Hyponatraemia and changes in natraemia during hospitalization for acute heart failure and associations with in-hospital and long-term outcomes - from the ESC-HFA EORP Heart Failure Long-Term Registry.
Agnieszka Kapłon-CieślickaLina BensonOvidiu ChioncelMaria G Crespo-LeiroAndrew J S CoatsStefan D AnkerFrank RuschitzkaCamilla HageJarosław DrożdżPetar SeferovicGiuseppe M C RosanoMassimo PiepoliAlexandre MebazaaTheresa McDonaghMitja LainscakGianluigi SavareseRoberto FerrariWilfried MullensAntoni Bayes-GenisAldo P MaggioniLars H Lundnull nullPublished in: European journal of heart failure (2023)
Among patients with AHF, 20% had hyponatraemia at admission, which was associated with more advanced heart failure and normalized in half of patients during hospitalization. Admission hyponatraemia (possibly dilutional), especially if it did not resolve, was associated with worse in-hospital and post-discharge outcomes. Hyponatraemia developing during hospitalization (possibly depletional) was associated with lower risk.
Keyphrases
- heart failure
- acute heart failure
- end stage renal disease
- emergency department
- ejection fraction
- healthcare
- newly diagnosed
- chronic kidney disease
- acute care
- prognostic factors
- atrial fibrillation
- cardiac resynchronization therapy
- metabolic syndrome
- type diabetes
- patient reported outcomes
- skeletal muscle
- weight loss
- drug induced