Zhongguo quanke yixue (Dec 2022)

Progress in Diagnosis and Treatment of Hyperkalemia with Comorbid Risk Factors

  • LUO Peiyi, MA Liang, GOU Shenju

DOI
https://doi.org/10.12114/j.issn.1007-9572.2022.0312
Journal volume & issue
Vol. 25, no. 36
pp. 4587 – 4594

Abstract

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Hyperkalemia is a common clinical problem, and risk factors for its occurrence include having kidney disease, cardiovascular disease, diabetes, and taking medications that affect serum potassium. Mainly presenting with cardiac and neuromuscular symptoms, it can also lead to serious cardiac arrhythmias. Therapeutically, the choice of drug or dialysis treatment should be guided by the serum potassium level and the severity of clinical manifestations. Multiple novel oral potassium lowering drugs have emerged in recent years, promising to change the treatment paradigm of hyperkalaemia. In this paper, the epidemiology, diagnosis, cause, prevention, and treatment of hyperkalemia associated with comorbid risk factors were reviewed in combination with the literature, in order to provide a theoretical basis for the related diagnosis and treatment of hyperkalemia associated with combined risk factors.

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