TY - JOUR T1 - Hyponatremia in refractory congestive heart failure patients treated with icodextrin-based peritoneal dialysis: A case series JO - Nefrología (English Edition) T2 - AU - Kunin,Margarita AU - Ganon,Liat AU - Holtzman,Eli J. AU - Dinour,Dganit SN - 02116995 M3 - 10.1016/j.nefro.2017.05.010 DO - 10.1016/j.nefro.2017.05.010 UR - https://www.revistanefrologia.com/es-hyponatremia-in-refractory-congestive-heart-articulo-S0211699517301339 AB - Severe congestive heart failure (CHF) patients are prone to hyponatremia. Peritoneal dialysis (PD) is increasingly used for long-term management of refractory CHF patients. The glucose polymer icodextrin was proposed to be a good option for fluid removal in such patients. A small, although statistically significant reduction in serum sodium (∼2mmol/l) consistently observed in multiple trials, is considered as not clinically relevant. Here we reported five refractory CHF patients who demonstrated sodium drop by median of 8meq/l (range 5.4–8.3meq/l) after icodextrin was added to their program. It seems that icodextrin may contribute to clinically relevant hyponatremia if the hyponatremia is compounded by other factors. Patients with extremely severe congestive heart failure are susceptible to this complication. ER -