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Sudden Cardiac Death & Chronic Kidney Disease

Sudden Cardiac Death & Chronic Kidney Disease

Sudden Cardiac Death & Chronic Kidney Disease

Product catalog summary
Overview: The document explores the link between Sudden Cardiac Death (SCD) and Chronic Kidney Disease (CKD), focusing on patients undergoing hemodialysis. It emphasizes the heightened risk of SCD in CKD patients and the necessity for preventive strategies.
Sudden Cardiac Death (SCD): SCD is characterized by an unexpected death due to circulatory arrest within an hour of symptom onset or an unwitnessed death in previously healthy individuals. CKD patients face a significantly higher SCD risk than the general population, with risk escalating as kidney function deteriorates.
Cardiovascular Collapse: Cardiovascular disease is the primary cause of morbidity and mortality in End-Stage Renal Disease (ESRD) patients. Hemodialysis can worsen cardiovascular problems, leading to complications like congestive heart failure due to cardiac overload.
Identifying SCD in CKD Patients: Identifying sudden death in ESRD patients is difficult due to the frequent unwitnessed nature of these events and existing comorbidities.
Pathophysiology: In CKD patients, coronary artery disease involves arterial stiffening and calcification, differing from the ischemic myocardium in the general population. Hemodialysis patients encounter various arrhythmic triggers.
Timing of Sudden Death: SCD in CKD patients often occurs on dialysis days, particularly after a long weekend without treatment, with the highest risk immediately following dialysis sessions.
Risk Factors: Factors increasing SCD risk in hemodialysis patients include rapid ultrafiltration rates, low calcium levels, and abnormal potassium levels.
Prevention and Monitoring: Primary prevention of SCD is crucial. Monitoring cardiac output during dialysis is essential, as rapid fluid removal can significantly reduce cardiac output, stressing the heart.
Central Hemodynamic Profiling (CHP): Multiple cardiac measurements during dialysis can track the heart's response to treatment stress. CHP monitoring can identify significant drops in cardiac output and prolonged high access flow levels, which are risk factors for cardiac complications.
Case Study: A case report highlights the importance of monitoring cardiac function during dialysis, demonstrating how treatment adjustments can prevent deterioration.
Conclusion: Regular cardiovascular assessments and proactive patient care can reduce the risk of SCD in CKD patients undergoing hemodialysis. The use of advanced monitoring tools like the Transonic HD03 Monitor is recommended for better cardiac health management in these patients.
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Catalog excerpts

Sudden Cardiac Death & Chronic Kidney Disease-1

Sudden Cardiac Death & Chronic Kidney Disease “ESRD patients are prone to sudden death, stroke and myocardial infarction between dialysis sessions.”1

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Sudden Cardiac Death & Chronic Kidney Disease-2

Sudden Cardiac Death & Chronic Kidney Disease Sudden Cardiac Death Sudden cardiac death (SCD) is defined as death from an unexpected circulatory arrest, occurring within an hour of the onset of symptoms, or an unwitnessed, unexpected death in patients known to be well within the previous 24 hours without an obvious noncardiac cause.2 For the 20 million Americans that suffer from chronic kidney disease (CKD), SCD statistics are alarming. These CKD patients have a four to 20 times greater risk of sudden cardiac death (SCD) than do persons in the general population.3 As their glomerular filtration...

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Sudden Cardiac Death & Chronic Kidney Disease-3

Measure Cardiac Output — Save a Life! “The ability to monitor cardiac output is one of the important cornerstones of hemodynamic assessment ...in particular in patients with pre-existing cardiovascular comorbidities.”9 Proactive Patient Care Cardiovascular complications in ESRD patients can be averted or reduced through periodic exams by the patient’s nephrologist, and routine screening of cardiac function with the Transonic HD03 Monitor. Cardiac Function Stressed The rapid removal of large volumes of fluid during hemodialysis severely tests the limits of a patient’s cardiac function. Cardiac...

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Sudden Cardiac Death & Chronic Kidney Disease-4

References: Sudden Death & Chronic Kidney Disease 1. Tucker, T et al, “Unrecognized Deterioration of Cardiac Function during Hemodialysis,” J Am Soc Nephrol 2002; 13: 213A 2. Pun PH, “The interplay between CKD, sudden cardiac death, and ventricular arrhythmias,” Adv Chronic Kidney Dis. 2014; 21(6): 480-8. (Transonic Reference # 10992R) 3. U.S. Renal Data System. USRDS 2007 Annual Data Report: Atlas of Chronic KidneyDisease and End-Stage Renal Disease in the United States. Bethesda, MD: NationalInstitutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases; 2007. 4. U.S....

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