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慢性肾脏病和电解质失衡相关的室性心律失常。

Ventricular arrhythmias in the context of chronic kidney disease and electrolyte imbalance.

机构信息

Division of Electrophysiology, Department for Internal Medicine and Cardiology, Heart Centre Dresden, Faculty of Medicine and University Hospital Carl Gustav Carus, TUD Dresden University of Technology, Dresden, Germany.

Sektion Rhythmologie, Klinik für Innere Medizin und Kardiologie, Herzzentrum Dresden, Medizinische Fakultät und Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Fetscherstr. 76, 01307, Dresden, Germany.

出版信息

Herzschrittmacherther Elektrophysiol. 2024 Sep;35(3):211-218. doi: 10.1007/s00399-024-01029-7. Epub 2024 Jul 15.

Abstract

Patients with chronic kidney disease face a high risk of sudden cardiac death, particularly in more advanced stages of renal dysfunction. Ventricular arrhythmias are prevalent and contribute to the heightened cardiovascular mortality. This review aims to explore the intricate interplay of disease-specific risk factors, arrhythmic triggers, and electrolyte disorders that amplify susceptibility to ventricular arrhythmias and sudden cardiac death in this population and influence the efficacy of available treatments.

摘要

慢性肾脏病患者面临着较高的心脏性猝死风险,尤其是在肾功能障碍的更晚期阶段。室性心律失常普遍存在,并导致心血管死亡率升高。本综述旨在探讨特定疾病风险因素、心律失常触发因素和电解质紊乱之间错综复杂的相互作用,这些因素会增加该人群发生室性心律失常和心脏性猝死的易感性,并影响现有治疗方法的疗效。

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