A near-fatal case of exercise-associated hyponatremia

Severac, Mathilde; Orban, Jean-Christophe; Leplatois, T.; Ichai, Carole

doi:10.1016/j.ajem.2013.12.041

Cited by 18 publications

(25 citation statements)

References 5 publications

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“…4,8,14 Consuming a volume of 3.5 L has been associated with a higher risk of developing EAH. 4,8,14 Recent deaths attributed to EAH 4,18,19 have highlighted the importance of avoiding overdrinking.…”

Section: Discussionmentioning

confidence: 99%

Intended Hydration Strategies and Knowledge of Exercise-Associated Hyponatraemia in Marathon Runners: A Questionnaire-Based Study

Leggett

Williams

Daly

et al. 2018

Journal of Athletic Training

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Section: Discussionmentioning

confidence: 99%

Intended Hydration Strategies and Knowledge of Exercise-Associated Hyponatraemia in Marathon Runners: A Questionnaire-Based Study

Leggett

Williams

Daly

et al. 2018

Journal of Athletic Training

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“…Bei einem Ironman-Triathlon kann es zu einer belastungsassoziierten Hyponatriämiedefiniert als ein Plasma-Natrium < 135 mmol/l -kommen [56][57][58] wenn die Athleten durch exzessives Trinken [58,59] eine Flüssigkeitsüberladung [56] provozieren. Frauen scheinen von dieser Problematik eher betroffen zu sein [60,61]…”

Section: Rahmen Des Flüssigkeitshaushaltes Sind Die Dehydratation Sowunclassified

Der Ironman-Triathlon

Knechtle

Nikolaidis²,

Rosemann

et al. 2016

Praxis

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Every year, thousands of triathletes try to qualify for the «Ironman Hawaii» (3,8 km swimming, 180 km cycling and 42,195 km running), the World Championship of long-distance triathletes. In this overview, we present the recent findings in literature with the most important variables with an influence on Ironman triathlon performance. The most important performance-influencing factors for a fast Ironman race time for both women and men are a large training volume and a high intensity in training, a large volume being more important than a high intensity, a low percentage of body fat, an ideal age of 30–35 years, a fast personal best in the Olympic distance triathlon (1,5 km swimming, 40 km cycling and 10 km running), a fast personal best in marathon running and origin from the United States of America.

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“…It must be made clear that inappropriate IV fluid administration risks exacerbating hyponatremia with potentially devastating consequences. 14,22,23,25,35,76,[83][84][85][86][87][88][89][90] Thus, clear indications (such as hypotension or unstable blood pressure) should be present to support administration of IV fluids. The use of hypotonic IV fluids should be avoided.…”

Section: Fluidsmentioning

confidence: 99%

Wilderness Medical Society Practice Guidelines for Treatment of Exercise-Associated Hyponatremia: 2014 Update

Bennett

Hew‐Butler

Hoffman

et al. 2014

Wilderness & Environmental Medicine

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Exercise-associated hyponatremia (EAH) is defined by a serum or plasma sodium concentration below the normal reference range of 135 mmol/L that occurs during or up to 24 hours after prolonged physical activity. It is reported to occur in individual physical activities or during organized endurance events conducted in austere environments in which medical care is limited and often not available, and patient evacuation to definitive care is often greatly delayed. Rapid recognition and appropriate treatment are essential in the severe form to ensure a positive outcome. Failure in this regard is a recognized cause of event-related fatality. In an effort to produce best practice guidelines for EAH in the austere environment, the Wilderness Medical Society convened an expert panel. The panel was charged with the development of evidence-based guidelines for management of EAH. Recommendations are made regarding the situations when sodium concentration can be assessed in the field and when these values are not known. These recommendations are graded on the basis of the quality of supporting evidence and balance between the benefits and risks/burdens for each parameter according to the methodology stipulated by the American College of Chest Physicians. This is an updated version of the original WMS Practice Guidelines for Treatment of Exercise-Associated Hyponatremia published in Wilderness & Environmental Medicine 2013;24(3):228-240.

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A near-fatal case of exercise-associated hyponatremia

Cited by 18 publications

References 5 publications

Intended Hydration Strategies and Knowledge of Exercise-Associated Hyponatraemia in Marathon Runners: A Questionnaire-Based Study

Intended Hydration Strategies and Knowledge of Exercise-Associated Hyponatraemia in Marathon Runners: A Questionnaire-Based Study

Der Ironman-Triathlon

Wilderness Medical Society Practice Guidelines for Treatment of Exercise-Associated Hyponatremia: 2014 Update

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