期刊
EUROPEAN HEART JOURNAL
卷 30, 期 13, 页码 1559-1564出版社
OXFORD UNIV PRESS
DOI: 10.1093/eurheartj/ehp185
关键词
Sudden cardiac death; Dialysis; Implantable cardioverter defibrillator therapy; Ischaemic heart disease; Left ventricular hypertrophy
Mortality in dialysis patients is extremely high, with an annual death rate of similar to 23%. Sudden cardiac death (SCD) is the single largest cause of death in dialysis patients accounting for similar to 60% of all cardiac deaths and 25% of all-cause mortality. Interventions aiming at reducing cardiovascular mortality, especially SCD, in dialysis patients are therefore extremely important and clinically highly relevant. The purpose of this review is to give an outline of the epidemiology of SCD in dialysis patients and to provide a comprehensive overview of several interventional strategies (medical therapies, changing dialysis modality, and revascularization). Furthermore, it will discuss the current knowledge regarding the value of preventive implantable cardioverter defibrillator implantation and address future implications of the interventional strategies mentioned.
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