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Sudden cardiac death in dialysis patients Nag³y zgon sercowy u chorych dializowanych

Author(s): Anna Tomaszuk-Kazberuk | Jolanta Ma³yszko | W³odzimierz J. Musia³

Journal: Polish Journal of Cardiology
ISSN 1507-5540

Volume: 14;
Issue: 4;
Start page: 282;
Date: 2012;
Original page

Mortality in dialysis patients is extremely high and accounts for almost 23% per year. The main reason is sudden cardiac death connected with underlying cardiac diseases. Sudden cardiac death is a real challenge in the treatment of patients with end-stage renal disease. A lot of attempts are made to avoid it: pharmacological treatment (?-blockers, statins), revascularization procedures (percutaneous coronary interventions (PCI) and coronary artery by-pass grafts (CABG), changes in the mode of dialysis (the type and frequency of dialysis) and automated cardioverter-defibrillator (ICD) implantations in primary and secondary prevention. The results of the available, mainly retrospective, studies are inconsistent. Nowadays, prophylaxis of sudden cardiac death is focused on the treatment of the underlying diseases. Patients should be informed in details about the significance of volume overload and electrolytes concentration in various kinds of food. On the other hand, doctors should use optimal pharmacological and invasive treatment according to the contemporary knowledge. Prospective randomized trials are needed to verify the advantages of pharmacological treatment and the significance of cardioverter-defibrillator implantations.
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Tango Jona
Tangokurs Rapperswil-Jona