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Risk factor for sudden cardiac arrest

Cardiac Factors
Dialysis Factors Patient Factors - Systolic and

- Low dialysate K - Age diastolic cardiac

- Rapid K shifts - Genetic factors function
- Low dialysate Ca - Inflammation - LVH

- Alkalosis from high - Poor nutrition - Vascular

bicarbonate - Comorbidities: calcification

dialysis DM, peripheral - Intradialytic
- Rapid UF vascular myocardial

- IDH disease, use of stunning

- Long inter-dialytic QT interval - Sympathetic over
periods lead to prolonging drug activity

volume overload - Asymptomatic,

/hyperkalemia silent

arrhythmia(AF)

- Myocardial
fibrosis

Am J Kidney Dis. 2017 May ; 69(5): 684–695