Hyperkalemia in Heart Failure

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Hyperkalemia in Heart Failure.

Disorders of potassium homeostasis can potentiate the already elevated risk of arrhythmia in heart failure. Heart failure patients have a high prevalence of chronic kidney disease, which further heightens the risk of hyperkalemia, especially when renin-angiotensin-aldosterone system inhibitors are used. Acute treatment for hyperkalemia may not be tolerated in the long term. Recent data for pati...

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Hyperkalemia-induced complete heart block

Background: Potassium, as an extracellular ion, plays an important role in the electrophysiologic function of the myocardium and any change in extracellular concentration of this ion might have a marked impression upon myocyte electrophysiologic gain. High serum potassium levels are thought to impair pulse conduction in Purkinje fibers and ventricles more than that in the Atrio...

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Hyperkalemia during spironolactone use in patients with decompensated heart failure.

BACKGROUND The incidence of hyperkalemia related to spironolactone use is low in stable heart failure; however, it has not been studied during decompensation. OBJECTIVE To evaluate the influence of spironolactone on serum potassium in decompensated heart failure (HF). METHODS In a cohort study, patients that had been hospitalized due to decompensated HF, with left ventricular ejection fract...

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hyperkalemia-induced complete heart block

background: potassium, as an extracellular ion, plays an important role in the electrophysiologic function of the myocardium and any change in extracellular concentration of this ion might have a marked impression upon myocyte electrophysiologic gain. high serum potassium levels are thought to impair pulse conduction in purkinje fibers and ventricles more than that in the atrioventricular (av) ...

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Exercise-Induced Hyperkalemia in Chronic Heart Failure Relation With Ventilation and Catecholamines

Background The exercise-induced rise in arterial potassium concentration ([K']a) may contribute to exercise hyperpnea and could play a role in exertional fatigue. This study was designed to determine whether the exercise-induced rise in [K']a is altered in patients with chronic heart failure (CHF) and whether physical training affects K' homeostasis. Methods and Results We evaluated 10 subjects...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2016

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2016.06.060