Reversible Hyponatremia Related to Pericardial Tamponade

Shafique, Rehan; Sarwar, Salman; Wall, Barry M.; Cooke, Colin R.

doi:10.1053/j.ajkd.2007.04.019

Cited by 7 publications

(7 citation statements)

References 20 publications

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“…One case report published in 2007 by Shafique et al 4 described a patient strikingly similar to our patient. Their patient was 59 y, previously healthy, who, as an electrician, habitually drank 1–2 gallons of water daily.…”

Section: Discussionsupporting

confidence: 85%

Hyponatraemia associated with cardiac tamponade and chronic fluid excess

et al. 2010

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SummaryWe describe a complex case of hyponatraemia with two aetiologies. A 49-year-old man who drank 6 litres of dilute alcohol per day presented confused and oedematous with a serum sodium of 95 mmol/litre. Urine sodium was <10 mmol/litre and urine osmolality 440 mOsmol/kg. Chest x-ray demonstrated a globular heart. ECG showed saddle-shaped ST elevation. ECHO demonstrated a large pericardial effusion causing marked tamponade. Following pericardiocentesis there was a marked diuresis; serum sodium returned to normal after 2 weeks. A full recovery ensued. Cardiac tamponade is associated with antidiuresis via release of antidiuretic hormone (ADH). Tamponade is also associated with antinatriuresis. Antidiuresis and antinatriuresis usually balance in cardiac tamponade; excessive fluid intake may have caused an imbalance in this case. BACKGROUND

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Section: Discussionsupporting

confidence: 85%

Hyponatraemia associated with cardiac tamponade and chronic fluid excess

et al. 2010

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“…Mouallem et al reported a patient with lung cancer complicated with malignant pericardial effusion [ 4 ]. Rehan et al reported an idiopathic pericarditis with large amount of pericardial effusion leading to symptomatic pericardial tamponade [ 2 ]. Peter et al presented a 29-year-old paraplegic man who was being treated with warfarin [ 3 ].…”

Section: Discussionmentioning

confidence: 99%

Improved hyponatremia after pericardial drainage in patients suffering from cardiac tamponade

Jong¹,

Cheng²,

Shyu

2016

BMC Cardiovasc Disord

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BackgroundSome case reports showed unexplained hyponatremia in patients with cardiac tamponade. Reversible hyponatremia was observed in these patients who received pericardial drainage. The occurrence rate of hyponatremia in patients of cardiac tamponade is not clearly known. The objective of this study was to identify the relationship between hyponatremia, cardiac tamponade and their underlying diseases.MethodsWe reviewed the clinical data of patients with cardiac tamponade and receiving pericardial drainage between January 2000 and January 2012 in our hospital. Cardiac tamponade was diagnosed by clinical presentation: hypotension, pulsus paradoxus, and increased jugular vein pressure. We used paired T test to compare the sodium change before and after pericardial drainage. Pearson’s chi-square test was used to analyze the relationship of hyponatremia with malignancy and cardiac chamber compression proved by echocardiography.ResultsFor the 48 patients, the mean pre-drainage sodium level was 129.1 ± 7.1 mEq/L and the mean post-drainage sodium level was 130.4 ± 5.6 mEq/L (p = 0.06). Among the 48 patients, 31 (65 %) had hyponatremia. For the 31 hyponatremia patients, the mean pre-drainage sodium level was 124.8 ± 4.9 mEq/L and the mean post drainage sodium level was 127.5 ± 4.5 mEq/L (p = 0.003). Hyponatremia was significantly associated with malignancy (p = 0.038). There was no significant change of pre-drainage and post-drainage sodium level in patients without malignancy. The post-drainage sodium level in the malignant patients significantly increased from 125.5 ± 8.0 to 129.1 ± 5.5 mEq/L (p = 0.017). The presence of hyponatremia was strongly associated with the cardiac tamponade sign (p < 0.001). After pericardial drainage, the sodium level significantly increased in patients with chamber compression than in patients without compression.ConclusionHyponatremia is associated with cardiac tamponade especially for malignant pericardial effusion and for patients with cardiac chambers compression signs. Hyponatremia can be improved after pericardial effusion drainage.

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“…The documented etiologies of pericardial effusion-associated hyponatremia include uremia [ 2 ], malignancy [ 5 , 8 ], medication [ 6 ], and idiopathic [ 3 , 4 ]. In each of these cases, patients had symptomatic cardiac tamponade with hemodynamic instability.…”

Section: Discussionmentioning

confidence: 99%

“…Pericardial effusion has been identified as a rare cause of hyponatremia. Interestingly, pericardiocentesis often results in rapid and complete reversal of hyponatremia [2][3][4][5][6][7][8][9]. The mechanism underlying pericardial effusionrelated hyponatremia remains to be established.…”

Section: Introductionmentioning

confidence: 99%

Pericardial Effusion-Associated Hyponatremia

Hanfy

Manasewitsch

Beutler

et al. 2020

Case Reports in Cardiology

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Pericardial effusion has been identified as a rare cause of hyponatremia. In most patients, pericardiocentesis results in rapid correction. We describe a 67-year-old male who presented with pericardial effusion-associated hyponatremia secondary to cardiac resynchronization therapy-D placement that resolved following evacuation. In addition, we review the literature on pericardial effusion-associated hyponatremia.

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Reversible Hyponatremia Related to Pericardial Tamponade

Cited by 7 publications

References 20 publications

Hyponatraemia associated with cardiac tamponade and chronic fluid excess

Hyponatraemia associated with cardiac tamponade and chronic fluid excess

Improved hyponatremia after pericardial drainage in patients suffering from cardiac tamponade

Pericardial Effusion-Associated Hyponatremia

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