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Acute Severe Symptomatic Hyponatremia Following Coronary Angiography

  • Jung, Eul-Sik (Department of Cardiology, Gil Hospital, Gachon University of Medicine and Science) ;
  • Kang, Woong-Chol (Department of Cardiology, Gil Hospital, Gachon University of Medicine and Science) ;
  • Jang, Young-Rock (Department of Cardiology, Gil Hospital, Gachon University of Medicine and Science) ;
  • Kim, Se-Joong (Department of Nephrology, Gil Hospital, Gachon University of Medicine and Science) ;
  • Yang, Ji-Won (Department of Neurology, Gil Hospital, Gachon University of Medicine and Science) ;
  • Lee, Kyoung-Hoon (Department of Cardiology, Gil Hospital, Gachon University of Medicine and Science) ;
  • Ahn, Tae-Hoon (Department of Cardiology, Gil Hospital, Gachon University of Medicine and Science)
  • Published : 2011.09.30

Abstract

Hyponatremia is a relatively common electrolyte disorder. Although severe acute hyponatremia following coronary angiography is rare, potentially lethal neurologic manifestations may result. We describe a patient with severe, symptomatic hyponatremia, an unusual complication of coronary angiography. Lack of familiarity with contrast media-related hyponatremia caused a delay in diagnosis and therapy in our case. The diagnosis of acute hyponatremia should be considered in any patient who develops behavioral or neurologic manifestations following coronary angiography. Prompt diagnosis and treatment is essential to avoid permanent neurologic damage or death.

Keywords

References

  1. Reddy P, Mooradian AD. Diagnosis and management of hyponatraemia in hospitalised patients. Int J Clin Pract 2009;63:1494-508. https://doi.org/10.1111/j.1742-1241.2009.02103.x
  2. Lim GW, Lee M, Kim HS, Hong YM, Sohn S. Hyponatremia and syndrome of inappropriate antidiuretic hormone secretion in Kawasaki disease. Korean Circ J 2010;40:507-13. https://doi.org/10.4070/kcj.2010.40.10.507
  3. Reynolds RM, Padfield PL, Seckl JR. Disorders of sodium balance. BMJ 2006;332:702-5. https://doi.org/10.1136/bmj.332.7543.702
  4. Verbalis JG, Goldsmith SR, Greenberg A, Schrier RW, Sterns RH. Hyponatremia treatment guidelines 2007: expert panel recommendations. Am J Med 2007;120(11 Suppl 1):S1-21.
  5. Adrogue HJ, Madias NE. Hyponatremia. N Engl J Med 2000;342:1581-9. https://doi.org/10.1056/NEJM200005253422107
  6. Malin JW, Kolstad K, Hozack WJ, Rothman RH. Thiazide-induced hyponatremia in the postoperative total joint replacement patient. Orthopedics 1997;20:6813.
  7. Arieff AI. Hyponatremia, convulsions, respiratory arrest, and permanent brain damage after elective surgery in healthy women. N Engl J Med 1986;314:1529-35. https://doi.org/10.1056/NEJM198606123142401
  8. Boulos M, Nakhoul F, Hir J, Markiewicz W. Acute symptomatic hyponatremia complicating invasive cardiac procedures: a report of th-ree patients. Catheter Cardiovasc Interv 2001;53:542-5. https://doi.org/10.1002/ccd.1219