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Review
. 2022 Mar 7:17:e05.
doi: 10.15420/ecr.2021.52. eCollection 2022 Feb.

Arrhythmias in Chronic Kidney Disease

Zaki Akhtar  1 , Lisa Wm Leung  1 , Christos Kontogiannis  1 , Isaac Chung  1 , Khalid Bin Waleed  1 , Mark M Gallagher  1
Affiliations
Review

Arrhythmias in Chronic Kidney Disease

Zaki Akhtar et al. Eur Cardiol. .

Abstract

Arrhythmias cause disability and an increased risk of premature death in the general population but far more so in patients with renal failure. The association between the cardiac and renal systems is complex and derives in part from common causality of renal and myocardial injury from conditions including hypertension and diabetes. In many cases, there is a causal relationship, with renal dysfunction promoting arrhythmias and arrhythmias exacerbating renal dysfunction. In this review, the authors expand on the challenges faced by cardiologists in treating common and uncommon arrhythmias in patients with renal failure using pharmacological interventions, ablation and cardiac implantable device therapies. They explore the most important interactions between heart rhythm disorders and renal dysfunction while evaluating the ways in which the coexistence of renal dysfunction and cardiac arrhythmia influences the management of both.

Keywords: Arrhythmia; atrial fibrillation; chronic kidney disease; dialysis; sudden cardiac death.

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Conflict of interest statement

Disclosure: ZA has received a grant for a research fellowship from Abbott Medical. MMG has received research funding from Attune Medical and Biotronik, and has acted as a consultant and a paid speaker for Boston Scientific and Cook Medical. All other authors have no conflicts of interest to declare.

Figures

Figure 1:
Figure 1:. Chronic Kidney Disease with Arrhythmia
Figure 2:
Figure 2:. Complexity of Device Implantation
Figure 3:
Figure 3:. ICD Extraction after Infection in Patient with Renal Failure
Figure 4:
Figure 4:. Extraction of a Pacemaker in a Patient with Dialysis-dependent Chronic Kidney Disease
Figure 5:
Figure 5:. Deterioration in Renal Function Seen After AF Ablation
Figure 6:
Figure 6:. Cardiac Problems and Treatments in Chronic Kidney Disease
See this image and copyright information in PMC

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