Causes and Treatment of Arrhythmia in Hemodialysis Patients

Causes and Treatment of Arrhythmia in Hemodialysis Patients

The death rate of cardiovascular disease in dialysis patients is 15 to 30 times higher than that of the same age group, and more than 20% of the causes of death are caused by arrhythmia. Hemodialysis arrhythmia in patients with common causes and treatment of what?

First, dialysis patients with arrhythmia causes

1. Conventional factors: age, coexistence of heart disease, diabetes, uremia and metabolic disorders, autonomic dysfunction, heart failure, pericarditis, acid balance disorders, hypocapnia, hypotension can cause dialysis Related arrhythmias; severe anemia can induce arrhythmias, improve blood protein levels can help ease.

2. Dialysis-related factors: dialysate / ion exchange solution concentration, dialysis mode, dialysis stress, poor biocompatibility of dialysis materials caused by hypoxemia, sudden changes in blood volume can lead to increased sympathetic activity, blood Flow disorders, hypotension, induced arrhythmia.

3. Electrolyte changes: potassium, calcium, magnesium have a special impact on the heart. Low calcium can increase the harm of high potassium on the heart, low magnesium also easily lead to digitalis poisoning. In addition dialysis patients can occur hypercalcemia, can also cause arrhythmia and digitalis poisoning.

4. Drug effects: dialysis patients with digitalis drugs can cause poisoning caused by arrhythmia.

Second, dialysis patients with Micro-Chinese Medicine Osmotherapy

① According to the condition (heart disease, blood pressure, urine) dialysate dialysate regulation of potassium, calcium ion concentration and acid balance;

② limit dialysis interval weight gain (<5%), slow ultrafiltration dehydration;

③ elderly patients should choose the hemodynamics of dialysis, the use of good biocompatibility of the dialyzer to reduce the impact of hemodynamics;

④ full and effective dialysis, lower blood uremic toxins; correction of complications: such as acidosis, high blood volume, anemia, calcium and phosphorus metabolism disorders.

⑤ improve nutritional status, to correct micro-inflammatory state.

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