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High risk of ventricular repolarization abnormalities among hemodialytic end-stage renal disease patients
Eka Prasetya Budi Mulia1, Kartika Afrida Fauzia2, Rerdin Julario1
1Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Hospital, Surabaya, Indonesia.
Folia Medica
|March 6, 2023
Insights
Patients with chronic kidney disease (CKD) face higher risks of ventricular arrhythmia. Electrocardiogram (ECG) methods can help assess this risk using a standard 12-lead ECG.
Area of Science:
- Cardiology
- Nephrology
- Medical Diagnostics
Background:
- Patients with chronic kidney disease (CKD) exhibit a substantially increased risk of developing ventricular arrhythmias.
- The 12-lead electrocardiogram (ECG) is a widely accessible tool for evaluating cardiac health.
Purpose of the Study:
- To explore the utility of standard 12-lead ECG methods in assessing ventricular arrhythmia risk in CKD patients.
- To identify ECG parameters that may predict adverse cardiac events in this high-risk population.
Main Methods:
- Review of existing literature on ECG criteria for arrhythmia risk stratification in CKD.
- Analysis of studies correlating specific ECG findings with ventricular arrhythmia incidence in CKD.
- Comparison of different ECG-based risk scores and parameters.
Main Results:
- Certain ECG findings, such as prolonged QRS duration and QT interval, are associated with increased arrhythmia risk in CKD.
- Specific ECG markers show potential for predicting ventricular arrhythmias in patients with chronic kidney disease.
- The 12-lead ECG offers a non-invasive method for risk assessment.
Conclusions:
- The 12-lead ECG is a valuable tool for assessing ventricular arrhythmia risk in patients with chronic kidney disease.
- Further research is warranted to refine ECG-based risk stratification strategies for CKD patients.
- Early identification of high-risk individuals through ECG can guide clinical management and potentially reduce adverse cardiac events.
Abstract
Introduction:
Patients with chronic renal disease (CKD) are at a significantly elevated risk for ventricular arrhythmia. Several electrocardiographic (ECG) methods can be used to assess the ventricular arrhythmia risk on the standard 12-lead ECG.
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