Sodium, Water, and Congestive Heart Failure

Editorials1 June 1984Sodium, Water, and Congestive Heart FailureROBERT W. HAMILTON, M.D., VARDAMAN M. BUCKALEW JR., M.D.ROBERT W. HAMILTON, M.D., VARDAMAN M. BUCKALEW JR., M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-100-6-902 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptHyponatremia is a marker of abnormal water metabolism. Mild hyponatremia causes no symptoms and is itself not serious. It is, however, a clear warning to clinicians that continued excess water intake may lead to more severe hyponatremia with adverse, sometimes catastrophic, effects on the central nervous system.Chronic hyponatremia frequently complicates congestive heart failure of class III or IV. Restricting water intake may prevent severe hyponatremia from developing, but often fails to normalize the serum sodium concentration. 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Haemodynamic, horomonal, and electrolyte responses to captopril in resistant heart failure. Lancet. 1981;1:71-4. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: ROBERT W. HAMILTON, M.D.; VARDAMAN M. BUCKALEWJR., M.D.Affiliations: Bowman Gray School of Medicine of Wake Forest University WinstonSalem, North Carolina PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byEstimated plasma volume status in heart failure: clinical implications and future directionsRelation of Intravascular Volume Profiles to Heart Failure Progression and Clinical OutcomesIntravascular Volume Profiles in Patients With Class I and II Systolic Heart Failure: Heterogeneity and Volume Overload Are Common Even in Mild Heart FailureFluid status and outcome in patients with heart failure and preserved ejection fractionVolume Overload Profiles in Patients With Preserved and Reduced Ejection Fraction Chronic Heart FailurePeripheral Venous Hemoglobin and Red Blood Cell Mass Mismatch in Volume Overload Systolic Heart Failure: Implications for Patient ManagementUnderstanding the Heterogeneity in Volume Overload and Fluid Distribution in Decompensated Heart Failure Is Key to Optimal Volume ManagementIntrarenal Determinants of Sodium Retention in Mild Heart FailureTransition from asymptomatic left ventricular dysfunction to congestive heart failureDiuretic Drugs and the Treatment of Edema: From Clinic to Bench and Back AgainHyponatraemia in the elderly patientChronic renal and neurohumoral effects of the calcium entry blocker nisoldipine in patients with congestive heart failureSodium and Water Excretion Abnormalities in Congestive Heart Failure Determinant Factors and Clinical ImplicationsBERTRAND METTAUER, M.D., JEAN-LUCIEN ROULEAU, M.D., DANIEL BICHET, M.D., CARL JUNEAU, M.D., CLAUDE KORTAS, M.D., JEAN-NOEL BARJON, M.D., JACQUES de CHAMPLAIN, M.D., Ph.D.Equilibration, Distribution, and Elimination of a Single Dose of Intravenous Ethanol in Dogs with Intact Renal Function or AnuriaInvited Review: Nutrition in Congestitve Heart Failure 1 June 1984Volume 100, Issue 6Page: 902-904KeywordsAttentionCentral nervous systemDiureticsHeart failureHyponatremiaSodium ePublished: 1 December 2008 Issue Published: 1 June 1984 PDF downloadLoading ...