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Exercise-Associated Hyponatremia

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Hyponatremia

Abstract

Exercise-associated hyponatremia (EAH) is the development of a low serum sodium in association with endurance exercise of any type. The pathogenesis includes excessive water intake, inappropriate vasopressin release, impairment in urinary dilution, as well as other mechanisms. Prompt recognition of the signs and symptoms of EAH can be life saving. The rapid use of hypertonic (3%) saline in athletes with EAH leads to rapid resolution of symptoms. In the absence of appropriate therapy, EAH has lead to tragic consequences in otherwise healthy adults.

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Authors and Affiliations

  1. Division of Nephrology, University of Virginia, 800133, Charlottesville, VA, 22903, USA

    Mitchell H. Rosner M.D.

  2. Military & Emergency Medicine Department, F. Hébert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA

    Brad Bennett Ph.D.

  3. Exercise Science, Oakland University, Rochester, MI, USA

    Tamara Hew-Butler Ph.D.

  4. Department of Physical Medicine & Rehabilitation, VA Northern California Health Care System, Sacramento, CA, USA

    Martin D. Hoffman M.D.

  5. University of California Davis Medical Center, Sacramento, CA, USA

    Martin D. Hoffman M.D.

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  1. Mitchell H. Rosner M.D.
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  2. Brad Bennett Ph.D.
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  3. Tamara Hew-Butler Ph.D.
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  4. Martin D. Hoffman M.D.
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Correspondence to Mitchell H. Rosner M.D. .

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Editors and Affiliations

  1. Section of Nephrology and Hypertension, Tulane University Health Sciences Center, Tulane Ave 1430, New Orleans, 70112, Louisiana, USA

    Eric E. Simon

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Rosner, M.H., Bennett, B., Hew-Butler, T., Hoffman, M.D. (2013). Exercise-Associated Hyponatremia. In: Simon, E. (eds) Hyponatremia. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6645-1_10

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  • DOI: https://doi.org/10.1007/978-1-4614-6645-1_10

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