Why the study?
What are the mechanisms leading to intradialytic paroxysmal atrial fibrillation in ESRD patients?
Population
1 patient with end-stage renal disease in whom haemodialysis regularly induced paroxysmal atrial fibrillation
Comparison
Haemodialysis session and computational… vs Pre-haemodialysis vs right before AF onset
Design
Case_report
Follow-up
4 consecutive sessions
Authors
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HD may trigger recurrent intradialytic AF in ESRD; hypothesis-generating and requires validation before informing mechanisms or practice.
What are the mechanisms leading to intradialytic paroxysmal atrial fibrillation in ESRD patients?
Intradialytic paroxysmal AF is likely induced by a combination of autonomic nervous system changes, altered cellular electrophysiology due to electrolyte shifts, and supraventricular ectopic triggers.
Vincenti et al. (2014) studied this question.
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