Incidence of Cardiac Arrhythmias in Chronic Renal Failure, Especially during Hemodialysis

Chhabra, Sumeet; Sandha, Gurpal; Wander, Gagandeep Singh

doi:10.1159/000186365

Cited by 12 publications

(2 citation statements)

References 4 publications

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“…As previously demonstrated [36, 86, 87, 88, 89, 90, 91, 92], there is epidemiological evidence that the occurrence of significant ventricular arrhythmias, particularly in the presence of underlying heart disease, may increase HD patients’ susceptibility to fatal ventricular arrhythmias. Kimura et al [89]found that the incidence of premature ventricular contractions (PVC) was significantly higher during HD and for the following 4 h than before HD (p < 0.05).…”

Section: Q-t Q-tc Intervals and Q-td Q-tcd In Hd Patientsmentioning

confidence: 80%

Ventricular Arrhythmias and Sudden Cardiac Death in End-Stage Renal Disease Patients on Chronic Hemodialysis

Meier

Vogt

Blanc

2001

Nephron

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Section: Q-t Q-tc Intervals and Q-td Q-tcd In Hd Patientsmentioning

confidence: 80%

Ventricular Arrhythmias and Sudden Cardiac Death in End-Stage Renal Disease Patients on Chronic Hemodialysis

Meier

Vogt

Blanc

2001

Nephron

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“…In addition, due to LVH and an inflammatory state that may exist with uremia, the oxygen supply diminishes, while demand generally stays high, creating an imbalance to the heart [35]. These factors likely account for the higher incidence of arrhythmias in ESRD, especially during dialysis when superimposed changes in potassium flux and repolarization exist [36][37][38][39].…”

Section: Ckd As the Substrate For Cardiac Arrhythmiasmentioning

confidence: 99%

Chronic Kidney Disease and Sudden Death: Strategies for Prevention

McCullough

Sandberg²

2004

Blood Purif

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The association between chronic kidney disease and cardiovascular death is accounted for, in part, by higher rates of serious arrhythmias. Research shows an independent relationship between worsened renal function and atrial fibrillation, heart block, ventricular tachycardia, ventricular fibrillation, and asystole. These higher rates also associate with underlying structural heart disease including left ventricular hypertrophy, cardiac fibrosis, valvular disease, and left ventricular systolic and diastolic dysfunction. In addition, chronic intermittent ischemia is implicated in the arrhythmias observed during hemodialysis. The superimposed conditions of acidosis and fluxes in both potassium and magnesium also contribute to higher rates of arrhythmias. Baseline estimated glomerular filtration rate is linked to worsened outcomes and increased defibrillation thresholds in patients receiving implantable cardioverter defibrillators. Preventive strategies include meticulous management of electrolytes, baseline treatment for cardiovascular disease, and when indicated, implantable cardioverter defibrillators. Future research into the mechanisms and prevention of sudden cardiac death in patients with chronic kidney disease is warranted.

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ECG changes and cardiac arrhythmias in chronic renal failure patients on hemodialysis

Shapira

Bar-Khayim

1992

Journal of Electrocardiology

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Incidence of Cardiac Arrhythmias in Chronic Renal Failure, Especially during Hemodialysis

Cited by 12 publications

References 4 publications

Ventricular Arrhythmias and Sudden Cardiac Death in End-Stage Renal Disease Patients on Chronic Hemodialysis

Ventricular Arrhythmias and Sudden Cardiac Death in End-Stage Renal Disease Patients on Chronic Hemodialysis

Chronic Kidney Disease and Sudden Death: Strategies for Prevention

ECG changes and cardiac arrhythmias in chronic renal failure patients on hemodialysis

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