在维持血液透析的患者中,无症状心律失常的频率,原因和模式
Yamita Sakhare1, Alan Almeida1, Deepak Phalgune2
1Department of Nephrology, P D Hinduja National Hospital and Medical Research Centre, Mahim, Mumbai, India.
Indian journal of nephrology
|May 12, 2025
概括
在接受维持血液透析的患者中,心律不整是常见的. 诸如甲状腺功能障碍和血压控制不良等因素会增加这些慢性病患者心律失常的风险.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 临床电生理学 临床电生理学
背景情况:
- 关于慢性病 (CKD) 患者中非严重和临床显著性心律失常的发生率的知识有限.
- 心律不整是CKD患者的潜在并发症,特别是那些接受维持血液透析的患者.
研究的目的:
- 确定在接受维护血液透析的患者中心律不整的发生率和模式.
- 在这个患者群体中确定易患心律失常的因素.
主要方法:
- 一项前性观察性研究,涉及45名维持血液透析的患者.
- 霍尔特监测被用来记录心律失常.
- 人口和临床特征被收集和分析.
主要成果:
- 观察到高频率的心律失常,包括早发性心房复合 (17.8%) 和早发性心室复合 (31.1%).
- 还注意到心室双胞胎 (8.9%),三胞胎 (8.9%) 和心室夫妇 (22.2%) 的情况.
- 甲状腺功能障碍,高/低磁血和血压控制不良与心室心律不整的增加有关. 低磁血症,降低的LVEF,血压控制不良以及他类药物的使用与心房律乱有关.
结论:
- 在接受维护血液透析的患者中观察到心律不整的高发病率.
- 特定的临床因素与这种人群中心律不整的风险增加有关.
相关概念视频
Mechanism of Cardiac Arrhythmias
855
Arrhythmias are irregular heart rhythms occurring when the heart's electrical impulses become abnormal. These disturbances can lead to various symptoms, depending on their severity and the underlying cause. Some common factors contributing to arrhythmias include hypoxia, ischemia, electrolyte imbalances, excessive catecholamine exposure, drug toxicity, and muscle overstretching. Arrhythmias can be classified into two main types based on the rate and site of origin of abnormal heart rhythms.
855
Disturbances in Heart Rhythm
725
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
725
ECG Interpretation of Arrhythmias I: Sinus Arrhythmias
153
Arrhythmias are disturbances in the heart's rhythm that lead to abnormal heartbeats. These irregularities can originate from different parts of the heart and are classified based on their origin and nature.
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
Types of Arrhythmias
Sinus Node Arrhythmias
Sinus Bradycardia: Originating from the sinoatrial (SA) node, sinus bradycardia involves slower impulses, resulting in a heart rate of less than 60 beats per minute (bpm). Causes include sleep, vagal stimulation, beta-blockers, hypothyroidism,...
153
Pulse rhythm
722
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
722
Electrophysiology of Normal Cardiac Rhythm
1.8K
The normal cardiac rhythm is a synchronized electrical activity that facilitates the regular and coordinated contraction of the heart muscle. This process is essential for efficient blood circulation throughout the body. The fundamental elements involved in establishing and maintaining this rhythm include the unique electrical properties of cardiac muscle cells, the sinoatrial (SA) node's pacemaker function, the specialized conducting system, and the ionic mechanisms underlying each phase...
1.8K
Increased pulse rate
624
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
624


