ELECTROCARDIOGRAPHIC MONITORING IN CHILDREN WITH CHRONIC-RENAL-FAILURE

被引：16

作者：

BOSCH, A ^{[1
]}

ULMER, HE ^{[1
]}

KELLER, HE ^{[1
]}

BONZEL, KE ^{[1
]}

SCHARER, K ^{[1
]}

机构：

[1] UNIV CHILDRENS HOSP,DIV PAEDIAT NEPHROL,IM NEUENHEIMER FELD 150,W-6900 HEIDELBERG,GERMANY

来源：

PEDIATRIC NEPHROLOGY | 1990年 / 4卷 / 02期

关键词：

Cardiac dysrhythmias; Chronic renal failure; Dialysis; Electrocardiography; Potassium; Transplantation; Uraemic heart disease;

D O I：

10.1007/BF00858825

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Continuous electrocardiographic (ECG) monitoring was performed over 24 h in 44 children at various stages of chronic renal failure in order to determine the incidence and nature of cardiac dysrhythmias. In addition the ECG was followed during haemodialysis sessions and during dialysate exchanges in continuous ambulatory peritoneal dialysis (CAPD) patients. In contrast to adult patients on haemodialysis life-threatening dysrhythmias were not observed. The proportion of children with premature ventricular complexes (41%) was at the upper limit of that in healthy children. A relatively high heart rate was found in children on CAPD, which varied during the exchange procedure. In 57% of all patients a transient marked prolongation of the QT interval up to 40% greater than normal was observed without obvious changes in the serum electrolyte levels. Continuous ECG monitoring is a useful tool for detecting alterations of cardiac rhythm and conduction in at-risk children with renal failure. © 1990 IPNA.

引用

页码：140 / 144

页数：5

共 32 条

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