Prevalence and management of hyperkalemia in chronic kidney disease and heart failure patients in the Gulf Cooperation Council (GCC)

Prevalence and management of hyperkalemia in chronic kidney disease and heart failure patients in the Gulf Cooperation Council (GCC)

Hyperkalemia is a frequent complication in patients with chronic kidney disease (CKD) or heart failure (HF) and associated with neuromuscular manifestations, changes in the electrocardiogram, and increased risk of mortality. While data on the prevalence and management of hyperkalemia in the gulf reg...

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Bibliographic Details
Published in:The journal of clinical hypertension (Greenwich, Conn.) Vol. 25; no. 3; pp. 251 - 258
Main Authors: AlSahow, Ali, AbdulShafy, Mohammad, Al‐Ghamdi, Saeed, AlJoburi, Harith, AlMogbel, Osama, Al‐Rowaie, Fadel, Attallah, Nizar, Bader, Feras, Hussein, Hisham, Hassan, Mohamed, Taha, Khaldoun, Weir, Matthew R., Zannad, Faiez
Format: Journal Article
Language:English
Published: United States John Wiley & Sons, Inc 01-03-2023
Wiley
John Wiley and Sons Inc
Subjects:
Cardiology
chronic kidney disease
Cooperation
Councils
Diabetes
Ejection fraction
Electrocardiography
Food
Heart failure
Heart Failure - complications
Heart Failure - epidemiology
Heart Failure - therapy
Hospitalization
Humans
Hyperkalemia
Hyperkalemia - epidemiology
Hyperkalemia - etiology
Hyperkalemia - therapy
Hypertension - complications
Kidney diseases
Life Sciences
Mortality
Nephrology
Patients
Potassium
potassium binding
Prevalence
Renal Insufficiency, Chronic - complications
Renal Insufficiency, Chronic - epidemiology
Review
Review and Meta‐analysis
Risk factors
Saudi Arabia
Turkey
Qatar
Egypt
United Arab Emirates
Kuwait
Bahrain
Oman
potassium binding
heart failure
chronic kidney disease
hyperkalemia
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Description
Summary:Hyperkalemia is a frequent complication in patients with chronic kidney disease (CKD) or heart failure (HF) and associated with neuromuscular manifestations, changes in the electrocardiogram, and increased risk of mortality. While data on the prevalence and management of hyperkalemia in the gulf region are scarce, risk factors such as preference for potassium‐rich foods (e.g., dates and dried fruits/vegetables), periods of intense fasting (e.g., Ramadan), and diabetes (an ancestor of CKD and HF) are common. Therefore, a panel of nephrologists and cardiologists from countries of the Gulf Cooperation Council (GCC) convened to collate and review available data on the prevalence, regional drivers, and current practice in the management of hyperkalemia in the region. Eventually, this review provides consensus recommendations on a balanced utilization of dietary and pharmacological options including new potassium binders for achieving and sustainably maintaining desirable serum potassium levels in countries of the GCC region. Alignment with regional habits and practice was a key aspect to facilitate the uptake of the recommendations into physicians’ practice and patients’ lives.
Bibliography:All authors contributed equally to the preparation of this manuscript.
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PMCID: PMC9994174
ISSN:1524-6175
1751-7176
DOI:10.1111/jch.14633