Cardiac arrhythmia triggered by diureticinduced hyponatremia
- Author:
Hou Tee Lu
;
Hou Chan Loo
;
Kian Seng Ng
;
Yin Onn Wong
;
Rusli Bin Nordin
- Publication Type:Case Reports
- Keywords:
diuretics;
indapamide;
hyponatremia;
premature atrial contractions;
adverse drug reaction
- From:Malaysian Family Physician
2019;14(2):39-43
- CountryMalaysia
- Language:English
-
Abstract:
Diuretics have a long and distinguished history in the treatment of hypertension and heart failure.
Clinical practice guidelines recommend that diuretics should be considered to be as suitable as
other antihypertensive agents for the initiation and maintenance of antihypertensive treatment.
However, diuretics may potentially cause electrolyte disturbances and metabolic side effects.
Diuretic-induced hyponatremia is probably more prevalent than generally acknowledged. We
present an unusual case of indapamide-induced hyponatremia and hypokalemia complicated by
cardiac arrhythmia. The adverse drug reaction was reversible and non-life-threatening, but this case
serves as a reminder that careful evaluation and constant monitoring are necessary when prescribing
diuretics.
- Full text:2.2019my0041.pdf
