Syndrome of inappropriate antidiuretic hormone electrocardiogram: Difference between revisions
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==Overview== | ==Overview== | ||
[[EKG|Electrocardiogram (EKG)]] may be helpful in the [[diagnosis]] of | [[EKG|Electrocardiogram (EKG)]] may be helpful in the [[diagnosis]] of SIADH. Findings on an [[EKG]] suggestive of SIADH are like classic [[Brugada]] like pattern, include downward coving of [[ST-segment]] and [[T-wave inversion]] in the anterior [[precordial]] leads. The [[EKG]] changes will be normalized after the [[sodium]] levels were corrected. | ||
==Electrocardiogram== | ==Electrocardiogram== | ||
*[[EKG]] may be helpful in the [[diagnosis]] of | *[[EKG]] may be helpful in the [[diagnosis]] of SIADH. | ||
*Findings on an [[EKG]] suggestive of [[SIADH]] are like classic [[Brugada]] like pattern, which include:<ref name="pmid20185483">{{cite journal |vauthors=Tamene A, Sattiraju S, Wang K, Benditt DG |title=Brugada-like electrocardiography pattern induced by severe hyponatraemia |journal=Europace |volume=12 |issue=6 |pages=905–7 |year=2010 |pmid=20185483 |doi=10.1093/europace/euq034 |url=}}</ref><ref name="pmid26069838">{{cite journal |vauthors=Laville M, Burst V, Peri A, Verbalis JG |title=Hyponatremia secondary to the syndrome of inappropriate secretion of antidiuretic hormone (SIADH): therapeutic decision-making in real-life cases |journal=Clin Kidney J |volume=6 |issue=Suppl 1 |pages=i1–i20 |year=2013 |pmid=26069838 |pmc=4438352 |doi=10.1093/ckj/sft113 |url=}}</ref><ref name="pmid27688678">{{cite journal |vauthors=Agrawal Y, Aggarwal S, Kalavakunta JK, Gupta V |title=All that looks like "Brugada" is not "Brugada": Case series of Brugada phenocopy caused by hyponatremia |journal=J Saudi Heart Assoc |volume=28 |issue=4 |pages=274–7 |year=2016 |pmid=27688678 |pmc=5034561 |doi=10.1016/j.jsha.2016.02.003 |url=}}</ref> | *Findings on an [[EKG]] suggestive of [[SIADH]] are like classic [[Brugada]] like pattern, which include:<ref name="pmid20185483">{{cite journal |vauthors=Tamene A, Sattiraju S, Wang K, Benditt DG |title=Brugada-like electrocardiography pattern induced by severe hyponatraemia |journal=Europace |volume=12 |issue=6 |pages=905–7 |year=2010 |pmid=20185483 |doi=10.1093/europace/euq034 |url=}}</ref><ref name="pmid26069838">{{cite journal |vauthors=Laville M, Burst V, Peri A, Verbalis JG |title=Hyponatremia secondary to the syndrome of inappropriate secretion of antidiuretic hormone (SIADH): therapeutic decision-making in real-life cases |journal=Clin Kidney J |volume=6 |issue=Suppl 1 |pages=i1–i20 |year=2013 |pmid=26069838 |pmc=4438352 |doi=10.1093/ckj/sft113 |url=}}</ref><ref name="pmid27688678">{{cite journal |vauthors=Agrawal Y, Aggarwal S, Kalavakunta JK, Gupta V |title=All that looks like "Brugada" is not "Brugada": Case series of Brugada phenocopy caused by hyponatremia |journal=J Saudi Heart Assoc |volume=28 |issue=4 |pages=274–7 |year=2016 |pmid=27688678 |pmc=5034561 |doi=10.1016/j.jsha.2016.02.003 |url=}}</ref> | ||
**Downward coving of [[ST-segment]] in the anterior [[precordial]] leads | **Downward coving of [[ST-segment]] in the anterior [[precordial]] leads | ||
**[[T-wave inversion]] in the anterior [[Precordial]] leads | **[[T-wave inversion]] in the anterior [[Precordial]] leads | ||
*The [[EKG]] changes will be normalized after the [[sodium]] levels were corrected.<ref name="pmid20185483">{{cite journal |vauthors=Tamene A, Sattiraju S, Wang K, Benditt DG |title=Brugada-like electrocardiography pattern induced by severe hyponatraemia |journal=Europace |volume=12 |issue=6 |pages=905–7 |year=2010 |pmid=20185483 |doi=10.1093/europace/euq034 |url=}}</ref> | *The [[EKG]] changes will be normalized after the [[sodium]] levels were corrected.<ref name="pmid20185483">{{cite journal |vauthors=Tamene A, Sattiraju S, Wang K, Benditt DG |title=Brugada-like electrocardiography pattern induced by severe hyponatraemia |journal=Europace |volume=12 |issue=6 |pages=905–7 |year=2010 |pmid=20185483 |doi=10.1093/europace/euq034 |url=}}</ref> | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Medicine]] | |||
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[[Category:Endocrinology]] | [[Category:Endocrinology]] | ||
[[Category:Nephrology]] | |||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category: | [[Category:Up-To-Date]] | ||
[[Category:Primary care]] | |||
Revision as of 16:26, 8 August 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Electrocardiogram (EKG) may be helpful in the diagnosis of SIADH. Findings on an EKG suggestive of SIADH are like classic Brugada like pattern, include downward coving of ST-segment and T-wave inversion in the anterior precordial leads. The EKG changes will be normalized after the sodium levels were corrected.
Electrocardiogram
- EKG may be helpful in the diagnosis of SIADH.
- Findings on an EKG suggestive of SIADH are like classic Brugada like pattern, which include:[1][2][3]
- Downward coving of ST-segment in the anterior precordial leads
- T-wave inversion in the anterior Precordial leads
- The EKG changes will be normalized after the sodium levels were corrected.[1]
References
- ↑ 1.0 1.1 Tamene A, Sattiraju S, Wang K, Benditt DG (2010). "Brugada-like electrocardiography pattern induced by severe hyponatraemia". Europace. 12 (6): 905–7. doi:10.1093/europace/euq034. PMID 20185483.
- ↑ Laville M, Burst V, Peri A, Verbalis JG (2013). "Hyponatremia secondary to the syndrome of inappropriate secretion of antidiuretic hormone (SIADH): therapeutic decision-making in real-life cases". Clin Kidney J. 6 (Suppl 1): i1–i20. doi:10.1093/ckj/sft113. PMC 4438352. PMID 26069838.
- ↑ Agrawal Y, Aggarwal S, Kalavakunta JK, Gupta V (2016). "All that looks like "Brugada" is not "Brugada": Case series of Brugada phenocopy caused by hyponatremia". J Saudi Heart Assoc. 28 (4): 274–7. doi:10.1016/j.jsha.2016.02.003. PMC 5034561. PMID 27688678.