Treatment of Hyponatremia in a New Millenium - Prof. Juan Carlos Ayus (Irvine, CA, USA)

Prof. Juan Carlos Ayus (Irvine, CA) presents four case reports of patients with hyponatremia and addresses potentially life-threatening mistakes in clinical management of this electrolyte disorder.
Dr. Ayus is Professor of Medicine at the University of California (Division of Nephrology) in Irvine, California, USA, and a global leader in research on the diagnosis and treatment of hyponatremia.
The interview was recorded on November 17th, 2023. Moderators: Prof. Dr. Gregor Lindner (Linz, Austria), Prof. Dr. Marcus Säemann (Vienna, Austria) and Prof. Dr. Gunnar Heine (Frankfurt, Germany).
Articles discussed:
Osmotic Demyelination Syndrome in Patients Hospitalized with Hyponatremia
MacMillan TE et al.
NEJM Evid 2023
DOI: 10.1056/EVIDoa2200215
Clinical practice guideline on diagnosis and treatment of hyponatraemia.
Spasovski G, Vanholder R, Allolio B, Annane D, Ball S, Bichet D, Decaux G, Fenske W, Hoorn EJ, Ichai C, Joannidis M, Soupart A, Zietse R, Haller M, van der Veer S, Van Biesen W, Nagler E; Hyponatraemia Guideline Development Group.
Eur J Endocrinol. 2014
doi: 10.1530/EJE-13-1020
Severe Hyponatremia Correction, Mortality, and Central Pontine Myelinolysis
Seethapathy H et al.
NEJM Evid 2023
DOI: 10.1056/EVIDoa2300107
Hyponatremia Treatment Guidelines - Have They Gone Too Far?
Ayus JC, Moritz ML
NEJM Evid 2023
DOI: 10.1056/EVIDe2300014
Treatment Guidelines for Hyponatremia: Stay the Course.
Sterns RH, Rondon-Berrios H, Adrogué HJ, Berl T, Burst V, Cohen DM, Christ-Crain M, Cuesta M, Decaux G, Emmett M, Garrahy A, Gankam-Kengne F, Hix JK, Hoorn EJ, Kamel KS, Madias NE, Peri A, Refardt J, Rosner MH, Sherlock M, Silver SM, Soupart A, Thompson CJ, Verbalis JG; PRONATREOUS Investigators
Clin J Am Soc Nephrol. 2023
doi: 10.2215/CJN.0000000000000244

[@patuertbecado]

Excelente presentacion. Dr. Ayus una bestia, mi mentor. Creo hare una reaccion a este video 😊

[@darkeio]

thank you for the information

[@ralfdr.med.spitthover2268]

Danke👍🏻

[@maryaddison218]

I have had three episodes of sudden moderate to severe drop of my sodium levels. Admitted to the hospital first time, and the medication that control my blood pressure was stopped. Now I have uncontrolled blood pressure, borderline diabetes and every doctor I see, tells me I’m fine. I can’t have any preventative test or needed surgery for fear I will die from low sodium. Who can I see for help because no one believes me?