Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1990 Sep;64(3):206–207. doi: 10.1136/hrt.64.3.206

Hyponatraemia secondary to an inappropriately high release of antidiuretic hormone in cardiac tamponade.

P H Groves 1, A M Shah 1, S J Hutchison 1
PMCID: PMC1024374  PMID: 2206714

Abstract

A spontaneous intrapericardial haemorrhage caused cardiac tamponade in a 29 year old paraplegic man who was being treated with warfarin. The associated persistent hyponatraemia, which was believed to be caused by an inappropriately high release of antidiuretic hormone, rapidly resolved after pericardiocentesis.

Full text

PDF
206

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baylis P. H. Osmoregulation and control of vasopressin secretion in healthy humans. Am J Physiol. 1987 Nov;253(5 Pt 2):R671–R678. doi: 10.1152/ajpregu.1987.253.5.R671. [DOI] [PubMed] [Google Scholar]
  2. Castaner A., Kostreva D. R., Kampine J. P. Changes in autonomic nerve activity during acute pericardial tamponade. Cardiology. 1980;66(3):163–173. doi: 10.1159/000170861. [DOI] [PubMed] [Google Scholar]
  3. Edwards B. S., Zimmerman R. S., Schwab T. R., Heublein D. M., Burnett J. C., Jr Atrial stretch, not pressure, is the principal determinant controlling the acute release of atrial natriuretic factor. Circ Res. 1988 Feb;62(2):191–195. doi: 10.1161/01.res.62.2.191. [DOI] [PubMed] [Google Scholar]
  4. Koller P. T., Grekin R. J., Nicklas J. M. Paradoxical response of plasma atrial natriuretic hormone to pericardiocentesis in cardiac tamponade. Am J Cardiol. 1987 Feb 15;59(5):491–492. doi: 10.1016/0002-9149(87)90969-6. [DOI] [PubMed] [Google Scholar]
  5. Mancini G. B., McGillem M. J., Bates E. R., Weder A. B., DeBoe S. F., Grekin R. J. Hormonal responses to cardiac tamponade: inhibition of release of atrial natriuretic factor despite elevation of atrial pressures. Circulation. 1987 Oct;76(4):884–890. doi: 10.1161/01.cir.76.4.884. [DOI] [PubMed] [Google Scholar]
  6. Osborn J. L., Lawton M. T. Neurogenic antinatriuresis during development of acute cardiac tamponade. Am J Physiol. 1986 Feb;250(2 Pt 2):H195–H201. doi: 10.1152/ajpheart.1986.250.2.H195. [DOI] [PubMed] [Google Scholar]
  7. Schrier R. W., Berl T., Harbottle J. A., McDonald K. M. Catecholamines and renal water excretion. Nephron. 1975;15(3-5):186–196. doi: 10.1159/000180512. [DOI] [PubMed] [Google Scholar]
  8. Schrier R. W., Berl T. Mechanism of the antidiuretic effect associated with interruption of parasympathetic pathways. J Clin Invest. 1972 Oct;51(10):2613–2620. doi: 10.1172/JCI107079. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES