Haemodialysis patients face a 5-7% annual risk of sudden cardiac death, which can be mitigated through risk factor identification and targeted primary and secondary prevention strategies.
Signals need for vigilance in haemodialysis; leaves open optimal prevention strategies.
Haemodialysis patients are at high risk for sudden cardiac death (SCD), with the annual mortality rate from SCD ranging from 5-7%. The risk factors for SCD on haemodialysis include left ventricular remodelling, coronary disease, heart failure, rapid electrolyte and fluid shifts during dialysis sessions and secondary hyperparathyroidism. Echocardiography and standard electrocardiography can help identify patients at risk for SCD. The strategy for preventing SCD in haemodialysis patients includes primary (medicamentous treatment and adjusting dialysis parameters) and secondary (coronary revascularisation and placement of cardioverter defibrillator) treatment planning.
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Jasna et al. (2013) studied this question.
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