Analysis of continuous ECGs in patients under treatment with continuous ambulatory peritoneal dialysis (CAPD)

Shigeki Sato; Kohei Yasuda; Yasuhiko Miura; Masato Mizuguchi; Chikako Kameda; Michimasa Soejima; Makoto Ohta; Yoshindo Kawaguchi; Tadashi Miyahara

doi:10.4009/jsdt1985.19.769

January 1, 1986Journal of Japanese Society for Dialysis TherapyOpen Access

Analysis of continuous ECGs in patients under treatment with continuous ambulatory peritoneal dialysis (CAPD)

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Key Points

To assess the cardiovascular safety and electrophysiological impact of continuous ambulatory peritoneal dialysis using continuous Holter electrocardiographic monitoring in stable patients.
Conducted 24-hour Holter ECG recordings in 20 stable continuous ambulatory peritoneal dialysis patients (mean age 48 years; 15 men, 5 women; mean treatment duration 16±13 months).
Evaluated total hourly heart rate, heart rate variability, and the incidence of ventricular premature contractions alongside baseline cardiovascular histories, including hypertension (65%) and left ventricular hypertrophy (50%).
Hourly heart rate followed a normal circadian rhythm, peaking during the daytime at 5,393±815 beats/hour and dipping late at night to 4,526±725 beats/hour, with a baseline tendency toward mild tachycardia.
Ventricular premature contractions occurred in 11 patients (55%), but no severe arrhythmias such as multiform, repetitive runs, or R-on-T phenomena were detected.
Subgroups with diabetes or advanced age showed modest reductions in heart rate and heart rate variability, while fluid exchange procedures caused no significant cardiovascular symptoms.

Structured PICO

P

Population

20 stable patients undergoing continuous ambulatory peritoneal dialysis (CAPD), mean age 48, 15 male, 5 female.

I

Intervention

Holter ECG monitoring

O

Outcome

Total heart rate, heart rate variability, and frequency of ventricular premature contractionssurrogate

Implication

CAPD appears to be a safe blood purification method with minimal adverse effects on the cardiovascular system and arrhythmogenic potential during daily activities.

Abstract

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Cite This Study

Sato et al. (1986) studied this question.

synapsesocial.com/papers/6a759dc6f1e99ff85ab1ffc6 https://doi.org/10.4009/jsdt1985.19.769

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Analysis of continuous ECGs in patients under treatment with continuous ambulatory peritoneal dialysis (CAPD)

Key Points

Structured PICO

Implication

Abstract

Discussion

Cite This Study

Analysis of continuous ECGs in patients under treatment with continuous ambulatory peritoneal dialysis (CAPD)

Key Points

Structured PICO

Implication

Abstract

Discussion

Cite This Study

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