Stamellou Eleni, Georgopoulos Christos, Lakkas Lampros, Dounousi Evangelia
Department of Nephrology, University Hospital of Ioannina, Ioannina, Greece.
Department of Nephrology and Clinical Immunology, RWTH Aachen University Hospital, Aachen, Germany.
Clin Kidney J. 2025 Mar 7;18(4):sfaf072. doi: 10.1093/ckj/sfaf072. eCollection 2025 Apr.
Cardiovascular disease, particularly life-threatening ventricular arrhythmias and sudden cardiac death (SCD), remains the leading cause of death among haemodialysis (HD) patients, with an alarmingly higher incidence compared with the general population. By addressing key risk factors such as electrolyte imbalances, fluid overload and ultrafiltration rates, focusing on practical interventions and incorporating multidisciplinary care, clinicians can significantly reduce the risk of fatal arrhythmias. Here we propose 10 practical tips to guide clinicians in managing severe arrhythmias in HD patients. Each tip provides actionable insights for identifying high-risk individuals, with an emphasis on prevention and multidisciplinary care.
心血管疾病，尤其是危及生命的室性心律失常和心源性猝死（SCD），仍然是血液透析（HD）患者的主要死因，其发病率与普通人群相比高得惊人。通过解决诸如电解质失衡、液体过载和超滤率等关键风险因素，注重实际干预措施并纳入多学科护理，临床医生可以显著降低致命性心律失常的风险。在此，我们提出10条实用建议，以指导临床医生管理HD患者的严重心律失常。每条建议都为识别高危个体提供了可操作的见解，重点在于预防和多学科护理。
