Painless Myocardial Ischemia in Chronic Hemodialysed Patients: A Real Event?
作者:
D. Kremastinos,
I. Paraskevaidis,
S. Voudiklari,
T. Apostolou,
Z. Kyriakides,
P. Zirogiannis,
P. Toutouzas,
期刊:
Nephron
(Karger Available online 1992)
卷期:
Volume 60,
issue 2
页码: 164-170
ISSN:1660-8151
年代: 1992
DOI:10.1159/000186733
出版商: S. Karger AG
关键词: Painless/silent myocardial ischemia;Chronic renal failure;Holier monitoring;Hemodialysis
数据来源: Karger
摘要:
We investigated the incidence of painless (silent) myocardial ischemia, manifested as S-T segment deviation, by Holier ECG monitoring in patients with chronic renal failure undergoing regular hemodialysis. Forty-five patients underwent Holier ECG monitoring for a continuous 48-hour period covering dialysis and the intermediate period of everyday activity at home. ECG criteria for ischemia were found in 15.5% of patients mainly during and immediately after dialysis with a simultaneous increase of R, S, R+ S amplitude. There was no correlation of S-T segment deviation with the existence of cardiac dysfunction and coronary artery disease proved by hemodynamic and angiographic studies. It is concluded that hemodialysis itself seems to play an important role in the genesis of the above ECG findings, possibly by means of serum K and Mg changes.
点击下载:
PDF
(1364KB)
返 回