Abstract
An 82-year-old woman who presented to her primary care physician for preoperative evaluation was incidentally found to have severe hyponatremia (sodium = 118 mmol/L). The patient was then admitted for workup and treatment of hyponatremia. On day 2 of the admission, the patient was found to have new T-wave inversions on a telemetry monitor. Further workup, including an electrocardiogram, cardiac markers, echocardiogram, and a cardiac catheterization were consistent with the diagnosis of apical ballooning syndrome (ABS). Mechanisms of how severe hyponatremia may lead to ABS are discussed as well as a possible approach to the management of severe hyponatremia in postmenopausal women.
Original language | English (US) |
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Pages (from-to) | e198-e202 |
Journal | Reviews in Cardiovascular Medicine |
Volume | 13 |
Issue number | 4 |
DOIs | |
State | Published - 2012 |
Externally published | Yes |
Keywords
- Apical ballooning syndrome
- Broken heart syndrome
- Hyponatremia
- Mechanism
- Takotsubo cardiomyopathy
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine