Altered Mental Status and Hyponatremia After 20 Hours of Amiodarone Therapy.
| Autor: | Qi A; Tulane Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, Louisiana 70112., Moscona JC; Tulane Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, Louisiana 70112., Reed J; University of Central Florida College of Medicine, Orlando, Florida 32827., Le Jemtel TH; Tulane Heart and Vascular Institute, Tulane University School of Medicine, New Orleans, Louisiana 70112. |
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| Jazyk: | angličtina |
| Zdroj: | Texas Heart Institute journal [Tex Heart Inst J] 2020 Jun 01; Vol. 47 (3), pp. 229-232. |
| DOI: | 10.14503/THIJ-18-6849 |
| Abstrakt: | A 66-year-old woman with no relevant medical history presented at the emergency department with new-onset atrial fibrillation. We initiated intravenous amiodarone therapy. At 20 hours, the patient experienced severe neurologic symptoms, hyponatremia, and syndrome of inappropriate antidiuretic hormone. We discontinued amiodarone, infused saline solution, and restricted the patient's fluid intake. She recovered in 3 days. This case illustrates that amiodarone-induced syndrome of inappropriate antidiuretic hormone with hyponatremia can occur far earlier than expected during acute amiodarone therapy. (© 2020 by the Texas Heart® Institute, Houston.) |
| Databáze: | MEDLINE |
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