Modern Approaches to the Management of Patients with Hyperkaliemia
Hyperkalemia is the most common electrolyte imbalance in clinical practice. Hyperkalemia can be caused by an increased intake of potassium into the body, the shift of potassium out of cells or an abnormal renal potassium excretion. This condition is associated with a high risk of death from arrhythm...
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Language: | Russian |
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SINAPS LLC
2022-02-01
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Series: | Архивъ внутренней медицины |
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Online Access: | https://www.medarhive.ru/jour/article/view/1370 |
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author | E. V. Reznik A. I. Selivanov A. R. Lutsenko L. A. Garanina G. N. Golukhov |
author_facet | E. V. Reznik A. I. Selivanov A. R. Lutsenko L. A. Garanina G. N. Golukhov |
author_sort | E. V. Reznik |
collection | DOAJ |
description | Hyperkalemia is the most common electrolyte imbalance in clinical practice. Hyperkalemia can be caused by an increased intake of potassium into the body, the shift of potassium out of cells or an abnormal renal potassium excretion. This condition is associated with a high risk of death from arrhythmias; therefore, even a slight deviation of the serum potassium level from the norm requires immediate correction. Modern approaches to the treatment of hyperkalemia include the elimination of predictors and the potassium-lowering drugs. Although inhibitors of the renin-angiotensin-aldosterone system are currently the best cardionephroprotective drugs, their administration can lead to hyperkalemia too, especially in heart failure, chronic kidney disease and diabetes mellitus. The article discusses in detail the physiology of potassium metabolism, possible predictors, prevention and treatment of hyperkalemia. |
first_indexed | 2024-04-10T03:56:10Z |
format | Article |
id | doaj.art-852c8b51c2b64784acddd488ba2a3bf1 |
institution | Directory Open Access Journal |
issn | 2226-6704 2411-6564 |
language | Russian |
last_indexed | 2024-04-10T03:56:10Z |
publishDate | 2022-02-01 |
publisher | SINAPS LLC |
record_format | Article |
series | Архивъ внутренней медицины |
spelling | doaj.art-852c8b51c2b64784acddd488ba2a3bf12023-03-13T07:12:10ZrusSINAPS LLCАрхивъ внутренней медицины2226-67042411-65642022-02-0112152110.20514/2226-6704-2022-12-1-5-21874Modern Approaches to the Management of Patients with HyperkaliemiaE. V. Reznik0A. I. Selivanov1A. R. Lutsenko2L. A. Garanina3G. N. Golukhov4ФГАОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России; ГБУЗ ГКБ им. В. М. Буянова ДЗМ; ГБУЗ ГКБ № 31 ДЗМФГАОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России; ГБУЗ ГКБ им. В. М. Буянова ДЗМФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава РоссииГБУЗ ГКБ им. В. М. Буянова ДЗМФГАОУ ВО РНИМУ им. Н. И. Пирогова Минздрава России; ГБУЗ ГКБ № 31 ДЗМHyperkalemia is the most common electrolyte imbalance in clinical practice. Hyperkalemia can be caused by an increased intake of potassium into the body, the shift of potassium out of cells or an abnormal renal potassium excretion. This condition is associated with a high risk of death from arrhythmias; therefore, even a slight deviation of the serum potassium level from the norm requires immediate correction. Modern approaches to the treatment of hyperkalemia include the elimination of predictors and the potassium-lowering drugs. Although inhibitors of the renin-angiotensin-aldosterone system are currently the best cardionephroprotective drugs, their administration can lead to hyperkalemia too, especially in heart failure, chronic kidney disease and diabetes mellitus. The article discusses in detail the physiology of potassium metabolism, possible predictors, prevention and treatment of hyperkalemia.https://www.medarhive.ru/jour/article/view/1370гиперкалиемиякалийэкгострое почечное повреждениехроническая болезнь почекблокаторы ренин-ангиотензин-альдостероновой системы |
spellingShingle | E. V. Reznik A. I. Selivanov A. R. Lutsenko L. A. Garanina G. N. Golukhov Modern Approaches to the Management of Patients with Hyperkaliemia Архивъ внутренней медицины гиперкалиемия калий экг острое почечное повреждение хроническая болезнь почек блокаторы ренин-ангиотензин-альдостероновой системы |
title | Modern Approaches to the Management of Patients with Hyperkaliemia |
title_full | Modern Approaches to the Management of Patients with Hyperkaliemia |
title_fullStr | Modern Approaches to the Management of Patients with Hyperkaliemia |
title_full_unstemmed | Modern Approaches to the Management of Patients with Hyperkaliemia |
title_short | Modern Approaches to the Management of Patients with Hyperkaliemia |
title_sort | modern approaches to the management of patients with hyperkaliemia |
topic | гиперкалиемия калий экг острое почечное повреждение хроническая болезнь почек блокаторы ренин-ангиотензин-альдостероновой системы |
url | https://www.medarhive.ru/jour/article/view/1370 |
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