| Title
of the article |
Patients with complex arrhythmias during and after haemodialysis suffer from different regimens of potassium removal.
|
| Authors |
Santoro A, Mancini E, London G, Mercadal L, Fessy H, Perrone B, Cagnoli L, Grandi E, Severi S, Cavalcanti S. |
| Journal
|
Nephrol Dial Transplant. 2008 Apr;23(4):1415-21. Epub 2007 Dec 8. |
| Subject
Consultant |
C. Basile |
| Score
(1 to 3 stars) |
** |
| Comments |
Although sudden death is one of the most frequent causes of death in haemodialysis (HD) patients, the problem of cardiac arrhythmias, the major cause of these outcomes, has been little discussed. This study compares the arrhythmogenic effects of two dialysis techniques differing in dialysate potassium (K) content: Acetate-Free Biofiltration with constant (2.5 mEq/l) K (AFB) and AFB with decreasing intra-HD K (AFBK), according to a crossover single blind design. It shows a greater arrhythmogenic activity with the use of a constant and relatively low K concentration as compared to decreasing K profiling in dialysis-sensitive arrhythmic patients. |
