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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Main Authors: E. V. Reznik, A. I. Selivanov, A. R. Lutsenko, L. A. Garanina, G. N. Golukhov
Format: Article
Language:Russian
Published: SINAPS LLC 2022-02-01
Series:Архивъ внутренней медицины
Subjects:
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.
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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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AT arlutsenko modernapproachestothemanagementofpatientswithhyperkaliemia
AT lagaranina modernapproachestothemanagementofpatientswithhyperkaliemia
AT gngolukhov modernapproachestothemanagementofpatientswithhyperkaliemia