SUDDEN CARDIAC DEATH IN HAEMODIALYSIS PATIENTS ASSESSMENT OF RISK FACTORS AND PREVENTION

Haemodialysis patients are at high risk for sudden cardiac death (SCD), with the annual mortality rate from SCD ranging from 5-7%. The risk factors for SCD on haemodialysis include left ventricular remodelling, coronary disease, heart failure, rapid electrolyte and fluid shifts during dialysis sessions and secondary hyperparathyroidism. Echocardiography and standard electrocardiography can help identify patients at risk for SCD. The strategy for preventing SCD in haemodialysis patients includes primary (medicamentous treatment and adjusting dialysis parameters) and secondary (coronary revascularisation and placement of cardioverter defibrillator) treatment planning.