Correspondence
Hyperkalemia, also in acute heart failure
Hiperpotasemia, también en la insuficiencia cardiaca aguda
a Servicio de Urgencias, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain
b Servicio de Urgencias, Hospital Universitari de Vic, Vic, Barcelona, Spain
c Servicio de Urgencias, Hospital Clinic de Barcelona, Grupo de Investigación «Urgencias: procesos y patologías», IDIBAPS, Barcelona, Spain
d Servicio de Urgencias, Unidad de Corta Estancia y Unidad de Hospitalización a Domicilio, Hospital Universitario General de Alicante, Alicante, Spain
Read
8
Timeswas read the article
6
Total PDF
2
Total HTML
Share statistics
array:24 [ "pii" => "S2254887418301887" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.11.009" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1584" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "copyrightAnyo" => "2018" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2019;219:103-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "Traduccion" => array:1 [ "es" => array:19 [ "pii" => "S001425651830287X" "issn" => "00142565" "doi" => "10.1016/j.rce.2018.10.001" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1584" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2019;219:103-4" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 41 "formatos" => array:2 [ "HTML" => 30 "PDF" => 11 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondencia</span>" "titulo" => "Hiperpotasemia, también en la insuficiencia cardiaca aguda" "tienePdf" => "es" "tieneTextoCompleto" => "es" "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "103" "paginaFinal" => "104" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Hyperkalemia, also in acute heart failure" ] ] "contieneTextoCompleto" => array:1 [ "es" => true ] "contienePdf" => array:1 [ "es" => true ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figura 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1801 "Ancho" => 2500 "Tamanyo" => 184959 ] ] "descripcion" => array:1 [ "es" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Prevalencia de la hiperpotasemia en la cohorte EAHFE.</p> <p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">EAHFE: Epidemiology of Acute Heart Failure in the Emergency Departments; FGe: filtrado glomerular estimado.</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J. Jacob, L. Llauger, V. Gil, P. Javaloyes" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Jacob" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Llauger" ] 2 => array:2 [ "nombre" => "V." "apellidos" => "Gil" ] 3 => array:2 [ "nombre" => "P." "apellidos" => "Javaloyes" ] ] ] ] ] "idiomaDefecto" => "es" "Traduccion" => array:1 [ "en" => array:9 [ "pii" => "S2254887418301887" "doi" => "10.1016/j.rceng.2018.11.009" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301887?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S001425651830287X?idApp=WRCEE" "url" => "/00142565/0000021900000002/v1_201902270613/S001425651830287X/v1_201902270613/es/main.assets" ] ] "itemSiguiente" => array:18 [ "pii" => "S225488741930027X" "issn" => "22548874" "doi" => "10.1016/j.rceng.2019.02.002" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1629" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "err" "cita" => "Rev Clin Esp. 2019;219:105" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Erratum</span>" "titulo" => "Erratum to: “Hemoconcentration and acute heart failure, an emerging predictive factor or already established?” [Rev Clin Esp. 2019;219(1):32–33]" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "105" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Fe de errores: “Hemoconcentración e insuficiencia cardiaca aguda, ¿un factor predictor emergente o ya consolidado?” [Rev Clin Esp. 2019;219(1):32–33]" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Escobar Cervantes, L. Manzano" "autores" => array:2 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Escobar Cervantes" ] 1 => array:2 [ "nombre" => "L." "apellidos" => "Manzano" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S001425651930027X" "doi" => "10.1016/j.rce.2019.01.006" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S001425651930027X?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S225488741930027X?idApp=WRCEE" "url" => "/22548874/0000021900000002/v1_201902270625/S225488741930027X/v1_201902270625/en/main.assets" ] "itemAnterior" => array:19 [ "pii" => "S2254887418301991" "issn" => "22548874" "doi" => "10.1016/j.rceng.2018.10.013" "estado" => "S300" "fechaPublicacion" => "2019-03-01" "aid" => "1595" "copyright" => "Elsevier España, S.L.U. and Sociedad Española de Medicina Interna (SEMI)" "documento" => "simple-article" "crossmark" => 1 "subdocumento" => "cor" "cita" => "Rev Clin Esp. 2019;219:102" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 3 "formatos" => array:2 [ "HTML" => 1 "PDF" => 2 ] ] "en" => array:10 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>" "titulo" => "Ethics and management objectives" "tienePdf" => "en" "tieneTextoCompleto" => "en" "paginas" => array:1 [ 0 => array:1 [ "paginaInicial" => "102" ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La ética y los objetivos de gestión" ] ] "contieneTextoCompleto" => array:1 [ "en" => true ] "contienePdf" => array:1 [ "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "J.M. Prieto de Paula, S. Franco Hidalgo" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.M." "apellidos" => "Prieto de Paula" ] 1 => array:2 [ "nombre" => "S." "apellidos" => "Franco Hidalgo" ] ] ] ] ] "idiomaDefecto" => "en" "Traduccion" => array:1 [ "es" => array:9 [ "pii" => "S0014256518303047" "doi" => "10.1016/j.rce.2018.10.002" "estado" => "S300" "subdocumento" => "" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0014256518303047?idApp=WRCEE" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301991?idApp=WRCEE" "url" => "/22548874/0000021900000002/v1_201902270625/S2254887418301991/v1_201902270625/en/main.assets" ] "en" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Correspondence</span>" "titulo" => "Hyperkalemia, also in acute heart failure" "tieneTextoCompleto" => true "saludo" => "<span class="elsevierStyleItalic">Dear Editor</span>," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "103" "paginaFinal" => "104" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "J. Jacob, L. Llauger, V. Gil, P. Javaloyes" "autores" => array:4 [ 0 => array:4 [ "nombre" => "J." "apellidos" => "Jacob" "email" => array:1 [ 0 => "jjacob@bellvitgehospital.cat" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "Llauger" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 2 => array:3 [ "nombre" => "V." "apellidos" => "Gil" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] ] 3 => array:3 [ "nombre" => "P." "apellidos" => "Javaloyes" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">d</span>" "identificador" => "aff0020" ] ] ] ] "afiliaciones" => array:4 [ 0 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Universitari de Vic, Vic, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Servicio de Urgencias, Hospital Clinic de Barcelona, Grupo de Investigación «Urgencias: procesos y patologías», IDIBAPS, Barcelona, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] 3 => array:3 [ "entidad" => "Servicio de Urgencias, Unidad de Corta Estancia y Unidad de Hospitalización a Domicilio, Hospital Universitario General de Alicante, Alicante, Spain" "etiqueta" => "d" "identificador" => "aff0020" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Hiperpotasemia, también en la insuficiencia cardiaca aguda" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1801 "Ancho" => 2500 "Tamanyo" => 201123 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Prevalence of hyperkalemia in the Epidemiology of Acute Heart Failure in Emergency Departments cohort.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">The interesting study by Á. Hernáez et al.<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> highlights the high rate of hyperkalemia (potassium levels ≥5.5<span class="elsevierStyleHsp" style=""></span>mmol/L) in patients with heart failure with reduced ejection fraction (HFrEF), with a rate of 17,100 cases among the 508,000 estimated patients in Spain and a predominance of men (10,000 patients). The authors underscore the importance of this health problem when withdrawing treatments that improve survival for these patients. It is noteworthy that, as far as we can tell, this study is based on data for stable heart failure (HF); however, the authors did not provide data on HF with preserved ejection fraction (HFpEF) or on acute heart failure (AHF). The presence of hyperkalemia in AHF also affects the decision-making process in emergency departments. Our workgroup has data from the Epidemiology of Acute Heart Failure in Spanish Emergency Departments registry on 13,791 patients with AHF between 2007 and 2016. The registry's work practices have previously been described.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2–5</span></a> Based on a cohort of 11,935 patients with AHF and available data on the estimated glomerular filtration rate and potassium levels during acute episodes (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>), 835 (7.0%) patients presented hyperkalemia, and it was more common in the population who presented an estimated glomerular filtration rate <60<span class="elsevierStyleHsp" style=""></span>mL/min (685 patients, 82.0%). The ejection fraction was recorded for 6475 patients, 1406 (21.7%) of whom had HF with reduced ejection fraction (HFrEF). The presence of hyperkalemia was more common in HFrEF than in HFpEF (118/1406 [8.4%] vs. 302/5069 [6.0%]; raw odds ratio, 1.45 [95% CI 1.16–1.81]; <span class="elsevierStyleItalic">p</span><span class="elsevierStyleHsp" style=""></span><<span class="elsevierStyleHsp" style=""></span>.001). In conclusion, hyperkalemia in AHF also has a high prevalence and is more often associated with renal failure and HFrEF.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Jacob J, Llauger L, Gil V, Javaloyes P. Hiperpotasemia, también en la insuficiencia cardiaca aguda. Rev Clin Esp. 2019;219:103–104.</p>" ] ] "multimedia" => array:1 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1801 "Ancho" => 2500 "Tamanyo" => 201123 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Prevalence of hyperkalemia in the Epidemiology of Acute Heart Failure in Emergency Departments cohort.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Prevalencia e incidencia de hiperpotasemia en población espãnola con insuficiencia cardiaca con fracción de eyección deprimida: revisión sistemática y relevancia poblacional" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "Á. Hernáez" 1 => "J.F. Delgado" 2 => "J. Cinca" 3 => "F. Fernández-Avilés" 4 => "J. Marrugat" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.rce.2018.01.006" "Revista" => array:6 [ "tituloSerie" => "Rev Clin Esp" "fecha" => "2018" "volumen" => "218" "paginaInicial" => "253" "paginaFinal" => "260" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29496276" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impacto de las variables geriátricas en la mortalidad a 30 días de los ancianos atendidos por insuficiencia cardiaca aguda" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "F.J. Martín-Sánchez" 1 => "E. Rodríguez-Adrada" 2 => "M.T. Vidan" 3 => "P. Díez Villanueva" 4 => "G. Llopis García" 5 => "J. González Del Castillo" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias" "fecha" => "2018" "volumen" => "30" "paginaInicial" => "149" "paginaFinal" => "155" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29687668" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Atención prehospitalaria a los pacientes con insuficiencia cardiaca aguda en España: estudio SEMICA" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "O. Miró" 1 => "P. Llorens" 2 => "X. Escalada" 3 => "P. Herrero" 4 => "J. Jacob" 5 => "V. Gil" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias" "fecha" => "2017" "volumen" => "29" "paginaInicial" => "223" "paginaFinal" => "230" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28825276" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Características clínicas, terapéuticas y evolutivas de los pacientes con insuficiencia cardiaca aguda atendidos en servicios de urgencias españoles: Registro EAHFE (Epidemiology of Acute Heart Failure in Spanish Emergency Departments)" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Llorens" 1 => "R. Escoda" 2 => "O. Miró" 3 => "P. Herrero-Puente" 4 => "F.J. Martín-Sánchez" 5 => "J. Jacob" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Emergencias" "fecha" => "2015" "volumen" => "27" "paginaInicial" => "11" "paginaFinal" => "22" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29077328" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Time trends in characteristics, clinical course, and outcomes of 13,791 patients with acute heart failure" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "P. Llorens" 1 => "P. Javaloyes" 2 => "F.J. Martín-Sánchez" 3 => "J. Jacob" 4 => "P. Herrero-Puente" 5 => "V. Gil" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s00392-018-1261-z" "Revista" => array:6 [ "tituloSerie" => "Clin Res Cardiol" "fecha" => "2018" "volumen" => "107" "paginaInicial" => "897" "paginaFinal" => "913" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/29728831" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/22548874/0000021900000002/v1_201902270625/S2254887418301887/v1_201902270625/en/main.assets" "Apartado" => array:4 [ "identificador" => "71813" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Correspondence" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/22548874/0000021900000002/v1_201902270625/S2254887418301887/v1_201902270625/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2254887418301887?idApp=WRCEE" ]
| Year/Month | Html | Total | |
|---|---|---|---|
| 2023 March | 1 | 3 | 4 |
| 2020 September | 0 | 1 | 1 |
| 2018 December | 1 | 2 | 3 |
