胺碘酮治疗20小时后精神状态改变和低钠血症。

IF 0.9 4区医学

Texas Heart Institute Journal Pub Date : 2020-06-01 DOI:10.14503/THIJ-18-6849

Andrea Qi, John C Moscona, Justin Reed, Thierry H Le Jemtel

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引用次数: 1

摘要

66岁女性，无相关病史，以新发房颤就诊急诊。我们开始静脉注射胺碘酮治疗。20小时后，患者出现严重的神经系统症状、低钠血症和抗利尿激素不适当综合征。我们停用胺碘酮，输注生理盐水，并限制患者的液体摄入。她在3天内康复。本病例表明，在急性胺碘酮治疗期间，胺碘酮诱导的抗利尿激素不适当伴低钠血症综合征可能比预期发生的要早得多。

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Altered Mental Status and Hyponatremia After 20 Hours of Amiodarone Therapy.

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.

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来源期刊

Texas Heart Institute Journal CARDIAC & CARDIOVASCULAR SYSTEMS-

自引率

11.10%

发文量

131

期刊介绍： For more than 45 years, the Texas Heart Institute Journal has been published by the Texas Heart Institute as part of its medical education program. Our bimonthly peer-reviewed journal enjoys a global audience of physicians, scientists, and healthcare professionals who are contributing to the prevention, diagnosis, and treatment of cardiovascular disease. The Journal was printed under the name of Cardiovascular Diseases from 1974 through 1981 (ISSN 0093-3546). The name was changed to Texas Heart Institute Journal in 1982 and was printed through 2013 (ISSN 0730-2347). In 2014, the Journal moved to online-only publication. It is indexed by Index Medicus/MEDLINE and by other indexing and abstracting services worldwide. Our full archive is available at PubMed Central. The Journal invites authors to submit these article types for review: -Clinical Investigations- Laboratory Investigations- Reviews- Techniques- Coronary Anomalies- History of Medicine- Case Reports/Case Series (Submission Fee: $70.00 USD)- Images in Cardiovascular Medicine (Submission Fee: $35.00 USD)- Guest Editorials- Peabody’s Corner- Letters to the Editor