Rates of Cardiac Rhythm Abnormalities in Patients with CKD and Diabetes
Rates of Cardiac Rhythm Abnormalities in Patients with CKD and Diabetes
复制标题
DOI：
10.2215/cjn.09420818
复制
发表时间：
2019-04-05
影响因子：
9.8
通讯作者：
Bansal, Nisha
中科院分区：
文献类型：
--
作者：
Akoum, Nazem;Zelnick, Leila R.;Bansal, Nisha
Background and objectives Cardiac arrhythmias increase mortality and morbidity in CKD. We evaluated the rates of subclinical arrhythmias in a population with type 2 diabetes and patients with moderate to severe CKD who were not on dialysis.Design, setting, participants & measurements This is a prospective observational study, using continuous ambulatory cardiac monitors to determine the rate of atrial and ventricular arrhythmias, as well as conduction abnormalities in this group.Results A total of 38 patients (34% women), with mean eGFR of 38+/-13 ml/min per 1.73 m(2), underwent ambulatory cardiac monitoring for 11.2+/-3.9 days. The overall mean rate of any cardiac arrhythmia was 88.8 (95% confidence interval [95% CI], 27.1 to 184.6) episodes per person-year (PY). A history of cardiovascular disease was associated with a higher rate of detected arrhythmia (rate ratio, 5.87; 95% CI, 1.37 to 25.21; P
