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Reversible Hyponatremia Related to Pericardial Tamponade

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Presentation on theme: "Reversible Hyponatremia Related to Pericardial Tamponade"— Presentation transcript:

1 Reversible Hyponatremia Related to Pericardial Tamponade
Rehan Shafique, MD, Salman Sarwar, MD, Barry M. Wall, MD, C. Robert Cooke, MD  American Journal of Kidney Diseases  Volume 50, Issue 2, Pages (August 2007) DOI: /j.ajkd Copyright © 2007 National Kidney Foundation, Inc. Terms and Conditions

2 Figure 1 Urine output before and after pericardiocentesis.
American Journal of Kidney Diseases  , DOI: ( /j.ajkd ) Copyright © 2007 National Kidney Foundation, Inc. Terms and Conditions

3 Figure 2 Serum sodium concentration before and after pericardiocentesis. To convert sodium in mEq/L to mmol/L, multiply by 1. American Journal of Kidney Diseases  , DOI: ( /j.ajkd ) Copyright © 2007 National Kidney Foundation, Inc. Terms and Conditions

4 Figure 3 (Left) Chest radiograph on admission shows characteristic “water bottle” appearance of the heart consistent with large pericardial effusion. (Right) Chest radiograph 2 weeks after discharge from the hospital, at which time the patient was asymptomatic with normal blood pressure and normal serum sodium concentration. American Journal of Kidney Diseases  , DOI: ( /j.ajkd ) Copyright © 2007 National Kidney Foundation, Inc. Terms and Conditions

5 Figure 4 Compensatory mechanisms activated by arterial underfilling in pericardial tamponade and other causes of low cardiac output. (Reprinted with permission from Am J Med.5) American Journal of Kidney Diseases  , DOI: ( /j.ajkd ) Copyright © 2007 National Kidney Foundation, Inc. Terms and Conditions


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