DESMOND J. SHAPIRO, M.D., C.H.P., M.R.C.P.
To the editor: I am writing with reference to the article by Weinrauch and associates (1), "Coronary Angiography and Acute Renal Failure in Diabetic Azotemic Nephropathy."
As a practicing clinical nephrologist, I wonder how any further information obtained from these dye studies could have been used for the future management of the unfortunate patients. Was coronary bypass surgery contemplated for the patients with severe angina? We were not informed of angina in any of these patients.
In my opinion, no information not already known clinically would have excluded these patients from regular hemodialysis therapy. Atherosclerosis is accelerated by hemodialysis therapy,
SHAPIRO DJ. Angiography in Diabetic Patients. Ann Intern Med. ;86:654–655. doi: 10.7326/0003-4819-86-5-654
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Published: Ann Intern Med. 1977;86(5):654-655.
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