Stopping mineralocorticoid receptor antagonists after hyperkalemia: trial emulation in data from routine care.
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DOI: 10.1002/ejhf.2287
Abstract: AIMS Whether to continue or stop mineralocorticoid receptor antagonists (MRA) after an episode of hyperkalemia is a challenge in clinical practice. While stopping MRA may prevent recurrent hyperkalemias, it deprives patients of their cardioprotection. We… read more here.
Keywords: trial emulation; heart failure; mineralocorticoid receptor; hyperkalemia ... See more keywords
Hyperkalemia induced Brugada phenocopy
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DOI: 10.1002/joa3.12498
Abstract: We illustrate the case Brugada Type 1 pattern on electrocardiogram in a setting of hyperkalemia, changes which were reversible following normalization of serum potassium levels. Although Brugada Type 1 syndrome is associated with sudden cardiac… read more here.
Keywords: brugada phenocopy; induced brugada; pathology; hyperkalemia ... See more keywords
Electrocardiography is Unreliable to Detect Potential Lethal Hyperkalemia in Patients with Non-dialysis Chronic Kidney Disease
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DOI: 10.1007/s00246-022-02826-y
Abstract: Hemodialysis patients with hypercalcemia are less likely to manifest the usual electrocardiographic changes associated with hyperkalemia than in those with normal renal function. This study was conducted to determine whether electrocardiography (ECG) is a reliable… read more here.
Keywords: hyperkalemia; electrocardiography; hyperkalemia patients; non dialysis ... See more keywords
Serum potassium and heart failure: association, causation, and clinical implications
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DOI: 10.1007/s10741-020-10039-9
Abstract: Dyskalemia (hypo- and hyperkalemia) is a common clinical encounter in patients with heart failure (HF), linked to underlying pathophysiologic alterations, pharmacological treatments, and concomitant comorbidities. Both hypo- and hyperkalemia have been associated with a poor… read more here.
Keywords: association; serum potassium; hyperkalemia; heart failure ... See more keywords
Treatment of Hyperkalemia in Heart Failure
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DOI: 10.1007/s11897-017-0341-0
Abstract: Purpose of ReviewThe aim of this paper is to discuss strategies for prevention and management of hyperkalemia in patients with heart failure, including the role of novel therapies.Recent FindingsRenin-angiotensin-aldosterone system (RAAS) antagonists, including angiotensin-converting enzyme… read more here.
Keywords: hyperkalemia; risk hyperkalemia; heart failure;
Prevalence of Metabolic Acidosis Among Patients with Chronic Kidney Disease and Hyperkalemia
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DOI: 10.1007/s12325-021-01886-5
Abstract: Although hyperkalemia and metabolic acidosis often co-occur in patients with chronic kidney disease (CKD), the prevalence of metabolic acidosis among patients with CKD and hyperkalemia is understudied. Therefore, we used medical record data from the… read more here.
Keywords: acidosis; prevalence metabolic; among patients; hyperkalemia ... See more keywords
True rate of mineralocorticoid receptor antagonists‐related hyperkalemia in placebo‐controlled trials: A meta‐analysis
Sign Up to like & getrecommendations! Published in 2017 at "American Heart Journal"
DOI: 10.1016/j.ahj.2017.03.011
Abstract: Background Mineralocorticoid receptor antagonists (MRA) improve survival in heart failure with reduced ejection fraction but are often underused, mostly due to concerns of hyperkalemia. Because hyperkalemia occurs also on placebo, we aimed to determine the… read more here.
Keywords: hyperkalemia; rate; placebo; mra related ... See more keywords
Stopping renin-angiotensin system inhibitors after hyperkalemia and risk of adverse outcomes.
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DOI: 10.1016/j.ahj.2021.09.014
Abstract: BACKGROUND Stopping renin-angiotensin system inhibitors (RASi) after an episode of hyperkalemia is common but may involve therapeutic compromises, in that the cessation of RASi deprives patients of their beneficial cardiovascular effects. METHODS AND RESULTS Observational… read more here.
Keywords: risk; renin angiotensin; hyperkalemia; stopping renin ... See more keywords
BRASH SYNDROME: A DOWNWARD SPIRAL
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DOI: 10.1016/j.chest.2021.07.697
Abstract: TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: BRASH Syndrome is a phenomenon characterized by bradycardia, renal failure, AV nodal blockade, shock, and hyperkalemia. Literature on this syndrome is limited given its under-recognition. CASE… read more here.
Keywords: bradycardia; hyperkalemia; brash syndrome; failure ... See more keywords
HEPARIN-INDUCED RENAL TUBULAR ACIDOSIS MASQUERADING AS HYPERKALEMIA IN A PATIENT WITH SARS-COV-2
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DOI: 10.1016/j.chest.2021.07.900
Abstract: TOPIC: Critical Care TYPE: Medical Student/Resident Case Reports INTRODUCTION: Renal tubular acidosis (RTA) is defined as inadequate excretion of acids via the kidneys to maintain the acid-base balance. In RTA type 4, there is either… read more here.
Keywords: heparin; etiology; tubular acidosis; hyperkalemia ... See more keywords
Treatment of Hyperkalemia With a Low-Dose Insulin Protocol Is Effective and Results in Reduced Hypoglycemia
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DOI: 10.1016/j.ekir.2017.10.009
Abstract: Introduction Complications associated with insulin treatment for hyperkalemia are serious and common. We hypothesize that, in chronic kidney disease (CKD) and end-stage renal disease (ESRD), giving 5 units instead of 10 units of i.v. regular… read more here.
Keywords: insulin; treatment; hypoglycemia; protocol ... See more keywords