Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic Strategies

Chronic kidney disease (CKD) affects about 10% of the world’s population. Hyperkalemia is a life-threatening complication in patients with CKD, as it is associated with adverse cardiovascular and kidney outcomes. There are still many challenges and questions to address to improve the currently avail...

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Main Authors: Ruixue Tian, Rongshan Li, Xiaoshuang Zhou
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/2/353
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author Ruixue Tian
Rongshan Li
Xiaoshuang Zhou
author_facet Ruixue Tian
Rongshan Li
Xiaoshuang Zhou
author_sort Ruixue Tian
collection DOAJ
description Chronic kidney disease (CKD) affects about 10% of the world’s population. Hyperkalemia is a life-threatening complication in patients with CKD, as it is associated with adverse cardiovascular and kidney outcomes. There are still many challenges and questions to address to improve the currently available therapeutic strategies to treat hyperkalemia, such as how to approach the emergency management of hyperkalemia. In recent years, in addition to novel oral potassium binders, great progress has been made in the application of novel kidney protective strategies, such as mineralocorticoid receptor antagonists and sodium–glucose cotransporter 2 inhibitors (SGLT2i) in hyperkalemia therapy. This review will discuss the recent advances from clinical trials in the effective management of hyperkalemia in non-dialysis CKD patients, enhancing the knowledge of physicians and internists concerning these newer agents and providing a helpful reference for clinical practice.
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spelling doaj.art-c83d3ce92433428ab4132dafbea46b4d2023-11-16T22:00:37ZengMDPI AGMedicina1010-660X1648-91442023-02-0159235310.3390/medicina59020353Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic StrategiesRuixue Tian0Rongshan Li1Xiaoshuang Zhou2The Fifth Clinical Medical College of Shanxi Medical University, Taiyuan 030012, ChinaDepartment of Nephrology, Shanxi Provincial People’s Hospital, The Fifth Clinical Medical College of Shanxi Medical University, Shanxi Kidney Disease Institute, 29 Shuang Ta East Street, Taiyuan 030012, ChinaDepartment of Nephrology, Shanxi Provincial People’s Hospital, The Fifth Clinical Medical College of Shanxi Medical University, Shanxi Kidney Disease Institute, 29 Shuang Ta East Street, Taiyuan 030012, ChinaChronic kidney disease (CKD) affects about 10% of the world’s population. Hyperkalemia is a life-threatening complication in patients with CKD, as it is associated with adverse cardiovascular and kidney outcomes. There are still many challenges and questions to address to improve the currently available therapeutic strategies to treat hyperkalemia, such as how to approach the emergency management of hyperkalemia. In recent years, in addition to novel oral potassium binders, great progress has been made in the application of novel kidney protective strategies, such as mineralocorticoid receptor antagonists and sodium–glucose cotransporter 2 inhibitors (SGLT2i) in hyperkalemia therapy. This review will discuss the recent advances from clinical trials in the effective management of hyperkalemia in non-dialysis CKD patients, enhancing the knowledge of physicians and internists concerning these newer agents and providing a helpful reference for clinical practice.https://www.mdpi.com/1648-9144/59/2/353hyperkalemiachronic kidney diseasepotassium
spellingShingle Ruixue Tian
Rongshan Li
Xiaoshuang Zhou
Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic Strategies
Medicina
hyperkalemia
chronic kidney disease
potassium
title Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic Strategies
title_full Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic Strategies
title_fullStr Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic Strategies
title_full_unstemmed Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic Strategies
title_short Recent Progresses in Non-Dialysis Chronic Kidney Disease Patients with Hyperkalemia: Outcomes and Therapeutic Strategies
title_sort recent progresses in non dialysis chronic kidney disease patients with hyperkalemia outcomes and therapeutic strategies
topic hyperkalemia
chronic kidney disease
potassium
url https://www.mdpi.com/1648-9144/59/2/353
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AT rongshanli recentprogressesinnondialysischronickidneydiseasepatientswithhyperkalemiaoutcomesandtherapeuticstrategies
AT xiaoshuangzhou recentprogressesinnondialysischronickidneydiseasepatientswithhyperkalemiaoutcomesandtherapeuticstrategies