Key result
Ironman triathlon linked to acute pulmonary edema, severe hyponatremia, and seizure before full clinical recovery.
Why the study?
Exercise-associated hyponatraemia and pulmonary oedema are still not widely understood and there is reluctance to treat hyponatraemia aggressively with hypertonic saline.
Population
A 36-year-old man after Australian ironman triathlon
Comparison
Treatment for acute pulmonary oedema with hypertonic saline followed by normal saline
Design
Case report
Follow-up
5 days
Authors
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Clinicians should consider exercise-associated hyponatremia in endurance athletes with acute pulmonary edema; this single case leaves optimal management strategies open.
Case Report (n=1)
This case highlights the need for better understanding and more aggressive treatment of exercise-associated hyponatraemia with ongoing hypertonic saline.
Stefanko et al. (2009) conducted a case report in Pulmonary oedema and hyponatraemia (n=1). Intravenous hypertonic saline followed by normal saline was evaluated on Clinical recovery and serum sodium levels. A 36-year-old man developed acute pulmonary oedema and severe hyponatraemia (120 mmol/L) after an ironman triathlon, experiencing a seizure after initial treatment before fully recovering.