THE FAILURE OF HYPERTONIC SALINE IN THE TREATMENT OF HYPONATREMIA AND EDEMA IN CONGESTIVE HEART FAILURE
Authors: J F URICCHIO, D G CALENDA
Journal: Annals of Internal Medicine (1953)

Article1 December 1953THE FAILURE OF HYPERTONIC SALINE IN THE TREATMENT OF HYPONATREMIA AND EDEMA IN CONGESTIVE HEART FAILUREJOSEPH F. URICCHIO, M.D., DANIEL G. CALENDA, M.D.JOSEPH F. URICCHIO, M.D., DANIEL G. CALENDA, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-39-6-1288 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptThe appearance of hyponatremia and edema in a patient with congestive heart failure represents a serious disturbance of electrolyte equilibrium. This disorder may develop quite insidiously or it may be acute in onset. The latter state, often referred to as the low salt syndrome, is accompanied in the majority of cases by mental aberrations, anorexia, nausea, vomiting, abdominal cramps, nitrogen retention and usually peripheral vascular collapse. On the other hand, chronic dilution hyponatremia is not associated with the usual signs and symptoms observed in patients with the acute depletion syndrome.1The exact mechanism that leads to the production of a...Bibliography1. Welt LG: Edema and hyponatremia, Arch. Int. Med. 39: 931, 1952. CrossrefGoogle Scholar2. WeltOrloffDyddOltman LGJDMJE: An example of cellular hyperosmolarity, J. Clin. Investigation 29: 935, 1950. CrossrefMedlineGoogle Scholar3. HanensonWestonGrossmanLeiter IBREJL: Pathogenesis and treatment of congestive heart failure, M. Clin. North America 37: 643, 1953. CrossrefGoogle Scholar4. Peters JP: The treatment of salt depletion, Surgery 24: 568, 1948. MedlineGoogle Scholar5. Schroeder HA: Renal failure associated with low extracellular sodium chloride. The low salt syndrome, J. A. M. A. 141: 117, 1949. CrossrefMedlineGoogle Scholar6. ElkingtonSquiresBluemle JRRDLW: The distribution of body fluids in congestive heart failure. IV. Exchanges in patients, refractory to mercurial diuretics, treated with sodium and potassium, Circulation 5: 58, 1952. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: JOSEPH F. URICCHIO, M.D.; DANIEL G. CALENDA, M.D.*Received for publication March 23, 1953.From the Departments of Cardiology and Medicine, Rhode Island Hospital, Providence, Rhode Island. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byNebulizer Used for Bedside Flame Photometer†The role of sodium, potassium and water in the hypo-osmotic states of heart failureManaging Unmanageable EdemaBody fluid alterations during the development of and recovery from hyponatremia in heart failureDas Hyponatri�miesyndrom nach kochsalzfreier Kost, erzwungener Diurese und/oder Ascitespunktion bei chronischer LeberinsuffizienzThe management of congestive heart failure with a free salt intakeThe low-salt syndromes in congestive heart failureThe Low Salt Syndromes in Congestive Heart FailureEditorialDiseases of Medical ProgressTherapieELECTROLYTE METABOLISM 1 December 1953Volume 39, Issue 6 Page: 1288-1294 Keywords Edema Heart failure Hospital medicine Hyponatremia Nausea Salts Signs and symptoms Vomiting ePublished: 1 December 2008 Issue Published: 1 December 1953 PDF downloadLoading ...