Abstract

Key summary pointsAimTo examine what is the prevalence of hypokalemia in the older population.FindingsThe prevalence of hypokalemia was similar in older persons and younger ones. Hypokalemia is more often found in patients with arterial hypertension treated with diuretics. Oral supplementation of potassium in these patients did not prevent hypokalemia.MessageIn older persons, diuretic treatment is the most important cause of hypokalemia. Prevention of hypokalemia with the use of oral potassium supplementation is in this population insufficient.

Highlights

  • IntroductionHypokalemia is one of the most common electrolyte disturbances seen in clinical practice [1]

  • Patients and methodsHypokalemia is one of the most common electrolyte disturbances seen in clinical practice [1]

  • Hypokalemia was found in 39 participants (0.84%) and was significantly more frequent among females (28 females—1.23% and 11 males—0.46%; p = 0.003)

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Summary

Introduction

Hypokalemia is one of the most common electrolyte disturbances seen in clinical practice [1]. Hypokalemia can be a life-threatening condition, due to its association with cardiac arrhythmias [2], stroke risk, and sudden death [3, 4]. Patients diagnosed with coronary artery disease (CAD) are especially at high risk of hypokalemiainduced arrhythmias. The risk related to hypokalemia in patients suffering from CAD is well documented [5, 6]. It has been shown that hypokalemia is more frequently associated with worsening outcomes in patients attending emergency departments even in an initially low-risk population [8].

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