Electrocardiographic changes during hemodiafiltration with different potassium removal rates.

Abstract:

BACKGROUND/AIMS:Sudden K removal is thought to be implicated in ECG alterations observed during hemodialysis (HD). The effects of the K removal rate on ECG-derived parameters have been investigated. METHODS:Two different hemodiafiltration (HDF) schedules were used for 10 HD patients: the dialysate K concentration was kept constant in HDFst, while in HDFK it was decreased during the session in order to maintain a uniform plasma-dialysate K gradient. A 12-lead Holter monitor was used to acquire the ECG in the course of the treatments. Classical ECG parameters and overall indices for quantifying ventricular repolarization abnormalities were evaluated. RESULTS:Several ECG parameters were affected by both HD therapies (ST depression, QRS amplitude and QT dispersion), but only indices of the homogeneity of repolarization (PCA-T, E1-T) were significantly affected by the K removal rate. CONCLUSION:The present study confirms the large impact of HD therapy on ECG. The analysis of the spatial T wave complexity points out the intrinsic arrhythmogenic implications of the K removal rate.

journal_name

Blood Purif

journal_title

Blood purification

authors

Severi S,Vecchietti S,Cavalcanti S,Mancini E,Santoro A

doi

10.1159/000073440

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

381-8

issue

6

eissn

0253-5068

issn

1421-9735

pii

73440

journal_volume

21

pub_type

临床试验,杂志文章
  • Use of Continuous Glucose Monitoring in Patients with Diabetes Mellitus on Peritoneal Dialysis: Correlation with Glycated Hemoglobin and Detection of High Incidence of Unaware Hypoglycemia.

    abstract:INTRODUCTION:Glycated hemoglobin is used to assess diabetic control although its accuracy in dialysis has been questioned. How does it compare to the Continuous Glucose Monitoring System (CGMS) in peritoneal dialysis (PD) patients? METHODS:We conducted a retrospective analysis of 60 insulin-treated diabetic patients o...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000439242

    authors: Qayyum A,Chowdhury TA,Oei EL,Fan SL

    更新日期:2016-01-01 00:00:00

  • Peritonitis - does peritoneal dialysis modality make a difference?

    abstract:BACKGROUND/AIMS:Peritonitis remains a significant problem for patients on peritoneal dialysis (PD). There is a certain amount of controversy as to whether peritoneal modality is itself a risk factor for peritonitis, with one modality higher than another. METHODS:A literature review was done (August 2009) searching und...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000245641

    authors: Piraino B,Sheth H

    更新日期:2010-01-01 00:00:00

  • Membrane-Based Therapeutic Plasma Exchange in Intensive Care.

    abstract::The principles and use of plasmapheresis are often little understood by intensivists. We propose to review the principles, the main indications, and the methods of using this technique. ...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000510983

    authors: Redant S,De Bels D,Ismaili K,Honoré PM

    更新日期:2020-10-22 00:00:00

  • Effects of AST-120 on blood concentrations of protein-bound uremic toxins and biomarkers of cardiovascular risk in chronic dialysis patients.

    abstract:BACKGROUND:Removal of protein-bound uremic toxins by dialysis therapy is limited. The effect of oral adsorbent AST-120 in chronic dialysis patients has rarely been investigated. METHODS:AST-120 was administered 6.0 g/day for 3 months in 69 chronic dialysis patients. The blood concentrations of indoxyl sulfate, p-creso...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000357641

    authors: Lee CT,Hsu CY,Tain YL,Ng HY,Cheng BC,Yang CC,Wu CH,Chiou TT,Lee YT,Liao SC

    更新日期:2014-01-01 00:00:00

  • Is There Enough Evidence to Prove That Hemodiafiltration Is Superior?

    abstract::The evidence concerning online hemodiafiltration (HDF) includes the following: (1) the increase of removal of uremic toxin, (2) the prevention of dialysis rerated hypotension, (3) the recovery of survival, and (4) the recovery of dialysis related uncertain symptoms. Although clinical evidence has been noted, the hypot...

    journal_title:Blood purification

    pub_type: 社论

    doi:10.1159/000487917

    authors: Kawanishi H

    更新日期:2018-01-01 00:00:00

  • Supplementation with Alfacalcidol increases protein intake and serum albumin concentration in patients undergoing hemodialysis with hpoalbumineamia.

    abstract:BACKGROUND:We have reported that vitamin D deficiency may be implicated in the pathogenesis of hypoalbuminemia observed in patients with end-stage renal disease, but the mechanism remains to be clarified. The aim of the present study was to determine whether supplementation with alfacalcidol might increase protein inta...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章

    doi:10.1159/000076855

    authors: Yonemura K,Sugiura T,Yamashita F,Matsushima H,Hishida A

    更新日期:2004-01-01 00:00:00

  • Biocompatibility of hemodialysis membranes: a study in healthy subjects.

    abstract::The effect of blood-membrane interaction on several biocompatibility parameters has been investigated. Four groups of healthy subjects underwent sham hemodialysis, i.e. the establishment of blood-dialysis membrane contact, but without circulating dialysate, using cellulose-based membranes (regenerated cellulose and ce...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000170153

    authors: Gutierrez A,Alvestrand A,Bergström J,Beving H,Lantz B,Henderson LW

    更新日期:1994-01-01 00:00:00

  • Anorexia and malnutrition in hemodialysis patients.

    abstract::Malnutrition, which is common in maintenance hemodialysis (HD) patients, is strongly associated with increased morbidity and mortality. Protein requirements in HD patients are increased twice or more compared to those of healthy subjects. Underdialysis leads to anorexia with low protein and energy intake in relation t...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000170072

    authors: Bergström J

    更新日期:1992-01-01 00:00:00

  • Enhanced functional performance characteristics of a new polysulfone membrane for high-flux hemodialysis.

    abstract::Elimination of uremic solutes with molecular weights up to 60 kD, without significant loss of albumin is an important therapeutic goal to optimize outcomes in chronic hemodialysis patients. To characterize a newly developed polysulfone dialyzer (APS-650) a comparative analysis was performed with a highly advanced poly...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000063099

    authors: Klingel R,Ahrenholz P,Schwarting A,Röckel A

    更新日期:2002-01-01 00:00:00

  • What can we expect from on-line hemodiafiltration?

    abstract::On-line hemodiafiltration (ol-HDF) may improve clinical outcome in ESRD. The supposed mechanism is the improved clearance of uremic toxins by convective transport which is added to the diffusion transport. However, recent marked improvement in the performance of dialyzers has allowed higher removal rate of middle to l...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000346217

    authors: Kawanishi H

    更新日期:2013-01-01 00:00:00

  • Psychological aspects of low protein diet therapy.

    abstract::One of the main problems in low protein diet is patient's noncompliance and the risk of both depression and reduced quality of life. A pilot study investigated the life-style and the state of mood before and during low protein diet. The results show a deterioration in the life-style and the state of mood. Conclusions ...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000169572

    authors: Haeberle KN

    更新日期:1989-01-01 00:00:00

  • Factors predicting erythropoietin resistance among maintenance hemodialysis patients.

    abstract:BACKGROUND:Erythropoiesis-stimulating agent (ESA) resistance remains incompletely understood among hemodialysis (HD) patients. METHOD:A retrospective, multicenter study was designed to analyze data from 1,934 patients followed for up to two years. The outcome measure was the erythropoietin resistance index (ERI), defi...

    journal_title:Blood purification

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1159/000335256

    authors: Mallick S,Rafiroiu A,Kanthety R,Iqbal S,Malik R,Rahman M

    更新日期:2012-01-01 00:00:00

  • Effects of hemoadsorption with a novel adsorbent on sepsis: in vivo and in vitro study.

    abstract:BACKGROUND/AIMS:Hemoadsorption may improve outcomes for sepsis by removing circulating cytokines. We tested a new sorbent used for hemoadsorption. METHODS:CTR sorbent beads were filled into columns of three sizes: CTR0.5 (0.5 ml), CTR1 (1.0 ml) and CTR2 (2.0 ml) and tested using IL-6 capture in vitro. Next, rats were ...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000381006

    authors: Zhang J,Peng Z,Maberry D,Volpe J,Kimmel JD,Federspiel WJ,Kellum JA

    更新日期:2015-01-01 00:00:00

  • High Ferritin Level and Malnutrition Predict High Risk of Infection-Related Hospitalization in Incident Dialysis Patients: A Japanese Prospective Cohort Study.

    abstract:AIMS:The aim of the study was to clarify the relationship between serum ferritin and infectious risks. METHODS:We evaluated all hospital admissions due to infections, clinical biomarkers and nutrition status in 129 incident Japanese dialysis patients during a median follow-up of 38 months. RESULTS:Kaplan-Meier analys...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000445424

    authors: Kato S,Lindholm B,Yuzawa Y,Tsuruta Y,Nakauchi K,Yasuda K,Sugiura S,Morozumi K,Tsuboi N,Maruyama S

    更新日期:2016-01-01 00:00:00

  • A target-orientated algorithm for regional citrate-calcium anticoagulation in extracorporeal therapies.

    abstract:BACKGROUND:Citrate anticoagulation offers several advantages in comparison to conventional anticoagulation. Most algorithms for regional citrate-calcium anticoagulation are based on citrate and calcium chloride infusion coupled in a fixed proportion to the blood flow without considering the hematocrit (Hct)/plasma flow...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000332394

    authors: Brandl M,Strobl K,Hartmann J,Kellner K,Posnicek T,Falkenhagen D

    更新日期:2012-01-01 00:00:00

  • Cell-based strategies for the treatment of kidney dysfunction: a review.

    abstract::Conventional treatment of acute and chronic renal diseases has focused on solute removal. Novel strategies aim to treat the multifactorial disease states of acute kidney injury and chronic kidney disease by mitigating inflammation. Cell-based technologies for the treatment of kidney dysfunction fall under two broad ca...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000341649

    authors: Pino CJ,Yevzlin AS,Tumlin J,Humes HD

    更新日期:2012-01-01 00:00:00

  • Prevention and management of dialysis catheter complications in the intensive care unit.

    abstract::Dialysis dependence at hospital discharge after acute kidney injury (AKI) requiring renal replacement therapy (RRT) in the intensive care unit (ICU) is found in 10-15% of survivors. In case of severe AKI in the ICU, it is necessary to reconcile two objectives: the creation of an adequate temporary angioaccess for RRT ...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000341721

    authors: Wilson P,Lertdumrongluk P,Leray-Moragués H,Chenine-Koualef L,Patrier L,Canaud B

    更新日期:2012-01-01 00:00:00

  • Non-alcoholic fatty liver disease proven by transient elastography in hemodialysis patients: is it a new risk factor for adverse cardiovascular events?

    abstract:BACKGROUND/AIMS:Cardiovascular diseases (CVD) are the leading cause of mortality in hemodialysis (HD) patients. Recently, non-alcoholic fatty liver disease (NAFLD) has been recognized as a new risk factor for adverse CVD events in the general population. Our aim was to analyze the incidence of NAFLD in HD patients by u...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000360270

    authors: Mikolasevic I,Orlic L,Milic S,Zaputovic L,Lukenda V,Racki S

    更新日期:2014-01-01 00:00:00

  • Anticoagulation for continuous arteriovenous hemofiltration in children.

    abstract::Continuous arteriovenous hemofiltration requires continuous anticoagulation to prevent early hemofilter clotting. We used heparin given continuously in the arterial line of the extracorporeal circuit as anticoagulant in children with initially normal coagulation status, and heparin and/or prostacyclin in high-risk ble...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000169489

    authors: Zobel G,Trop M,Muntean W,Ring E,Gleispach H

    更新日期:1988-01-01 00:00:00

  • Dietary and pharmacological control of calcium and phosphate metabolism in dialysis patients.

    abstract::Chronic kidney disease-mineral and bone disorder is a new term defining a complex syndrome which underlines the need of a systemic approach to disturbances of calcium and phosphate metabolism in patients with renal failure. In recent years, the availability of new phosphorus binders and the appearance of new selective...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000209250

    authors: Bover J,Andrés E,Lloret MJ,Aguilar A,Ballarín J

    更新日期:2009-01-01 00:00:00

  • Nocturnal Hemodialysis Compared with Conventional Dialysis for End-Stage Renal Disease Treatment in Polycystic Kidney Disease Patients.

    abstract:BACKGROUND:Autosomal dominant polycystic kidney disease (ADPKD) is the most common hereditary cause of end-stage renal disease (ESRD). Little is known about outcomes after in-center nocturnal hemodialysis (NHD) treatment in ADPKD patients with ESRD. OBJECTIVES:This study aimed to evaluate the effects of in-center NHD ...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000503679

    authors: Xue C,Sun B,Ye X,Zhou C,Yang B,Zhang L,Yu S

    更新日期:2020-01-01 00:00:00

  • Haemolipodialysis.

    abstract::Haemodialysis is associated with increased oxidant stress. This appears to be due to (1) an increased production of free radicals during haemodialysis, (2) a net reduction of many antioxidants and (3) factors intrinsic to the uremic state. These alterations can lead to cardiovascular disease and many of the pathologie...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000014384

    authors: Wratten ML,Navino C,Tetta C,Verzetti G

    更新日期:1999-01-01 00:00:00

  • Net ultrafiltration in peritoneal dialysis: role of direct fluid absorption into peritoneal tissue.

    abstract::'Net ultrafiltration' in peritoneal dialysis refers to the difference between the osmotically induced ultrafiltration into the peritoneal cavity and the fluid loss from the cavity during dialysis. Recent research has demonstrated that, during a 3- to 4-hour experimental dialysis, 5-25% of the total fluid loss is via l...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000170041

    authors: Flessner MF

    更新日期:1992-01-01 00:00:00

  • Epidemiology of acute renal failure in ICUs: a multi-center prospective study.

    abstract:BACKGROUND AND AIM:Acute kidney injury (AKI) is a common complication in intensive care units (ICUs). However, its incidence and outcome vary in several studies depending on definitions used or even the geographic origin of the study. We aimed to evaluate the epidemiology of AKI in ICUs in Greece. METHOD:Prospective m...

    journal_title:Blood purification

    pub_type: 杂志文章,多中心研究

    doi:10.1159/000231986

    authors: Andrikos E,Tseke P,Balafa O,Cruz DN,Tsinta A,Androulaki M,Pappas M,Ronco C

    更新日期:2009-01-01 00:00:00

  • Angiotensin Converting Enzyme Inhibitor Dialyzability and Outcomes in Older Patients Receiving Hemodialysis.

    abstract:BACKGROUND/AIMS:Some angiotensin converting enzyme (ACE) inhibitors are efficiently removed from circulation by hemodialysis ('high dialyzability'), whereas others are not ('low dialyzability'). In patients receiving hemodialysis, this may influence the effectiveness of ACE inhibitors. METHODS:Using linked healthcare ...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000438821

    authors: Weir MA,Fleet JL,Dixon SN,Jain AK,Oliver M,Wald R,McIntyre C,Garg AX

    更新日期:2015-01-01 00:00:00

  • Paired filtration dialysis: studies on efficiency, flow dynamics and hydraulic properties of the system.

    abstract::Several strategies have been proposed to increase dialysis efficiency in order to reduce dialysis treatment time. Paired filtration dialysis (two-chamber technique) is a new technique combining the advantages of highly permeable membranes and convective transport with the high depurative efficacy of diffusion. The sys...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000169955

    authors: Ronco C,Feriani M,Brendolan A,Chiaramonte S,Milan M,Dell'Aquila R,Scabardi M,Bragantini L,Conz P,La Greca G

    更新日期:1990-01-01 00:00:00

  • The Rise of Expanded Hemodialysis.

    abstract::The low water permeability feature of original cellulosic membranes was considered an advantage in the absence of dialysis equipment that are capable of controlling water removal. The advent of ultrafiltration control systems led to the development and use of high-flux (HF) membranes that allowed improved middle molec...

    journal_title:Blood purification

    pub_type: 社论

    doi:10.1159/000476012

    authors: Ronco C

    更新日期:2017-01-01 00:00:00

  • An observational study on the effects of nadroparin-based and citrate-based continuous venovenous hemofiltration on calcium metabolism.

    abstract:BACKGROUND:To study calcium homeostasis during citrate-based compared to nadroparin-based CVVH in critically-ill patients with acute renal failure. METHODS:11 patients were observed during citrate anticoagulation, 9 with nadroparin and 10 controls. Citrate was chosen for patients with active or at risk for bleeding. ...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000101853

    authors: van der Voort PH,Postma SR,Kingma WP,Boerma EC,de Heide LJ,Bakker AJ

    更新日期:2007-01-01 00:00:00

  • Antibodies to periodontal organisms are associated with decreased kidney function. The Dental Atherosclerosis Risk In Communities study.

    abstract:BACKGROUND/AIMS:Increasing evidence suggests that clinical signs of periodontal disease are independently associated with renal impairment. However, no studies have examined the possible linkage of kidney disease with serum antibody to oral pathogens. METHODS:The periodontal disease status was assessed in an older com...

    journal_title:Blood purification

    pub_type: 杂志文章

    doi:10.1159/000096411

    authors: Kshirsagar AV,Offenbacher S,Moss KL,Barros SP,Beck JD

    更新日期:2007-01-01 00:00:00

  • Extracorporeal Blood Purification and Organ Support in the Critically Ill Patient during COVID-19 Pandemic: Expert Review and Recommendation.

    abstract::Critically ill COVID-19 patients are generally admitted to the ICU for respiratory insufficiency which can evolve into a multiple-organ dysfunction syndrome requiring extracorporeal organ support. Ongoing advances in technology and science and progress in information technology support the development of integrated mu...

    journal_title:Blood purification

    pub_type: 杂志文章,评审

    doi:10.1159/000508125

    authors: Ronco C,Bagshaw SM,Bellomo R,Clark WR,Husain-Syed F,Kellum JA,Ricci Z,Rimmelé T,Reis T,Ostermann M

    更新日期:2021-01-01 00:00:00