Management of arrhythmias in patients with chronic kidney disease on hemodialysis
Main Article Content
Keywords
Chronic kidney disease; Hemodialysis; arrhythmias; Oral anticoagulants; Driving
Abstract
Hemodialysis is an effective treatment that helps control blood pressure and compensate for important minerals in the bloodstream of a patient diagnosed with chronic kidney disease; However, this population group also denotes its significant vulnerability to developing certain cardiovascular complications such as cardiac arrhythmias, which not only condition the success of the procedure, but can also put the individual's survival at risk.
Objective: To describe the current management based on scientific evidence of arrhythmias in patients with chronic kidney disease on hemodialysis.
Methodology: This bibliographical review contemplates a search, analysis and synthesis process of different theoretical foundations, obtained from duly validated scientific information sources, which provide reliable support to achieve the established objectives.
Results: Ventricular and supraventricular arrhythmias are frequent disorders that appear in hemodialysis. The management of these conditions addresses continuous monitoring, synchronized electrical cardioversion, administration of calcium antagonists, anticoagulants, warfarin, amiodarone, acetylsalicylic acid and other antiarrhythmic drugs such as lidocaine and procainamide.
Conclusion: Among the oral anticoagulants that are most frequently used to prevent such events are vitamin K antagonists (VKAs), such as warfarin, and those that are not antagonists or opposed to vitamin K (NOACs), such as apixaban. , Dabigatran, Edoxaban and Rivaroxaban.
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2. Centro de Diagnóstico Servicios Integrales de la Salud [CDSIS]. Great discoveries in the history of medicine [Internet]. Discoveries in medicine. 2020 [cited 2023 Mar 10]. Available from: https://www.centrodiagnostico.com/grandes-descubrimiento-medicina/
3. Mercado F, Huerta V, Urias J. Virtual social networks and Health. A participatory experience on chronic kidney disease. Interface - Comun Saúde, Educ [Internet]. 2019;23. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-32832019000100219&tlng=es
4. World Health Organization [WHO]. Chronic kidney disease [Internet]. Fact sheet. 2020 [cited 2023 Apr 10]. Available from: https://www.paho.org/es/temas/enfermedad-cronica-rinon#:~:text=Los signs and symptoms of,mental acuity%2C muscle spasms and
5. Cerón M, Sánchez C. Assessment of a food education in patients with chronic renal failure in predialysis. Rev San Gregor [Internet]. 2019 Oct 1;1(33). Available from: http://revista.sangregorio.edu.ec/index.php/REVISTASANGREGORIO/article/view/977
6. Gonzalez M, Rosa G, Ferreiro A. The Latin American Registry of Dialysis and Kidney Transplantation: the importance of the development of national registries in Latin America. Nefrol Latinoam [Internet]. 2017 Jan;14(1):12–21. Available from: http://linkinghub.elsevier.com/retrieve/pii/S2444903216300051
7. Latin American Society of Nephrology and Hypertension [SLNH]. The Latin American Society of Nephrology and Hypertension and the challenges of chronic kidney disease in our region [Internet]. Articles. 2020 [cited 2023 Apr 10]. Available from: https://netmd.org/nefrologia/nefrologia-articulos/la-sociedad-latinoamericana-de-nefrología-e-hipertensión-y-los-retos-de-la-enfermedad-renal-crónica-en-nuestra-región
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9. Pillajo B, Guacho J, Moya I. Chronic kidney disease. Review of literature and local experience in a city in Ecuador. Rev Da Vida [Internet]. 2022;19(10):17–23. Available from: https://davida.ec/2022/10/19/la-enfermedad-renal-cronica-revision-de-la-literatura-y-experiencia-local-en-una-ciudad-de-ecuador/?utm_source=rss&utm_medium=rss&utm_campaign=la-enfermedad-renal-cronica-revision-de-la-literatura-y-experiencia-local-en-una-ci
10. Malkina A. Chronic kidney disease or chronic kidney disease [Internet]. MSD MANUAL Version for general public. 2021 [cited 2023 Apr 10]. Available from: https://www.msdmanuals.com/es-ec/hogar/trastornos-renales-y-del-tracto-urinario/insuficiencia-renal/enfermedad-renal-crónica-o-nefropatía-crónica
11. Suárez A, Otero J, Rosabal A, Miranda S. Ventricular arrhythmias in patients with end-stage chronic kidney disease on hemodialysis. Intradialytic Holter monitoring. Rev Habanera Medical Sciences [Internet]. 2019;13(4):516–30. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1729-519X2014000400004
12. Estenoz G, Álvarez M. Quality control and management in hemodialysis. Rev MediSan [Internet]. 2019;15(5):657–65. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192011000500013#:~:text=La hemodialysis (HD) is severe metabolic hypercalcemia and acidosis.
13. Bardajía A, Martínez A. Chronic kidney disease and heart. An evolutionary continuum. Chronic Kidney Dis Hear Linked Pathol [Internet]. 2019;61(52):41–51. Available from: https://www.revespcardiol.org/es-enfermedad-renal-cronicacorazon-un-articulo-13124150#:~:text=La chronic kidney disease this, increased morbidity and mortality observed
14. López J, Vega A. Cardiovascular Alterations in Chronic Kidney Disease. Rev la Soc Española Nefrol [Internet]. 2020;24(6):14–27. Available from: https://www.nefrologiaaldia.org/es-articulo-alteraciones-cardiovasculares-enfermedad-renal-cronica-179
15. Cedeño S, Vega A, Macías N, Sánchez L, Abad S, López J, et al. Definitions of intradialysis hypotension with predictive power of mortality in a hemodialysis cohort. Nephrology [Internet]. 2020 Jul;40(4):403–13. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0211699520300308
16. Reyes F, Pérez M, Figueredo E, Núñez E, Jiménez K. Atrial fibrillation. Overview of an updated topic. Medical Scientific Mail [Internet]. 2018;22(4):695–718. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1560-43812018000400014#:~:text=La atrial fibrillation (AF) is, with socioeconomic and health impact.
17. Candelaria J, Gutierrez C, Bayarre H, Acosta C, Montes D, Labrador O. Characterization of chronic kidney disease in older adults. Rev Colomb Nefrol [Internet]. 2019 Aug22;5(2):166. Available from: http://www.revistanefrologia.org/index.php/rcn/article/view/308
18. Carrillo M, Rodríguez L, Díaz R, Cervera M, Constantino F. Prevention of chronic kidney disease in adults: a literature review. Nephrological Nursing [Internet]. 2022 Dec 30;25(4):310–8. Available from: https://www.enfermerianefrologica.com/revista/article/view/4556
19. Cen R, Hernández K, Mena S, Zamora D, Zeledón J, Herrera A. Chronic kidney disease. Rev Clínica la Esc Med UCR-HSJD [Internet]. 2020;10(4):58–66. Available from: https://www.medigraphic.com/pdfs/revcliescmed/ucr-2020/ucr204i.pdf
20. Martínez L, Rojas L, Garciga M, Iglesias A, Miranda D. Knowledge about Chronic Kidney Disease in Psychology students from Cuba. Rev Horiz Enferm [Internet]. 2020;29(20):291–305. Available from: https://docs.bvsalud.org/biblioref/2021/05/1223949/291-305.pdf
21. García R, Bover J, Segura J, Goicoechea M, Cebollada J, Escalada J, et al. Information and consensus document for the detection and management of chronic kidney disease. Rev Nefrol [Internet]. 2022 May;42(3):233–64. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0211699521001612
22. Obando S, Chamorro R, Chavarría S, Garcés N. Exacerbated chronic kidney disease. ReciaMuc [Internet]. 2022 May 4;6(2):324–31. Available from: https://reciamuc.com/index.php/RECIAMUC/article/view/818
23. García C, Aran L, Vilela Á, Amat G, Ortíz S, Giralt M. Identification of underdiagnosis of chronic kidney disease in primary care. Enferm Nefrol [Internet]. 2019;22(3):302–7. Available from: https://scielo.isciii.es/pdf/enefro/v22n3/2255-3517-enefro-22-03-302.pdf
24. Nieto J, García C, Vesga D, Obregón M, Serna L. Chronic kidney disease of agricultural communities, a literature review. Iatreia [Internet]. 2022 Apr 1;35(2):131–40. Available from: https://revistas.udea.edu.co/index.php/iatreia/article/view/345736
25. Cueva Á, Neach D, Ortiz W, Fernández J, Lara S, Chi S, et al. Protocol for the prevention of ventricular arrhythmias due to treatment in patients with COVID-19. Arch Cardiol México [Internet]. 2021 Sep 30;90(91). Available from: http://www.archivoscardiologia.com/frame_esp.php?id=182
26. Gonzales A, Segura P, León R, Laurente J, Ríos P. Arrhythmia-induced cardiomyopathy: case report. Arch Cardiol México [Internet]. 2021 Nov 1;91(3). Available from: https://www.archivoscardiologia.com/frame_esp.php?id=379
27. Ramos M. Highlights of the Consensus Document for the Management of Asymptomatic Arrhythmias. Rev Uruguaya Cardiol [Internet]. 2019 Jul 1;34(2). Available from: http://www.suc.org.uy/revista/v34n2/rcv34n2_08.pdf
28. Isa R. Arrhythmias in asymptomatic patients. Rev Chil Cardiol [Internet]. 2019 Apr;38(1):70–1. Available from: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-85602019000100070&lng=en&nrm=iso&tlng=en
29. Amado J, Tazza F, Vargas M. Almost fatal ventricular arrhythmia associated with the use of psychotropic drugs. An la Fac Med [Internet]. 2019 Oct 10;80(3):346–9. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/15995
30. Zambrano E, Ollague R, Quisilay B, Velasco L. Mechanisms of cardiac arrhythmias. ReciMundo [Internet]. 2019 Sep 30;3(3):717–34. Available from: http://recimundo.com/index.php/es/article/view/546
31. Esparza C, García J, Reyes E, García L. Management of cardiac arrhythmias in first-level health units. Rev Polo del Conoc. 2019;4(10):118–35.
32. Patiño D, Medina J, Silva R, Guijarro A, Rodríguez J. Prediction of Arrhythmias and Acute Myocardial Infarctions using Machine Learning. Ingenius [Internet]. 2023 Jan 1;(29):79–89. Available from: https://ingenius.ups.edu.ec/index.php/ingenius/article/view/6724
33. Carcasés S, Rodríguez A, Lamorú R, Hernández F. Clinical characterization and treatment of patients with atrial fibrillation. Rev Cuba Med Mil [Internet]. 2022;51(4). Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/1829/1503
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Jun 22, 2023
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León Murillo Javier Alejandro, & Andrés Santiago Bueno Castro. (2023). Management of arrhythmias in patients with chronic kidney disease on hemodialysis. Journal of Population Therapeutics and Clinical Pharmacology, 30(15), 434–445. https://doi.org/10.47750/jptcp.2023.30.15.050
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