Low dose sacubitril/valsartan is effective and safe in hemodialysis patient with decompensated heart failure and hypotension

Abstract.Rationale:.Severe heart failure in chronic hemodialysis (HD) patients is a great treatment challenge.Here we reported a chronic HD patient with the lowest ejection fraction reported so far and hypotension who well tolerated and benefited from angiotensin-receptor neprilysin inhibitor (ARNI) treatment.Patient concerns:.This case was a 67 ye

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Decorative Composite Layers

Part of the materials used in the chemical industry, metallurgical, machine construction, can be coated, as with time it occurs either a decrease of its properties, or even a process of advanced faulting, because of the stresses suffered.The paper presents the structure of some composite coatings with the nickel matrix also pointing out their decor

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