Acute isotonic hyponatremia after single dose histidine-tryptophan-ketoglutarate cardioplegia: an observational study.
Joris van HouteAlexander J BindelsSaskia HoutermanPhi Vu DongMonique den OudenNina E de BockNiels J VerberkmoesJoyce CurversArthur R BouwmanPublished in: Perfusion (2020)
Administration of histidine-tryptophan-ketoglutarate cardioplegia during cardiac surgery leads to acute moderate to severe isotonic hyponatremia, which resolves spontaneously in the first 18 hours perioperatively. Correction with hypertonic saline is not necessary.