慢性肾脏病患者高钾血症的持续管理:临床决策案例

A. Rodríguez de Ledesma
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引用次数: 0

摘要

本次教育研讨会提供了关于肾素-血管紧张素-醛固酮系统抑制剂(RAASis)治疗慢性肾脏疾病(CKD)患者的有效性和安全性的最新临床证据。该计划提供了一个机会,通过介绍CKD患者病例及其临床表现的困境,以及新的治疗方案,包括益处,危害和潜在后果,讨论如何优化和维持该人群的RAASis。David C. Wheeler教授介绍了关于慢性肾病患者使用RAASis和相关高钾血症风险的争论。Francesco Locatelli教授讨论了CKD患者血压(BP)的管理,并回顾了该人群中预防高钾血症的最新指南。阿德里安·科维奇教授介绍了在特定人群中使用RAASis的争议。生存率、心血管事件(CVEs)和CKD的进展是他演讲的重点。最后,David C. Wheeler教授讨论了高钾血症治疗新疗法的最新研究进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Ongoing Management of Hyperkalaemia in Chronic Kidney Disease Patients: Cases for Clinical Decisions
This educational symposium provided an insight into the most current clinical evidence of the efficacy and safety of renin—angiotensin—aldosterone system inhibitors (RAASis) for patients with chronic kidney disease (CKD). The programme provided an opportunity to discuss ways to optimise and maintain RAASis in this population by introducing CKD patient cases and the dilemmas of their clinical presentation, and novel treatment options, including benefits, harms, and potential consequences. Prof David C. Wheeler introduced the debate about the use of RAASis and the associated risk of hyperkalaemia in CKD patients. Prof Francesco Locatelli discussed the management of blood pressure (BP) in CKD and reviewed the most current guidelines for the prevention of hyperkalaemia in this population. Prof Adrian Covic presented the controversies around the use of RAASis in specific group populations. Survival, cardiovascular events (CVEs), and progression of CKD were the main points of his presentation. Finally, Prof David C. Wheeler discussed the latest research on novel therapies for the management of hyperkalaemia.
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