Hyponatremia associated with pulmonary arterial hypertension: Syndrome of inappropriate antidiuresis versus right heart failure
- Title
- Hyponatremia associated with pulmonary arterial hypertension: Syndrome of inappropriate antidiuresis versus right heart failure
- Author
- 김근호
- Keywords
- Hyponatremia; Pulmonary arterial hypertension; Right heart failure; Syndrome of inappropriate antidiuresis
- Issue Date
- 2020-12
- Publisher
- Korean Society of Electrolyte & Blood Pressure Research
- Citation
- Electrolyte & Blood Pressure, v. 18, NO 2, Page. 40-43
- Abstract
- Because it is associated with mortality, hyponatremia is an important feature of pulmonary arterial hypertension. Its mechanisms remain unclear, although right heart failure resulting from pulmonary arterial hypertension may lead to systemic congestion and arterial underfilling. However, most patients with pulmonary arterial hypertension are clinically euvolemic and have no peripheral edema. Unlike patients with underlying heart disease, neurohumoral activation is not demonstrated in hyponatremic patients with pulmonary arterial hypertension, who show features of congestive heart failure only at later stages in their disease. Here, a case vignette is introduced, and the pathophysiology of hyponatremia in pulmonary arterial hypertension will be discussed. Syndrome of inappropriate antidiuresis (SIAD) appears to underlie hyponatremia in the initial phase of pulmonary arterial hypertension. The mechanisms by which various lung diseases can lead to SIAD remain an enigma.
- URI
- https://kiss.kstudy.com/thesis/thesis-view.asp?key=3844926https://repository.hanyang.ac.kr/handle/20.500.11754/173864
- ISSN
- 1738-5997; 2092-9935
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
- Files in This Item:
- Hyponatremia associated with pulmonary arterial hypertension Syndrome of inappropriate antidiuresis versus right heart failure.pdfDownload
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