Ono K, Hisasue Y, Kikawa K
Nephron. 1983;33(3):182-5. doi: 10.1159/000182939.
This study was undertaken to evaluate the effect of increasing the dialysate sodium concentration on myocardial ischemia assessed by EKGs taken immediately before and after dialysis in 43 hemodialysis patients. An increase in the R wave (V5 + V6) by more than 5 mm was seen in 26 patients with standard sodium dialysate, while only 12 cases showed the same changes after a high sodium dialysis. These was a positive correlation between an increase in R wave amplitude and the weight loss/dry weight ratio of patients only after standard sodium dialysis (r = 0.74, p less than 0.001). Relative high sodium dialysate is beneficial during dialysis and reduce the incidence of myocardial ischemia and unpleasant disequilibrium syndrome.
本研究旨在评估提高透析液钠浓度对43例血液透析患者透析前后即刻心电图评估的心肌缺血的影响。使用标准钠透析液时，26例患者出现R波（V5 + V6）升高超过5mm，而高钠透析后只有12例出现相同变化。仅在标准钠透析后，R波振幅增加与患者体重减轻/干体重比呈正相关（r = 0.74，p < 0.001）。相对高钠透析液在透析期间有益，可降低心肌缺血和不愉快的失衡综合征的发生率。
