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Strategies for SCD Prevention in HD Patients






                General                                               Specific Intervention



               Strategy



       Dialysis-induced  - Lower dialysate temperature to between 0.5°C



       myocardial                          and 2°C below patient temperature to reduce



       ischemia                            intradialytic hypotension




       Medications                         - Avoid QT interval prolonging medications



                                           whenever possible and reconcile medication list


                                           regularly




       Weigh risks and  - Consider ICDs for secondary prevention



       benefits of ICD




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