Association between Hypophosphatemia and Cardiac Arrhythmias in the Early Stage of Sepsis: Could Phosphorus Replacement Treatment Reduce the Incidence of Arrhythmias?
Electrolytes & Blood Pressure
; : 19-25, 2014.
Article
em En
| WPRIM
| ID: wpr-55012
Biblioteca responsável:
WPRO
ABSTRACT
It is well known that new-onset arrhythmias are common in septic patients. It is thought that hypophosphatemia in the early stages of sepsis may contribute to the development of new arrhythmias. In this study, we hypothesized that intravenous (IV) phosphorus replacement may reduce the incidence of arrhythmias in critically ill patients. 34 adult septic patients with hypophosphatemia admitted to the general intensive care unit were treated with IV phosphorus replacement per ICU protocol, and the incidence of new arrhythmias were compared with 16 patients from previously published data. IV phosphorus replacement was associated with a significantly reduced incidence of arrhythmias (38% vs. 63%, p=0.04). There were no differences in observed mortality between subgroups, which may be due to the small sample size. This study demonstrated that IV phosphorus replacement might be effective in reducing the incidence of new arrhythmias in septic patients.
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Texto completo:
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Índice:
WPRIM
Assunto principal:
Fósforo
/
Arritmias Cardíacas
/
Incidência
/
Mortalidade
/
Estado Terminal
/
Hipofosfatemia
/
Sepse
/
Tamanho da Amostra
/
Cuidados Críticos
/
Unidades de Terapia Intensiva
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
Limite:
Adult
/
Humans
Idioma:
En
Revista:
Electrolytes & Blood Pressure
Ano de publicação:
2014
Tipo de documento:
Article