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首页> 外文期刊>International Journal of Cardiology >Risk assessment for sudden cardiac death in dialysis patients: how relevant are conventional cardiac risk factors?
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Risk assessment for sudden cardiac death in dialysis patients: how relevant are conventional cardiac risk factors?

机译：透析患者心脏猝死的风险评估：常规心脏风险因素的相关性如何？

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摘要

Patients with end stage renal disease on long term dialysis support have a very high risk of sudden cardiac death (SCD) presumably due to serious ventricular arrhythmias. Implantable cardioverter defibrillators (ICD) can be life saving in patients with SCD but their role in dialysis patients is unclear. Much of the current evidence on this important clinical issue limits to retrospective analysis of patients who received an ICD for conventional cardiac indication. It appears that there are certain factors that are unique to patients with renal failure which pre-disposes them to such high incidence of SCD and by applying the conventional risk assessment model on this sub-group of patients we are likely to miss a significant proportion of patients who would not fulfil that criteria but would be at high risk of SCD. In order to clarify this issue, we performed a retrospective screening of patients with end stage renal disease on haemodialysis using conventional risk assessment model and compared the outcome with the known incidence of SCD in this sub-group.
机译：在长期透析支持下患有终末期肾病的患者极有可能因严重的室性心律失常而导致心脏猝死（SCD）的风险很高。植入式心脏复律除颤器（ICD）可以挽救SCD患者的生命，但尚不清楚它们在透析患者中​​的作用。关于这一重要临床问题的许多当前证据仅限于对接受常规心脏适应症ICD的患者进行回顾性分析。似乎有某些肾衰竭患者特有的因素使他们易患SCD高发，通过在这一亚组患者中应用常规风险评估模型，我们很可能会漏掉大部分那些不符合该标准但有SCD高风险的患者。为了澄清这个问题，我们使用常规风险评估模型对血液透析终末期肾脏疾病患者进行了回顾性筛查，并将结果与​​该亚组中已知的SCD发生率进行了比较。

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