Prevalence and management of hyperkalemia in chronic kidney disease and heart failure patients in the Gulf Cooperation Council (GCC)

被引：7

作者：

Alsahow, Ali ^{[1
]}

AbdulShafy, Mohammad ^{[2
]}

Al-Ghamdi, Saeed ^{[3
]}

AlJoburi, Harith ^{[4
]}

AlMogbel, Osama ^{[5
]}

Al-Rowaie, Fadel ^{[6
]}

Attallah, Nizar ^{[7
]}

Bader, Feras ^{[7
]}

Hussein, Hisham ^{[8
]}

Hassan, Mohamed ^{[9
]}

Taha, Khaldoun ^{[10
]}

Weir, Matthew R. ^{[11
]}

Zannad, Faiez ^{[12
]}

机构：

[1] Jahra Hosp, Jahra, Kuwait

[2] Natl Guard Hosp, Riyadh, Saudi Arabia

[3] King Abdulaziz Univ, Fac Med, POB 80200, Jeddah 21589, Saudi Arabia

[4] Gulf Dialysis Tech Serv, Dubai, U Arab Emirates

[5] King Khalid Univ Hosp, Riyadh, Saudi Arabia

[6] King Fahad Med City, Riyadh, Saudi Arabia

[7] Cleveland Clin, Abu Dhabi, U Arab Emirates

[8] Saud AlBabtain Cardiac Ctr, Dammam, Saudi Arabia

[9] Shiekh Khalifa Med City, Abu Dhabi, U Arab Emirates

[10] Fakeeh Univ Hosp, Dubai, U Arab Emirates

[11] Univ Maryland, Sch Med, Baltimore, MD 21201 USA

[12] Univ Lorraine, Nancy, France

来源：

JOURNAL OF CLINICAL HYPERTENSION | 2023年 / 25卷 / 03期

关键词：

chronic kidney disease; heart failure; hyperkalemia; potassium binding; HEMODIALYSIS-PATIENTS; SERUM POTASSIUM; RAMADAN;

D O I：

10.1111/jch.14633

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Hyperkalemia is a frequent complication in patients with chronic kidney disease (CKD) or heart failure (HF) and associated with neuromuscular manifestations, changes in the electrocardiogram, and increased risk of mortality. While data on the prevalence and management of hyperkalemia in the gulf region are scarce, risk factors such as preference for potassium-rich foods (e.g., dates and dried fruits/vegetables), periods of intense fasting (e.g., Ramadan), and diabetes (an ancestor of CKD and HF) are common. Therefore, a panel of nephrologists and cardiologists from countries of the Gulf Cooperation Council (GCC) convened to collate and review available data on the prevalence, regional drivers, and current practice in the management of hyperkalemia in the region. Eventually, this review provides consensus recommendations on a balanced utilization of dietary and pharmacological options including new potassium binders for achieving and sustainably maintaining desirable serum potassium levels in countries of the GCC region. Alignment with regional habits and practice was a key aspect to facilitate the uptake of the recommendations into physicians' practice and patients' lives.

引用

页码：251 / 258

页数：8

共 60 条

[1] Agreement of serum potassium measured by blood gas and biochemistry analyzer in patients with moderate to severe hyperkalemia [J].