Holter heart rhythm disorders in patients with acute kidney injury during hemodialysis

Autor: Aceves-Flores EA; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Servicio de Nefrología. Ciudad de México, México., Reyes-Sánchez I; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Servicio de Nefrología. Ciudad de México, México., Barraza-Félix R; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Servicio de Cardiología. Ciudad de México, México., Aguilar-Martínez C; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Servicio de Nefrología. Ciudad de México, México., Hernández-Rivera JCH; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Unidad de Investigación Médica en Enfermedades Nefrológicas. Ciudad de México, México., Paniagua-Sierra R; Instituto Mexicano del Seguro Social, Centro Médico Nacional La Raza, Hospital de Especialidades 'Dr. Antonio Fraga Mouret', Unidad de Investigación Médica en Enfermedades Nefrológicas. Ciudad de México, México.
Jazyk: Spanish; Castilian
Zdroj: Revista medica del Instituto Mexicano del Seguro Social [Rev Med Inst Mex Seguro Soc] 2020 Apr 13; Vol. 58 (2), pp. 145-153. Date of Electronic Publication: 2020 Apr 13.
DOI: 10.24875/RMIMSS.M20000012
Abstrakt: Background: The presence of acute renal injury has been associated with increased cardiovascular morbidity and mortality (sudden death and arrhythmias).
Objective: To know the frequency of heart rhythm disorders documented by Holter in patients in need of intermittent hemodialysis due to acute renal injury.
Material and Methods: A prospective observational study was conducted including patients with a diagnosis of acute renal injury who received intermittent hemodialysis; demographic, clinical and laboratory data were collected from 28 patients. Monitoring was carried out through Holter before, during and after the hemodialysis session. Nonparametric statistics were used, with a significant value of p < 0.05. Risks were established with logistic regression.
Results: There was a significant difference in supraventricular extra systoles (82.1% vs. 57.1%), ventricular extra systoles (26.7% vs. 3.6%), and supraventricular tachycardia (6.7% vs. 3.6%). The rest of the rhythm alterations without significance.
Conclusions: Intermittent hemodialysis is a factor associated with the appearance of heart rhythm disorders. The death of patients with acute renal injury and substitution was related to ventricular extra systole detected by transhemodialysis Holter.
(Copyright: © 2020 Revista Medica del Instituto Mexicano del Seguro Social.)
Databáze: MEDLINE
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