Hyponatremia
Conditions
Keywords
Bioimpedance spectroscopy, Hypervolemia, Hypovolemia
Brief summary
We aimed to investigate the role of bioimpedance spectroscopy for the diagnosis of hyponatremia
Detailed description
* Up to now, Hyponatremia differentially diagnosed by physical examination, plasma and urine osmolalities, Echocardiography and biochemical measurements. * The purpose of this study is to determine whether bioimpedance spectroscopy can be used for the detection of hypovolemia and hypervolemia for the differential diagnosis of hyponatremia.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Willing to participate in the study with written informed consent * Older than 18-years
Exclusion criteria
* The presence of pacemaker or defibrillator * Artificial joints, pin or amputation * Pregnancy or lactating.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Accuracy of volume status measured by bioimpedance spectroscopy | Six months | BIOIMPEDANCE SPECTROSCOPY: Overhydration (OH) measurement by Body Composition Monitor (Fresenius Medical Care) Negative values of OH indicating Hypovolemia and positive values for hypervolemia in hyponatremic patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Laboratory data and echocardiography | 6 Months | LABORATORY MEASUREMENTS Hemoglobin, Hematocrit, White blood cell count Platelet count, Na, Potassium, Chlorur, Urea, Creatinine, Uric acid, Plasma osmolality, Urine osmolality, Alanine transaminase , Aspartate transaminase , Urine specific gravity, TREATMENT MODALITY 1. Diuretics 2. Intravenous hydration by isotonic saline ECHOCARDIOGRAPHY: Left ventricular end-diastolic diameter, Left ventricular end-systolic diameter, Ejection fraction(%), Left Atrium diameter, Aortic diameter, Right atrium diameter, Interventricular septum, Posterior wall thickness, Mitral insufficiency, Pulmonary insufficiency, Systolic pulmonary artery pressure, Tricuspid insufficiency |
Countries
Turkey (Türkiye)