Review article

Hyponatremia in chronic heart failure

Alen Ružić ; University of Rijeka School of Medicine, University Hospital Centre Rijeka, Rijeka, Croatia

Abstract

Hyponatremia is a marker of increased risk for adverse outcome in patients with chronic heart failure and a clinical parameter that requires special attention in routine practice. In addition to the treatment options including the restriction of fluid intake, by administering hypertonic saline, loop diuretics, ACE-inhibitors, antagonists of AVP-receptors and combinations thereof, in addition to numerous open questions, now the detailed assessment of patients and individual adaptation of the therapeutic approach is imposed as a crucial issue. Hypovolemic hyponatremia is just one of the most significant versions of this clinical condition which we have to take into account during the treatment. The results of new prospective, double-blind and placebo-controlled studies are expected as to finally define the open issues within this extremely important area of contemporary cardiology practice.

Keywords

heart failure; hyponatremia

Hrčak ID:

112595

URI

https://hrcak.srce.hr/112595

Publication date:

17.12.2013.

Article data in other languages: croatian

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