Intra-dialytic hypotension and frequency of acute atrial fibrillation in patients on chronic hemodialysis

Autor: Elvedin Osmanovic
Rok vydání: 2022
Předmět:
Zdroj: Cardiologia Croatica
Volume 17
Issue 7-8
ISSN: 1848-5448
1848-543X
Popis: SUMMARY Intra-dialytic hypotension (IDH) is one of the biggest problems in chronic hemodialysis (CH) treatment. The incidence is especially high in elderly patients as well as in patients with cardiovascular disorders. Acute episodic IDH is registered in a quarter of all dialysis treatments on average while chronic or recurrent arterial hypotension usually occurs in about 5% of CH patients. The research study was conducted on a sample of 96 patients at the Hemodialysis Centre in Živinice. The analysis of a 12-lead electrocardiogram in patients with intra-dialytic hypotension indicated that 46.5% of patients had acute atrial fibrillation (AAF). AAF occurred more often in female patients. As part of IDH, 16.6% of patients with AAF also had ischemic changes on the ECG. In patients who did not have AAF, only one case of ischemia was recorded. Errors in underestimated dry body weight in the range of 0.5-1 kg result in IDH and are often associated with the occurrence of AAF during hemodialysis.
Intradijalizna hipotenzija (IDH) jedan je od najvećih problema liječenja kroničnom hemodijalizom (KH), a posebno je osjetljiva u bolesnika starije životne dobi i u onih s kardiovaskularnim poremećajima. Akutna, epizodična, IDH registrirana je u prosjeku u četvrtine svih dijaliznih tretmana, a kronična ili trajna arterijska hipotenzija obično postoji u oko 5 % bolesnika na KH-u. Istraživanje je provedeno na uzorku od 96 bolesnika u Centru za hemodijalizu Živinice. Analiza 12-kanalnog elektrokardiograma u bolesnika s IDH-om pokazala je da je 46,5 % bolesnika imalo akutnu fibrilaciju atrija (AFA). AFA se češće pojavljivala u bolesnika ženskog spola. U sklopu IDH-a 16,6 % bolesnika, uz AFA, imalo je i ishemijske promjene na EKG-u. U bolesnika koji nisu imali AFA zabilježen je samo jedan slučaj ishemije. Pogreške u podcijenjenoj suhoj tjelesnoj težini u rasponu 0,5 – 1 kg imaju za posljedicu IDH te su često udružene s pojavom AFA tijekom hemodijalize.
Databáze: OpenAIRE
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