Trastornos del ritmo cardiaco por Holter en lesión renal aguda durante hemodiálisis
| Autor: | Juan Carlos H Hernández-Rivera, Ramón Paniagua-Sierra, Rafael Barraza-Félix, Carolina Aguilar-Martínez, Ivonne Reyes-Sánchez, Elena Anaid Aceves-Flores |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Heart rhythm disorders medicine.medical_treatment Significant difference Acute kidney injury General Medicine medicine.disease Logistic regression Sudden death Internal medicine cardiovascular system medicine Cardiology cardiovascular diseases Supraventricular tachycardia Hemodialysis Systole business |
| Zdroj: | Revista M�dica del Instituto Mexicano del Seguro Social. 58 |
| ISSN: | 0443-5117 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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