduction of adherence to RAASi therapy was observed among adherent patients after HK onset: only 41.9% of patients remained adherent to therapy, while 36.4% were considered as non‐adherent (PDC <80%) and 21.7% discontinued the treatment, as recommended by ESC guidelines. 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