The role of V2 vasopressin antagonists in hyponatremia.

Abstract:

:Hyponatremia is a frequent electrolyte disorder. It is often found in congestive cardiac failure, liver cirrhosis, plasma volume contraction and in SiADH. In these disorders hyponatremia is caused by nonosmotic vasopressin and sustained fluid intake. This provides a rationale for V2 vasopressin receptor antagonists in the treatment of hyponatremia. There is now convincing evidence from different animal models of congestive cardiac failure that peptide and non-peptide V2 vasopressin antagonists effectively increase renal water diuresis and plasma sodium concentration. In addition, several of the experimental studies also showed an improvement of hemodynamic changes of cardiac failure in response to V2 antagonists. Data in patients indicated that oral non-peptide V2-antagonists correct hyponatremia and may improve hemodynamic derangements in cardiac failure. In addition, experimental and clinical studies of V2 antagonists have been undertaken in liver cirrhosis and SiADH. In those studies hyponatremia was improved or corrected, too. Taken together, V2 vasopressin antagonists promise to become therapeutic agents in hyponatremic disorders.

journal_name

Cardiovasc Res

journal_title

Cardiovascular research

authors

Palm C,Reimann D,Gross P

doi

10.1016/s0008-6363(01)00288-7

subject

Has Abstract

pub_date

2001-08-15 00:00:00

pages

403-8

issue

3

eissn

0008-6363

issn

1755-3245

pii

S0008636301002887

journal_volume

51

pub_type

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