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[Clinical practice for the diagnosis of cardiac arrhythmias in patients on renal replacement therapy: data from a Lombard survey]. / Pratica clinica per la diagnostica delle aritmie cardiache in pazienti in terapia renale sostitutiva: dati di una survey lombarda.
Genovesi, Simonetta; Nava, Elisa; Pasa, Alice; Corghi, Enzo; Ondei, Patrizia; Marta, Elisabetta; Bellasi, Antonio; Malberti, Fabio; Teatini, Ugo; Guastoni, Carlo Maria; Spatola, Leonardo; Luise, Maria Carmen; Tiboldo, Renza; Bertoli, Silvio; Messa, Piergiorgio; Doria, Maria; Gallieni, Maurizio; Cozzolino, Mario; Spotti, Donatella; Sala, Valeria; Sironi, Elisabetta; Boriani, Giuseppe.
Afiliación
  • Genovesi S; Dipartimento di Medicina e Chirurgia, Università degli Studi di Milano-Bicocca.
  • Nava E; UO di Nefrologia e Dialisi, Asst Monza Ospedale S. Gerardo, MB.
  • Pasa A; Dipartimento di Medicina e Chirurgia, Università degli Studi di Milano-Bicocca.
  • Corghi E; Dipartimento di Medicina e Chirurgia, Università degli Studi di Milano-Bicocca.
  • Ondei P; UO di Nefrologia e Dialisi, Asst Nord Milano Ospedale E. Bassini, Cinisello Balsamo, MI.
  • Marta E; UO di Nefrologia, Asst Papa Giovanni XXIII, BG.
  • Bellasi A; UO di Nefrologia e Dialisi, Asst Spedali Civili di Brescia, BS.
  • Malberti F; UO di Nefrologia e Dialisi, Asst Lariana S. Anna, CO.
  • Teatini U; Nefrologia e Dialisi, Asst Cremona, CR.
  • Guastoni CM; Nefrologia e Dialisi, Asst Rhodense, Ospedale di Garbagnate Milanese, MI.
  • Spatola L; Nefrologia e Dialisi, Asst Ovest Milanese, MI.
  • Luise MC; Nefrologia e Dialisi, Istituto Clinico Humanitas, MI.
  • Tiboldo R; Dipartimento Nefrologia, Dialisi e Trapianto Renale, Asst Lecco, Ospedale A. Manzoni, MI.
  • Bertoli S; UO di Nefrologia e Dialisi, Asst Melegnano - Martesana, MI.
  • Messa P; UO di Nefrologia e Dialisi. IRCCS MultiMedica, Sesto San Giovanni, MI.
  • Doria M; Nefrologia e Dialisi, Fondazione Cà Granda Ospedale Maggiore Policlinico, MI.
  • Gallieni M; Servizio Nefrologia e Dialisi, IRCCS Policlinico S. Donato, MI.
  • Cozzolino M; UO di Nefrologia e Dialisi, Asst Santi Paolo e Carlo, presidio S. Carlo Borromeo, MI.
  • Spotti D; UO di Nefrologia e Dialisi, Asst Santi Paolo e Carlo, presidio S. Paolo, MI.
  • Sala V; UO di Nefrologia, Ospedale S. Raffaele, MI.
  • Sironi E; Nefrologia e Dialisi, Asst Valtellina e Alto lario, Ospedale Civile, SO.
  • Boriani G; UO di Nefrologia e Dialisi, Asst Vimercate, MB.
G Ital Nefrol ; 34(Nov-Dec)2017 Dec 05.
Article en It | MEDLINE | ID: mdl-29207228
Among dialysis patients, 40% of deaths are due to cardiovascular causes, and 60% of cardiac deaths are due to an arrhythmia. The purpose of this survey, carried out with the organizational support of the Lombard Section of the Italian Society of Nephrology, is to evaluate the frequency and mode of use of non-invasive instruments for the diagnosis of cardiac arrhythmias in the dialysis centers of Lombardy. Information on the prevalence and type of cardiac devices at December 1, 2016 in this population was also required. Data from 18 centers were collected for a total of 3395 patients in replacement renal therapy, including 2907 (85.6%) in hemodialysis and 488 (14.4%) in peritoneal dialysis. All centers use the 12-lead ECG in case of evocative symptoms of an arrhythmic event and 2/3 perform the exam with programmed cadence (usually once a year). Twenty four-hour ECG Holter is not used as a routine diagnostic tool. The proportion of cardiac devices is relatively high, compared to literature data: n=259, equal to 7.6% of the population. Pace-Maker patients are 166 (4.9%), those with intracardiac defibrillator 52 (1.5%), those with resynchronization therapy 18 (0.5%) and those with resynchronization therapy and intracardiac defibrillator 23 (0.7%). The survey provides interesting information and can be an important starting point for trying to optimize clinical practice and collaboration between nephrologists and cardiologists in front of a major problem like that of arrhythmic disease in patients on renal replacement therapy.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arritmias Cardíacas / Terapia de Reemplazo Renal / Electrocardiografía / Fallo Renal Crónico Tipo de estudio: Diagnostic_studies / Etiology_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Europa Idioma: It Revista: G Ital Nefrol Asunto de la revista: NEFROLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Italia
Buscar en Google
Añadir a Mi BVS
Imprimir
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PubMed Links

Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arritmias Cardíacas / Terapia de Reemplazo Renal / Electrocardiografía / Fallo Renal Crónico Tipo de estudio: Diagnostic_studies / Etiology_studies / Risk_factors_studies Límite: Humans País/Región como asunto: Europa Idioma: It Revista: G Ital Nefrol Asunto de la revista: NEFROLOGIA Año: 2017 Tipo del documento: Article Pais de publicación: Italia