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慢性肾衰竭中的心律失常?透析期间及在家日常活动时的动态心电图监测。

Cardiac arrhythmias in chronic renal failure? Holter monitoring during dialysis and everyday activity at home.

作者信息

Kyriakidis M, Voudiclaris S, Kremastinos D, Robinson-Kyriakidis C, Vyssoulis G, Zervakis D, Toutouzas P, Komninos Z, Avgoustakis D

出版信息

Nephron. 1984;38(1):26-9. doi: 10.1159/000183273.

Abstract

25 patients undergoing regular haemodialysis for chronic renal failure underwent Holter ECG monitoring for a continuous 48-hour period covering dialysis and the intermediate period of everyday activity at home. A low dialysate potassium concentration (1.7 mEq/l) was used. Clinically significant arrhythmias (greater than 100 ventricular extrasystoles/24 h) were found in only 1 patient and there were no complex ventricular arrhythmias. Benign atrial arrhythmias occurred in 22 patients (88%). Haemodialysis had no influence on type or frequency of arrhythmias.

摘要

25例因慢性肾衰竭接受定期血液透析的患者进行了动态心电图监测,持续48小时,涵盖透析及在家日常活动的中间时段。使用低透析液钾浓度(1.7 mEq/l)。仅1例患者出现具有临床意义的心律失常(大于100次室性早搏/24小时),且无复杂性室性心律失常。22例患者(88%)出现良性房性心律失常。血液透析对心律失常的类型或频率无影响。

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