Diuretic-induced hypokalemia in uncomplicated systemic hypertension: effect of plasma potassium correction on cardiac arrhythmias.

Diuretic-induced hypokalemia in uncomplicated systemic hypertension: effect of plasma potassium correction on cardiac arrhythmias.
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无并发症的系统性高血压中利尿剂引起的低钾血症:血浆钾校正对心律失常的影响。

DOI:
10.1016/0002-9149(83)90523-4
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发表时间:
1983
期刊:
The American journal of cardiology
影响因子:
--
通讯作者:
E. Freis
E. Freis
中科院分区:
--
文献类型:
--
作者:
V. Papademetriou;R. Fletcher;I. Khatri;E. Freis

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16例利尿剂所致低钾血症患者在低钾血症纠正期间和纠正后进行了24小时动态心电图监测。校正前血浆钾平均为2.83±0.08 mEq/l,校正后为3.73±0.06 mEq/l。6例患者心房早搏减少,6例增加,4例保持不变。血浆钾矫正后心室异位活动无改善。5例患者心室异位活动改善,10例恶化,1例保持不变。两期均未见室性心动过速。血浆镁在整个过程中保持正常。研究者得出结论,在无并发症的高血压患者中,纠正利尿剂引起的低钾血症并不能显著减少自发性心房或心室异位活动的发生。
Sixteen patients with diuretic-induced hypokalemia underwent 24-hour ambulatory electrocardiographic monitoring during and after correction of hypokalemia. Plasma potassium averaged 2.83 ± 0.08 mEq/liter before and 3.73 ± 0.06 mEq/liter after correction with potassium chloride, triamterene or both. Premature atrial contractions decreased in 6 patients, increased in 6 and remained unchanged in 4. There was no improvement in ventricular ectopic activity after plasma potassium correction. Ventricular ectopic activity improved in 5 patients, worsened in 10 and remained unchanged in 1. Ventricular tachycardia was not observed in either phase. Plasma magnesium remained normal throughout. The investigators conclude that in patients with uncomplicated hypertension, correction of diuretic-induced hypokalemia does not significantly reduce the occurrence of spontaneous atrial or ventricular ectopic activity.
利尿剂引起的心室异位活动。
DOI: 10.1016/0002-9343(81)90530-1
发表时间: 1981
期刊: The American journal of medicine
影响因子: --
作者:
Holland,OB;Nixon,JV;Kuhnert,L
通讯作者: Kuhnert,L