Advertisement
Correspondence| Volume 32, ISSUE 7, P806-807, July 01, 2014

Etiology and management of exercise-associated hyponatremic encephalopathy (EAHE)

Published:March 20, 2014DOI:https://doi.org/10.1016/j.ajem.2014.02.049
Etiology and management of exercise-associated hyponatremic encephalopathy (EAHE)
Previous ArticleStreamlined focused assessment with sonography for mass casualty prehospital triage of blunt torso trauma patients
Next ArticleThe quickest and easiest endotracheal intubation device in difficult airway for emergency residents: video laryngoscope, the easiest laryngoscope for emergency residents
      The case report of Severac et al [

      Severac M, Orban JC, Leplatois T, et al. A case of near-fatal exercise-associated hyponatremia. Am J Emerg Med (2014). http://dx.doi.org/10.1016/j.ajem.2013.12.041.

      ] describing a case of exercise-associated hyponatremic encephalopathy (EAHE) brings to the reader's attention a condition that is considered one of the most important clinical problems in endurance exercise [
      • Hew-Butler T.
      • Ayus J.C.
      • Kipps C.
      • et al.
      Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
      Clin J Sport Med. 2008; 18: 111-121
      ]. There is now a broad consensus as to the common underlying pathophysiologic process in this condition [
      • Hew-Butler T.
      • Ayus J.C.
      • Kipps C.
      • et al.
      Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
      Clin J Sport Med. 2008; 18: 111-121
      ,
      • Rosner M.H.
      Exercise-associated hyponatremia.
      Semin Nephrol. 2009; 29: 271-281
      ,
      • Noakes T.D.
      • Sharwood K.
      • Speedy D.
      • et al.
      Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2,135 weighed competitive athletic performances.
      Proc Natl Acad Sci USA. 2005; 102: 18550-18555
      ,
      • Bennett B.L.
      • Hew-Butler T.
      • Hoffman M.D.
      • et al.
      Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia.
      Wilderness Environ Med. 2013; 24: 228-240
      ] and to the most appropriate diagnostic and treatment strategies [
      • Hew-Butler T.
      • Ayus J.C.
      • Kipps C.
      • et al.
      Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
      Clin J Sport Med. 2008; 18: 111-121
      ,
      • Bennett B.L.
      • Hew-Butler T.
      • Hoffman M.D.
      • et al.
      Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia.
      Wilderness Environ Med. 2013; 24: 228-240
      ].
      To read this article in full you will need to make a payment
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to The American Journal of Emergency Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Register: Create an account
      Institutional Access: Sign in to ScienceDirect

      References

      1. Severac M, Orban JC, Leplatois T, et al. A case of near-fatal exercise-associated hyponatremia. Am J Emerg Med (2014). http://dx.doi.org/10.1016/j.ajem.2013.12.041.

        View in Article
        • Hew-Butler T.
        • Ayus J.C.
        • Kipps C.
        • et al.
        Statement of the Second International Exercise-Associated Hyponatremia Consensus Development Conference, New Zealand, 2007.
        Clin J Sport Med. 2008; 18: 111-121
        View in Article
        • Rosner M.H.
        Exercise-associated hyponatremia.
        Semin Nephrol. 2009; 29: 271-281
        View in Article
        • Noakes T.D.
        • Sharwood K.
        • Speedy D.
        • et al.
        Three independent biological mechanisms cause exercise-associated hyponatremia: evidence from 2,135 weighed competitive athletic performances.
        Proc Natl Acad Sci USA. 2005; 102: 18550-18555
        View in Article
        • Bennett B.L.
        • Hew-Butler T.
        • Hoffman M.D.
        • et al.
        Wilderness Medical Society practice guidelines for treatment of exercise-associated hyponatremia.
        Wilderness Environ Med. 2013; 24: 228-240
        View in Article
        • Winger J.M.
        • Hoffman M.D.
        • Hew-Butler T.D.
        • et al.
        The effect of physiology and hydration beliefs on race behaviour and postrace sodium in 161-km ultramarathon finishers.
        Int J Sports Physiol Perform. 2013; 8: 536-541
        View in Article
        • Ayus J.C.
        • Varon J.
        • Arieff A.I.
        Hyponatremia, cerebral edema, and noncardiogenic pulmonary edema in marathon runners.
        Ann Intern Med. 2000; 133: 1010-1011
        View in Article

      Article Info

      Publication History

      Published online: March 20, 2014
      Accepted: February 28, 2014
      Received: February 17, 2014

      Identification

      DOI: https://doi.org/10.1016/j.ajem.2014.02.049

      Copyright

      © 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.

      ScienceDirect

      Access this article on ScienceDirect
      We use cookies to help provide and enhance our service and tailor content. To update your cookie settings, please visit the for this site.
      Copyright © 2022 Elsevier Inc. except certain content provided by third parties. The content on this site is intended for healthcare professionals.


      RELX