10 tips on how to manage severe arrhythmia in haemodialysis patients.

Cardiovascular disease, particularly life-threatening ventricular arrhythmias and sudden cardiac death (SCD), remains the leading cause of death among haemodialysis (HD) patients, with an alarmingly higher incidence compared with the general population. By addressing key risk factors such as electrolyte imbalances, fluid overload and ultrafiltration rates, focusing on practical interventions and incorporating multidisciplinary care, clinicians can significantly reduce the risk of fatal arrhythmias. Here we propose 10 practical tips to guide clinicians in managing severe arrhythmias in HD patients. Each tip provides actionable insights for identifying high-risk individuals, with an emphasis on prevention and multidisciplinary care.