El tratamiento de la hiponatremia secundaria al síndrome de secreción inadecuada de la hormona antidiurética

Rünkle, Isabelle; Villabona, Carles; Navarro, Andrés; Pose, Antonio; Formiga, Francesç; Tejedor, Alberto; Poch, Esteban

doi:10.1016/j.medcli.2013.09.002

Cited by 40 publications

(42 citation statements)

References 52 publications

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“…5,6 A detailed roadmap has been presented on the management of inappropriate anti-diuretic hormone secretion (SIADH)-induced hyponatraemia. 7 In this review we will outline a practical, step-by-step approach for the detection, diagnosis and treatment of hyponatraemia in the elderly.…”

Section: Introductionmentioning

confidence: 99%

Hyponatraemia in older patients: a clinical and practical approach

Rünkle

Gómez-Hoyos

Cuesta-Hernandez

et al. 2015

Rev. Clin. Gerontol.

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Hyponatraemia is frequent in older people and induces marked motor and cognitive dysfunction, even in patients deemed 'asymptomatic'. Nutritional status is worse than in euvolaemic-matched controls, and the risk of fracture is increased following incidental falls. Yet hyponatraemia is undertreated, in spite of the fact that its correction is accompanied by a clear improvement in symptoms. Both evaluation of neurological symptoms and classification by volaemia are essential for a correct diagnosis and treatment of the hyponatraemic elderly patient. The syndrome of inappropriate anti-diuretic hormone secretion (SIADH) is the most common cause of hyponatraemia in older people. Nutritional status and chronicity of SIADH should be taken into account when deciding therapy. We propose an 8-step approach to the management of the elderly patient with hyponatraemia.

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Section: Introductionmentioning

confidence: 99%

Hyponatraemia in older patients: a clinical and practical approach

Rünkle

Gómez-Hoyos

Cuesta-Hernandez

et al. 2015

Rev. Clin. Gerontol.

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“…In addition, they specifically address available pharmacological interventions and the use of tolvaptan in relation to the European license for management of hyponatremia in SIADH 7 . In the last 2 years, a number of recommendations and guidelines relating to hyponatremia have been published 6,[8][9][10][11] . Most of the recommendations in relation to diagnosis, investigation and management in the emergency setting and the role of hypertonic saline are convergent.…”

Section: Introductionmentioning

confidence: 99%

‘Dos and don’ts’ in the management of hyponatremia

Aylwin

Burst

Peri

et al. 2015

Current Medical Research and Opinion

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Introduction and objective:The management of hyponatremia has evolved in recent years, particularly with the introduction of tolvaptan for hyponatremia secondary to the syndrome of inappropriate antidiuretic hormone secretion (SIADH). This commentary presents a summary of recent international recommendations in the form of a series of didactic 'dos and don'ts', in order to provide concise, practical guidance for practising clinicians focused on the investigation and management of euvolemic hyponatremia (SIADH).

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“…В 2013-2014 гг. опубликованы международные и на-циональные руководства по диагностике и лечению гипонатриемии в США [4], Испании [5], Швеции [6], Англии [7], разрабатываются рекомендации в Италии и Норвегии [цит. по 8].…”

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