TY - JOUR A2 - Santori，格雷戈里奥AU - 哈克尼斯，韦斯顿AU - 沃茨，保AU - Kopstein，欧丁玉 - Dziadkowiec，Oliwier AU - 希克斯，格雷戈里AU - Scherbak，德米特里PY - 2019 DA - 2019年9月24日TI -4919707 VL - - 2019 AB心律失常SP住院患者不会降低风险纠正低钾血症 - 背景。这是目前标准的做法是正确的低钾血症预防心律失常所有住院患者的目的。然而，这种干预的有效性先前从未研究。 目的。The objective of our study was to evaluate whether patients without acute coronary syndrome or history of arrhythmias were at increased risk of clinically significant cardiac arrhythmias if their potassium level was not corrected to ≥3.5 mEq/L. 设计。回顾性病例对照研究。 设置。社区医院。 参与者。我们招收选择谁患者住院期间有低钾血症的发作和遥测监测。Patients were split into groups based on success of replacing serum potassium to ≥3.5 mEq/L after 24 hours. 测量。主要成果是心律失常的发展。心律失常包括室上性心动过速，心房纤维性颤动，心房扑动，莫氏II型二度或三度房室传导阻滞，室性心动过速，或心室纤维性颤动。单尾Fisher精确检验和Logistic回归用于分析。 结果。共有1338低钾患者天的记录。出的这些天中，观察到22个心律失常事件（的患者日1.6％），8在校正的组（2.6％患者天）在未校正的基团（1％患者日）和14。We found no statistically significant relationship between successfully correcting potassium to ≥3.5 mEq/L and number of arrhythmic events ( p = 0.037 , OR = 2.38 (95% CI: 0.99, 6.03)). Logistic regression revealed that correction of potassium does not seem to be significantly related to arrhythmias ( β = 0.869, p = 0.0517 ）。 结论。In the acute care setting, we found that patients with hypokalemia whose potassium level did not correct to ≥3.5 mEq/L were not at increased odds of having an arrhythmia. This study suggests that the common practice of checking and replacing potassium is likely inconsequential. SN - 2356-6752 UR - https://doi.org/10.1155/2019/4919707 DO - 10.1155/2019/4919707 JF - Advances in Medicine PB - Hindawi KW - ER -