Hyperkalemia in Patients in the Gulf Region

Individuals with chronic kidney disease (CKD) or heart failure frequently experience hyperkalemia, a complication associated with neuromuscular manifestations, changes in the electrocardiogram, as well as increased mortality.

According to Ali AlSahow, MD, and colleagues, there are few data available on the prevalence and management of hyperkalemia among individuals in the Gulf region. However, risk factors that include foods rich in potassium (eg, dates/dried fruits and vegetables), periods of intense fasting (eg, Ramadan), as well as diabetes are common in that region.

A panel of nephrologists and cardiologists from countries in the Gulf Cooperation Council (GCC) recently met to collate and review available data on the prevalence, regional drivers, and current practice in the management of hyperkalemia in the Gulf region. Results of the review were reported online in the Journal of Clinical Hypertension [doi.org/10.1111/jch.14633].

The review provides consensus recommendations on a balanced use of dietary and pharmacological options, including new potassium binders, for achieving and maintaining optimal potassium levels in patients in the GCC region. To facilitate uptake of the recommendations into clinical practice and patient lives, the review focused on alignment with regional habits and practice.