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May 2, 2000Annals of Internal Medicine

Hyponatremia, Cerebral Edema, and Noncardiogenic Pulmonary Edema in Marathon Runners

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Why the study?

Does hypertonic saline (IV NaCl 514 mmol/L) improve outcomes in marathon runners with noncardiogenic pulmonary edema and hyponatremic encephalopathy?

Population

7 healthy marathon runners with a history of nonsteroidal anti-inflammatory drug use who collapsed after…

Design

Case_series

Follow-up

1 year

Authors

JAJuan Carlos AyusJVJoseph VarónAAAllen I. Arieff

Discussion

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Overview

May support hypertonic saline for hyponatremic encephalopathy in marathon runners; hypothesis-generating and requires prospective confirmation.

Structured PICO

Does hypertonic saline (IV NaCl 514 mmol/L) improve outcomes in marathon runners with noncardiogenic pulmonary edema and hyponatremic encephalopathy?

P
Population
7 healthy marathon runners with a history of nonsteroidal anti-inflammatory drug use who collapsed after competing and were hospitalized with pulmonary edema.
I
Intervention
Intravenous NaCl, 514 mmol/L (hypertonic saline)
O
Outcome
Resolution of pulmonary and cerebral edema and survivalhard clinical

Noncardiogenic pulmonary edema in marathon runners can be a manifestation of hyponatremic encephalopathy and is successfully treated with hypertonic saline.

Cite This Study

Ayus et al. (2000) studied this question.

synapsesocial.com/papers/6a71a0995671bbf00bc2ed7chttps://doi.org/10.7326/0003-4819-132-9-200005020-00005
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Exertional Dysnatremia in Collapsed Marathon Runners2009 · 59 citations
  2. 2Delirium and Pulmonary Edema after Completing a Marathon1987 · 66 citations
  3. 3Subclinical Atrial Fibrillation and the Risk of Stroke2016 · 10 citations
  4. 4Pulmonary oedema and hyponatraemia after an ironman triathlon: Figure 12009 · 16 citations
  5. 5Pathophysiology and treatment of exercise-associated hyponatremia2025