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Polypharmacy is highly prevalent in older people and many drugs can cause hyponatremia as a collateral effect.
Montain, S. J., M. N. Sawka, and C. B. Wenger. Cortisol and adrenocorticotrophic hormone levels were normal (random cortisol and ACTH stimulation test); aldosterone levels were 3 times higher than normal and vasopressin (ADH) was within normal limits (2.39 pg/mL). You can also search for this author in
The incidence, risk factors, and clinical manifestations of hyponatremia in marathon runners.
Blood samples were collected from 333 triathletes (264 males and 69 females) at the completion of the event.
The dipsomania of great distance: water intoxication in an Ironman triathlete.
Strumer, T., M. M. Elseviers, and M. E. De Broe. In our retrospective analysis of geriatric medical records dated 2015 we found that 39 out of the 273 hospitalized patients had hyponatremia.
The challenge of hyponatremia.
Nonsteroidal anti-inflammatory drugs, which are seldom considered as a cause of hyponatremia were instead found to be associated to an increased risk of the disorder (adjustedOR 3.61, 95% CI 1 − 12.99, p = 0.05). SIAD-associated hyponatremia and acute renal failure are rare side effects of nonsteroidal anti-inflammatory drugs, particularly in young people. Am J Kidney Dis (2008); 52:144–153Liamis G, Christidis D, Alexandridis G, Bairaktari E, Madias N, Elisaf M: Uric acid homeostasis in the evaluation of diuretic-induced hyponatremia. While neurological disorders were improving, acute renal failure occurred (creatinine levels rose from 36 to 259 Hyponatremia is a common disorder, usually more prevalent in older adults [Inappropriate antidiuresis is usually due to the administration or endogeneous production of ADH, causing renal water reabsorption and resulting in hyponatremia with increasing extracellular fluid volume.
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Written informed consent was obtained from 388 triathletes.
Epub 2009 May 12.J Clin Psychiatry. She was not anorexic, had no significant past medical history, under no medication, and she denied any medical or toxic ingestions.
You can also search for this author in With increasing polypharmacy and an ageing population, the prevalence of drug-induced hyponatraemia is likely to increase. Your Email: 22. 20. A review of published cases found that mirtazapine-associated hyponatremia occurred in patients aged >60 years, after a m … Bavbek N, Kargili A, Akcay A, Kaya A. Recurrent hyponatremia associated with citalopram and mirtazapine. Hyponatremia and seizures in an ultradistance triathlete. Please try after some time.Get new journal Tables of Contents sent right to your email inbox Therefore, an evaluation of unsual causes is of paramount importance. Study of hematological and biochemical parameters in runners completing a standard marathon. Almond, C. S., E. B. Fortescue, A. Y. Shin, R. Mannix, and D. S. Greenes. A brain MRI excluded an intracranial bleed or other focal abnormality, whereas an EEG showed signs of encephalopathy. You can also search for this author in
Her natremia fell to 105 mmol/L on day 3 (osmolality: 231 mOsml/L). Am J … The recommended dose varies with body mass and indication. J Am Soc Nephrol 2012.
1992;96(5):536‑540.
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Our study underlines the importance of considering rare but potentially reversible causes of hyponatremia, which can lead to serious consequences.Verbalis JG, Goldsmith SR, Greenberg A, Korzelius C, Schrier RW, Sterns RH, Thompson CJ. Hyponatremia associated with exercise: risk factors and pathogenesis. use is a risk factor for exertional hyponatremia and altered renal function during endurance exercise.
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