Skip to main content
SpringerLink
Log in

Complex arrhythmia analysis in uraemic haemodialysed patients

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

Impulse formation and conduction disturbances of the heart were investigated in 23 uraemic patients with transvenous and oesophageal electrodes. Utilizing regular atrial pacing the sinoatrial conduction time (SACT) was obtained and sinus automaticity was evaluated by measurement of the sinus node recovery time (SNRT). The atrial effective refractory period and the Wenckebach point were also determined. The effects of regular haemodialysis treatment on impulse formation and propagation disorders caused by uraemia were observed. In 16 patients transitory or permanent cardiac stimulation had to be carried out because of 2nd and 3rd degree AV block.

No complication was observed during simultaneous haemodialysis and pacemaker treatment.

It is concluded that the non-invasive, simple bedside oesophageal atrial stimulation method is a good alternative and should be used in the exact diagnosis of heart conduction disturbances of haemodialysed patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bailey, G. L., Hampers, C. L., Merrill, J. P.: Reversible cardiomyopathy in uraemia.Trans. Am. Soc. Artif. Intern. Organs, 13, 263 (1967).

    Google Scholar 

  2. Diskin, C. J., Salzsieder, K. H., Solomon, R. J., Carvalho, J. S., Trebbin, W. M.: Electrocardiographic changes following dialysis.Nephron, 27, 94 (1981).

    PubMed  Google Scholar 

  3. Giovanetti, S., Berlyne, G. M.: An outline of the uremic syndrome.Nephron, 14, 119 (1975).

    PubMed  Google Scholar 

  4. Gueron, M., Berlyne, G. M., Nord, E., Ari, J. B.: The case against the existence of a specific uraemia myocardiopathy.Nephron, 15, 2 (1975).

    PubMed  Google Scholar 

  5. Iankez, L. E., Lowen, J., Sabbaga, E.: Uremic myocardiopathy,Nephron, 15, 17 (1975).

    PubMed  Google Scholar 

  6. Kovács, P., Wórum, F., Polgár, P., Lőrincz, I., Wórum, I., Lőcsey, L.: Comparison of the sinoatrial conduction time measured with programmed premature and regular atrial pacing. In: Mecre (ed.): Cardiac Pacing. Pacesymp., Montreal 1979, pp. 8–15.

  7. Lőcsey, L., Kakuk, Gy., Wórum, I., Wórum, F., Szabó, J., Kovács, P., Gyarmati, J.: Goodpasture's syndrome: haemodialysis, pacing and extra-pulmonary oxygenation.Acta Med. Acad. Sci. Hung., 37, 289 (1980).

    PubMed  Google Scholar 

  8. Narula, O. S., Shant, N., Vasques, M., Towne, W. D., Linhardt, J. V.: A new method for measurement of sinoatrial conduction time.Circulation, 58, 706 (1978).

    PubMed  Google Scholar 

  9. Prosser, D., Parsons, V.: The case for a specific uraemic myocardiopathy.Nephron, 15, 4 (1975).

    PubMed  Google Scholar 

  10. Strauss, H. C., Saroff, A. I., Bigger, J. I., Giardina, F. G. V.: Premature atrial stimulation as a key to understanding of sinoatrial conduction in man.Circulation, 47, 86 (1973).

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. First Department of Medicine, University Medical School, Debrecen, Hungary

    L. Lőcsey, P. Kovács, I. Wórum, P. Polgár & F. Wórum

Authors
  1. L. Lőcsey
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Kovács
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. Wórum
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. P. Polgár
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. F. Wórum
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lőcsey, L., Kovács, P., Wórum, I. et al. Complex arrhythmia analysis in uraemic haemodialysed patients. International Urology and Nephrology 16, 181–183 (1984). https://doi.org/10.1007/BF02082783

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02082783

Keywords

Search

Navigation