Novel Risk Score Efficiently Prevents Tolvaptan-Induced Hypernatremic Events in Patients With Heart Failure.

Author: InomataTakayuki, KinugawaKoichiro, SatoNaoki, ShibasakiYoshiyuki, ShimakawaToshiyuki, YasudaMoriyoshi

Paper Details 
Original Abstract of the Article :
It has been 7 years since tolvaptan was approved in Japan for the indication of heart failure in patients with volume overload; the drug can be used in patients with normonatremia. Hypernatremia was identified as a significant adverse event to be prevented.Methods and Results:We compiled and analyze...See full text at original site
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引用元:
https://doi.org/10.1253/circj.CJ-17-0986

データ提供:米国国立医学図書館(NLM)

Novel Risk Score Efficiently Prevents Tolvaptan-Induced Hypernatremic Events

The use of tolvaptan, a drug used to treat heart failure, has been associated with the risk of hypernatremia, a condition characterized by high sodium levels in the blood. This study tackles the challenge of identifying patients at high risk for hypernatremia when receiving tolvaptan therapy. The researchers aimed to develop a risk score that could effectively predict which patients are more likely to experience hypernatremia, allowing for more personalized and preventive care.

Navigating the Desert of Heart Failure Treatment

The study identified several key factors associated with an increased risk of hypernatremia, including baseline serum sodium levels, serum potassium levels, blood urea nitrogen to creatinine ratio, initial tolvaptan dose, and age. Using these factors, the researchers developed a hypernatremia risk score. The study found that patients with a high risk score were more likely to experience hypernatremia while receiving tolvaptan therapy.

Finding the Right Path Through the Desert

This research provides a valuable tool for clinicians managing heart failure patients who are receiving tolvaptan therapy. The hypernatremia risk score can help identify patients at increased risk for this complication, allowing for more proactive monitoring and preventive measures. This approach can potentially minimize the risk of hypernatremia and improve the overall safety of tolvaptan therapy.

Dr.Camel's Conclusion

This research offers a promising approach to preventing tolvaptan-induced hypernatremia in heart failure patients. The development of a hypernatremia risk score provides a valuable tool for clinicians, allowing them to identify patients at increased risk and implement personalized strategies to mitigate this potential complication. It's like finding a way to navigate the desert of heart failure treatment more safely and effectively, ensuring that patients receive the best possible care while minimizing the risk of hypernatremia.

Date :
  1. Date Completed 2019-08-13
  2. Date Revised 2019-08-13
Further Info :

Pubmed ID

29607892

DOI: Digital Object Identifier

10.1253/circj.CJ-17-0986

Related Literature

SNS
PICO Info
in preparation
Languages

English

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