Key result
Among 24 consecutive patients undergoing successful percutaneous balloon aortic valvuloplasty, 14 (58.3%) developed significant unexplained hyponatremia.
Why the study?
Does percutaneous balloon aortic valvuloplasty cause hyponatremia in patients undergoing the procedure?
Does percutaneous balloon aortic valvuloplasty cause hyponatremia in patients undergoing the procedure?
Percutaneous balloon aortic valvuloplasty may be associated with significant hyponatremia shortly after the procedure.
Answers are grounded in this paper and cite their sources.
May signal post-procedural hyponatremia risk; hypothesis-generating and requires prospective confirmation before clinical relevance is established.
Letters and Corrections1 August 1987Hyponatremia After Percutaneous Balloon Aortic ValvuloplastyRUBEN F. LEWIN, M.D., GERALD DORROS, M.D., JAMES F. KING, M.D.RUBEN F. LEWIN, M.D., GERALD DORROS, M.D., JAMES F. KING, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-107-2-256_1 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: We read with interest the article by Schneider and associates (1). In our own study, aortic valvuloplasty was successfully done in 24 consecutive patients. Fourteen patients (group 1), had significant hyponatremia (less than 5% from basal value). The hyponatremia was unexplained by other causes (1), except in one case with significant prevalvuloplasty diuresis (2).Group 1 was compared to the remaining ten patients (group 2) in whom no significant hyponatremia occurred. Recorded values included serum sodium and potassium before and 6 hours after the procedure, strict fluid input and output before and after the procedure, and concomitant...References1. SCHNEIDER J, WILSON M, and GALLANT T. Percutaneous balloon aortic valvuloplasty for aortic stenosis in elderly patients at high risk for surgery. Ann Intern Med. 1987;106:696-9. LinkGoogle Scholar2. LEVINSKY N. Fluids and electrolytes. In: PETERSDORF RG, ADAMS RD, BRAUNWALD E, ISSELBACHER KJ, MARTIN JB, WILSON JD, eds: Harrison's Principles of Internal Medicine. New York: McGraw-Hill; 1983:220-5. Google Scholar3. WALDMAN H, PALACIOS I, and BLOCK P. Early and late effects of percutaneous balloon mitral valvuloplasty on levels of atrial natriuretic factor [Abstract]. JACC. 1987;9:33A. Google Scholar4. SCHWAB T, EDWARDS B, DEVRIES W, ZIMMERMAN R, and BURNETT J. Atrial endocrine function in humans with artificial hearts. N Engl J Med. 1987;315:1398-1401. CrossrefGoogle Scholar5. CUNEO R, ESPINER E, NICHOLLS M, YANDLE T, JOYCE S, and GILCHRIST N. Renal hemodynamic and hormonal response to atrial natriuretic peptide infusions in normal man, and effects of sodium intake. J Clin Endocrinol Metab. 1986;63:946-53. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: RUBEN F. LEWIN, M.D.; GERALD DORROS, M.D.; JAMES F. KING, M.D. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byPercutaneous balloon aortic valvuloplasty. Acute and 30-day follow-up results in 674 patients from the NHLBI Balloon Valvuloplasty Registry.Percutaneous Balloon Valvuloplasty in Adult Patients with Valvular Heart Disease 1 August 1987Volume 107, Issue 2 Page: 256-256 Keywords Hyponatremia Potassium Sodium ePublished: 1 December 2008 Issue Published: 1 August 1987 PDF downloadLoading ...
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Lewin et al. (1987) conducted a letter in Post-valvuloplasty hyponatremia (n=24). Percutaneous balloon aortic valvuloplasty was evaluated on Significant hyponatremia (less than 5% from basal value). Among 24 consecutive patients undergoing successful percutaneous balloon aortic valvuloplasty, 14 (58.3%) developed significant unexplained hyponatremia.
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