Can We Prevent Sudden Cardiac Death in Dialysis Patients?

Herzog, Charles A.

doi:10.2215/cjn.01130307

Cited by 41 publications

(31 citation statements)

References 16 publications

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“…14 Sudden cardiac death is the most common cause of death among patients undergoing hemodialysis, [25][26][27] and some researchers have suggested that sudden cardiac death may be precipitated by the dialysis procedure itself. 28,29 Patients with higher residual renal…”

Section: Discussionmentioning

confidence: 99%

Association between estimated glomerular filtration rate at initiation of dialysis and mortality

Clark¹,

Na²,

Rosansky³

et al. 2010

Canadian Medical Association Journal

105

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Section: Discussionmentioning

confidence: 99%

Association between estimated glomerular filtration rate at initiation of dialysis and mortality

Clark¹,

Na²,

Rosansky³

et al. 2010

Canadian Medical Association Journal

105

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“…Karvedilol popravlja ejekcionu frakciju leve komore i preživljavanje bolesnika koji boluju od srčane slabosti (NYHA II/NYHA III) i leče se ponavljanim hemodijalizama (47,48). Optimalna doza dijalize (Kt/V ≥ 1,4), biokompatibilna high-flux dijalizna membrana i ultračist rastvor za hemodijalizu (broj kolonija bakterija < 10-1 CFU/ml, koncentracija endotoksina < 0,03 EU/ml) značajno doprinose smanjenju stope mortaliteta bolesnika koji se leče ponavljanim hemodijalizama (49).…”

Section: Tabela 2 Preporuke Za Faktore Kardiovaskularnog Rizika Kod unclassified

10.5937/mckg48-4123 = Diastolic heart failure in patients on hemodialysis: Etiopathogenesis, diagnostics and therapy

Nedeljković¹,

Miloradović²,

Radovanović³

et al. 2014

Medicinski casopis

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UVODBolesti srca su vodeći uzrok smrti bolesnika koji se leče redovnim hemodijalizama. Kod ovih bolesnika prisutni su brojni faktori rizika kao što su povišen arterijski krvni pritisak, poremećaj metabolizma lipida, oksidativni stres, mikroinflamacija, hiperhomocisteinemija, anemija, povećan protok krvi kroz vaskularni pristup za hemodijalizu, sekundarni hiperparatireoidizam, a koji su odgovorni za razvoj kardiovaskularnih komplikacija (1). Hipertrofija leve komore, ishemijska bolest srca i srčana slabost su najčešće kardiovaskularne komplikacije kod bolesnika na hemodijalizi (1, 2). PREGLED SAŽETAK

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“…Sudden cardiac arrest is the most common cause of death for ESKD patients treated with hemodialysis, occurring at a rate 30 times greater than the general population. 6 Even if a hemodialysis patient is able to be resuscitated after experiencing SCA, the likelihood of long-term survival is exceedingly low. The study of Bleyer et al 7 showed that a reduction in glomerular filtration rate alone enhances sudden cardiac arrest risk, but it is evident that exposure to conventional hemodialysis augments this risk even further.…”

Section: Introductionmentioning

confidence: 99%

“…Certainly, a higher prevalence of traditional cardiac risk factors such as advanced age, ischemic cardiomyopathy, diabetes, and preexisting arrhythmic heart disease is observed among patients with CKD, but whether these factors predict sudden cardiac arrest during a hemodialysis treatment remains unclear. 6 In addition to effects on mortality and progression to ESRD, CKD is marked by disturbance in mineral and bone metabolism accompanied by soft tissue and vascular calcification which is one of the most common and important consequences of CKD development and progression. This systemic disorder is now referred to as CKDmineral and bone disorder (CKD-MBD).…”

Section: Introductionmentioning

confidence: 99%

Chronic Kidney Disease-Mineral Bone Disease (CKD-MBD) and Cardiac Arrest Risk Factors among Renal Failure Patients

Azab¹,

Elsayed²

2017

JABB

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The major complications related to CKD include cardiovascular disease, anemia, and abnormalities related to mineral bone metabolism. Disturbance in mineral and bone metabolism accompanied by soft tissue and vascular calcification is one of the most common and important consequences of CKD development and progression. Sudden cardiac arrest is the leading cause of death for patients with end stage renal disease) ESRD (. The potential factors increasing the risk for sudden cardiac arrest in patients with CKD include fluid overload, abnormalities in ion metabolism, and electrolyte shifts. Hyperkalemia is associated with increases in the all-cause mortality and advanced CKD is an independent predictor of hyperkalemia. This study aimed to investigate the prevalence of cardiac arrest and CKD-MBD risk factors, as electrolyte imbalance, defect in mineral metabolism, anemia, and diabetes among CKD patients. This study was performed in El-Zahraa hospital in the West of Libya and conducted on 72 patients (35 males and 37 females) with chronic renal failure from January to June 2013 and a group of 40 (20 males and 20 females) individuals as control. By estimating GFR, most of patients (about 80%) were in stage five of chronic kidney disease. The patients who within stage four limits were about 17% is very low percentage of patients who within stage three limits (about 3%), on the other hand, no patients within limits of stages one or two. By measuring serum electrolytes for patients and control groups, the results showed that about half of the patient groups were with hyponatremia and hyperkalemia. Calcium levels in patients was lower than control in about 40%, and Phosphorus level was higher than normal in 85% of patient populations. The illustrated results were showed that more than 50% of patients had increase in the alkaline phosphatase enzyme activity. The results also illustrated that most of patients were anemic (80%) and fifty percent of patients were diabetic.

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Can We Prevent Sudden Cardiac Death in Dialysis Patients?

Cited by 41 publications

References 16 publications

Association between estimated glomerular filtration rate at initiation of dialysis and mortality

Association between estimated glomerular filtration rate at initiation of dialysis and mortality

10.5937/mckg48-4123 = Diastolic heart failure in patients on hemodialysis: Etiopathogenesis, diagnostics and therapy

Chronic Kidney Disease-Mineral Bone Disease (CKD-MBD) and Cardiac Arrest Risk Factors among Renal Failure Patients

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