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Diuretic Therapy Complicated by Hyponatremia

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Cardiorenal Syndrome in Heart Failure

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Abstract

This chapter gives an overview on the incidence and risk factors for worsening renal function and electrolyte disturbances in acute heart failure. The prognostic impact of worsening renal function is discussed and the relationship between worsening renal function and volume overload investigated. Treatment strategies for electrolyte disturbances, in particular hyponatremia, are provided to tackle their occurrence during decongestive treatment in acute heart failure with a focus on renal preservation. Among others, the use of arginine-vasopressin antagonists, hypertonic saline and acetazolamide are discussed.

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Authors and Affiliations

  1. Department of Internal Medicine, UZ Leuven, Leuven, Belgium

    Frederik H. Verbrugge

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  1. Frederik H. Verbrugge
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Correspondence to Frederik H. Verbrugge .

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Editors and Affiliations

  1. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA

    W. H. Wilson Tang

  2. Department of Internal Medicine, UZ Leuven, Leuven, Belgium

    Frederik H. Verbrugge

  3. Ziekenhuis Oost-Limburg, Genk University Hasselt, Genk, Belgium

    Wilfried Mullens

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Verbrugge, F.H. (2020). Diuretic Therapy Complicated by Hyponatremia. In: Tang, W., Verbrugge, F., Mullens, W. (eds) Cardiorenal Syndrome in Heart Failure. Springer, Cham. https://doi.org/10.1007/978-3-030-21033-5_12

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  • DOI: https://doi.org/10.1007/978-3-030-21033-5_12

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