The Kidney & Hypertension Group

The Kidney & Hypertension Group
Florida's Only Certified Hypertension Center

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Tuesday, March 29, 2016

Can Broccoli Prevent Hypertension

You are what you eat, or so they say. Regular broccoli consumption can help combat high blood pressure, according to a new study from Spain. The study, carried out by Murcian research institute CEBAS-CSIC in collaboration with +BrĂ³coli, the non-profit organisation responsible for promoting the green vegetable in Spain, concludes that a 100g serving provides 300mg of potassium and 30mg of sodium, the combination of which can protect the body against cardiovascular disease if eaten every day. Tens of millions of Europeans suffer from high blood pressure and studies show that a healthy lifestyle that includes regular exercise and a diet rich in fruits, vegetables, whole grains and dairy can help keep it at bay. Together with other so-called super foods like avocado and banana, the balance of minerals contained in broccoli has been shown to counter hypertension.

Saturday, February 6, 2016

Some Kidney Facts

Here are some key points about kidneys. More detail and supporting information is in the main article. The kidneys are a pair of organs within the abdomen Much of the kidneys' work revolves around maintaining the body's internal equilibrium Despite being relatively small organs, the kidneys use a high percentage of the body's cardiac output Kidneys help maintain the body's pH balance Dialysis is used if the kidneys have lost the majority of their function Blood pressure is partially maintained by the kidneys The kidneys secrete a number of hormones The adrenal glands sit on top of the kidneys Certain analgesics can damage the kidneys.

Friday, December 4, 2015

DASH Diet Effective for Hypertension and Gout

Recently presented data suggest a specific diet with emphasis on fruits, vegetables, low-fat dairy and reduced saturated and total fat may help lower serum uric acid levels and reduce hypertension in individuals at risk for gout. Researchers studied the effects of the following three diets in 327 participants with stage 1 hypertension: the Dietary Approaches to Stop Hypertension (DASH) diet of fruits, vegetables, low-fat dairy and reduced overall fats; a diet rich in fruits and vegetables; and a control diet considered by researchers as reflective of an average American diet. Patients had a mean age of 44 years and a mean BMI of 28.1 kg/m2. Overall, 53% of participants were men. Body weight and sodium intake remained unchanged to isolate the effect of the respective diet. Investigators measured serum uric acid (SUA) levels at baseline and at 8 weeks. The mean baseline SUA was 5.7 mg/dL. The rate of patient adherence to their respective diets was greater than 93% with a dropout rate of less than 4% during the 8-week period. The DASH diet reduced SUA by 0.24 mg/dL more than the control diet overall. An analysis of the 75 patients with hyperuricemia at baseline showed the DASH diet had an overall greater reduction in SUA levels of 0.59 mg/dl compared with the control diet and by 0.46 mg/dL compared with the fruit and vegetable diet. Investigators found an overall reduction in systolic and diastolic blood pressure in participants on the DASH diet. Among patients with hyperuricemia, those on the DASH diet showed a 5 mm Hg reduction in systolic pressure and a 3.3 mm Hg reduction in diastolic pressure compared with the control diet. “Our findings suggest that the DASH diet can reduce SUA and blood pressure in high risk groups for gout,” the researchers wrote. “This diet offers an additional nutritional approach to preventing (and potentially treating) hyperuricemia and gout, as well as hypertension (a comorbidity present in 74% of gout patients).” - by Shirley Pulawski

Wednesday, November 25, 2015

Preventing Kidney Disease

1 in 3 American adults is at risk for ‪kidney‬ disease. What puts you at risk for kidney disease? Major risk factors include diabetes, high blood pressure, a family history of kidney failure and being age 60 or older. Kidney disease often has no symptoms, and it can go undetected until very advanced. But a simple urine test can tell you if you have kidney disease. Remember, it's important to get tested because early detection and treatment can slow or prevent the progression of kidney disease. (‪NKF‬) At The Kidney & ‪‎Hypertension‬ Group, we put great emphasis on preventing Kidney Disease, or reversing or slowing the progression of existing kidney disease. And we are changing lives. Don't let anyone tell you there's not much you can do. At the KHG, we have a Kidney Disease Prevention Clinic, and together we CAN do something about kidney disease. For an appointment to find out what you can do to prevent kidney disease, improve your current kidney performance, or to find out what your risk is for kidney disease in the future, contact us at 9547713929. https://www.kidney.org/prevention

Monday, November 23, 2015

Treating BK Virus After Kidney Transplant

The BK polyomavirus often causes complications after kidney transplantation. The research group of Professor Hans H. Hirsch from the Department of Biomedicine at the University of Basel has now been able to show, that the immunosuppressive drug Tacrolimus directly activates the replication of the virus and could thus be responsible for these complications. The American Journal of Transplantation has published the study. The BK polyomavirus often causes complications after kidney transplantation. The research group of Professor Hans H. Hirsch from the Department of Biomedicine at the University of Basel has now been able to show, that the immunosuppressive drug Tacrolimus directly activates the replication of the virus and could thus be responsible for these complications. The "American Journal of Transplantation" has published the study. Polyomavirus infections are common, however, they usually do not cause symptoms in healthy adults. However, the virus becomes much more problematic for patients who have to take immunosuppressive drugs after kidney transplantation. In ten to twenty percent of all cases, the BK virus starts to spread within the transplant and causes an inflammation. This can, in the worst case, destroy the new organ entirely and put the patient back on the transplant waiting list. When it comes to organ transplantation, doctors mainly fight the human immune system, which tries to reject the donor organ. Immunosuppressive drugs, such as the commonly used Tacrolimus, are prescribed to suppress this process. The substance inhibits signaling between the body's immune cells. However, this treatment also weakens the immune system in such a way that it is no longer able to protect the organism sufficiently from viruses such as said BK virus - a predicament. Drugs affect virus differently The Transplantation & Clinical Virology research group from the Department of Biomedicine at the University of Basel led by Professor Hans H. Hirsch was now able to show, that the BK virus reacts completely different to various immunosuppressive drugs: While the commonly used drug Tacrolimus activates the replication of the virus inside kidney cells, the substance Sirolimus, a mTOR inhibitor, inhibits virus replication. The results explain why in the past ten years an increasing number of cases of BK polyomavirus complications have occurred after the widespread introduction of Tacrolimus in transplantation clinics. The findings also provide important rationales for clinical trials in order to test the use of mTOR inhibitors like Sirolimus in patients in acute danger of loosing their kidney transplant without simultaneously having to increase the risk of organ rejection. Source: University of Basel

Saturday, November 21, 2015

Reducing Acid Load May Improve Kidney Health

The impact of a high acid diet on ‪kidney‬ health is an area garnering more interest, including at this year's Kidney Week.
At The Kidney & Hypertension Group, we have long evaluated the acid load of patients with Chronic Kidney Disease, and implement ways to reduce this when appropriate. For an appointment with one of our nephrologists, contact us at 9547713929.

Saturday, November 14, 2015

The Kidney & Hypertension Group Is The First Certified Hypertension Center in Southeast United States

The ‪
Kidney‬ & Hypertension‬ Group is proud to announce that we have been designated a Certified Hypertension Center, one of only 12 Hypertension Practice Centers in the United States and Canada, and the only one in Florida (and the first in the Southeast United States). The American Society of Hypertension (ASH) maintains a formal certification process for medical practices and health care providers that have demonstrated expertise in treating patients who have complex or difficult-to-treat hypertension and its co-morbidities. The Program – focused on enhancing hypertension patient care – is designed to evaluate each medical practice against a professional set of criteria based upon responses to a questionnaire and a rigorous review process by hypertension experts. At The Kidney & Hypertension Group, our Hypertension certified specialists provide state of the art management of hypertension and circulatory disorders. For an appointment with one of our physicians, contact us at (954) 771-3929. http://www.ash-us.org/…/Certified-…/Current-HTN-Centers.aspx

Black Americans Are At High Risk of Kidney Disease. Click Picture To Learn What Can Be Done

Black Americans Are At High Risk of Kidney Disease. Click Picture To Learn What Can Be Done
A Black Kidney Transplant Patient Warns Other Members of the Black Community of the Need To Be Aware of Their Increase Risk of Kidney Disease and What They Can Do About It

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Van C. (Dr. Gabriel Valle's patient-kidney-University of Miami, Cathy O. (Dr. Carlos Bejar-Kidney at University of Miami),Will E. (Dr. Ajuria-kidney-Miami Transplant Institute;Bob I. (Dr. Valle's patient, University of Miami-Kidney), Orlando T. (Dr. Valle's patient, University of Miami, kidney), Sara A. (Dr. Valle's patient, kidney, University of Miami),Steve I. (Dr. Jorge Ajuria's patient, kidney, University of Miami),Sandy L. (Dr. Carlos Bejar's patient, kidney, University of Miami),KATHY C. (kidney-University of Miami, patient of Dr. Valle,MARTIN O. (Dr. Valle patient-Heart/Kidney -University of Miami), ROBERT I. (Dr. Valle's patient Kidney at University of Massachusetts), DREW P.(kidney-University of Florida),BILL L. (University of Florida-kidney), BARBARA L. (University of Miami-kidney), FRANCIS L. (kidney at U. of F.), JONATHAN I. (kidney-at U of F), THERESA L. (kidney-pancreas at University of Miami),JEFF T. (kidney at University of Florida), TERESA R. (kidney-University of Miami), JEANNIE O. (kidney-University of Florida), ELOISE O. (Univ of Florida), JOHN E. (kidney-University of Florida), GENE J. (Kidney-University of South Florida), CAL. M. (kidney- Florida Transplant Hospital in Orlando), TERRY A. (Perfect Match! University of Florida-kidney), TIM A.(kidney-University of Miami), GLORIA R. (kidney -University of Miami), BRAD R. (Kidney (and never on dialysis!!)-at University of Miami),(*both Brad and Gloria got kidneys on the same day!!!), BELINDA (kidney-University of Miami), TOM (kidney-University of Miami), JIM E. (Kidney-University of Miami), HERBERT A., (Kidney-University of Miami), Belinda R. (University of Miami-kidney),

PATRICK LOVES THE KIDNEY GROUP

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South Florida's Top Nephrologists-(Left to Right) Drs. Ajuria, Hernandez, Bejar, and Valle

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