Impending cardiac tamponade caused by salt supplement in a hyponatremic patient with chronic kidney disease.
Am J Emerg Med
; 30(8): 1656.e1-3, 2012 Oct.
Article
en En
| MEDLINE
| ID: mdl-22030176
ABSTRACT
We documented a hyponatremic patient who developed imminent cardiac tamponade upon oral salt supplement. A 72-year-old diabetic woman had hemorrhagic stroke; pericardial effusion; and chronic kidney disease, stage IV. She developed hyponatremia (serum sodium level, 125 mmol/L), compatible with the syndrome of inappropriate antidiuretic hormone, and received oral salt supplement 9 g/d for 4 days. Shortness of breathing and increasing heart rate ensued, and the echocardiography found accumulation of pericardial effusion with signs of impending cardiac tamponade. Pig-tail drainage through pericardiocentesis was done, and the vital signs were stabilized. We found the production of pericardial effusion increased from 100 to 220 mL/d after oral salt supplement at 3 g/d was reassumed. We discuss the relationship between serum sodium levels, the dose of salt supplement and the accumulation of pericardial effusion.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Sodio en la Dieta
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Taponamiento Cardíaco
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Suplementos Dietéticos
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Insuficiencia Renal Crónica
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Hiponatremia
Tipo de estudio:
Etiology_studies
Límite:
Aged
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Female
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Humans
Idioma:
En
Año:
2012
Tipo del documento:
Article