Treatment of severe metabolic alkalosis in a patient with congestive heart failure

American Journal of Kidney Diseases

Volumn 61, Issue 5, 2013, Pages 822-827

  Peixoto, Aldo J ^a,b   Alpern, Robert J ^a  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VA CONNECTICUT HEALTHCARE SYSTEM   (United States)

Author keywords

congestive heart failure; Metabolic alkalosis; treatment

Indexed keywords

ACETAZOLAMIDE; ALDOSTERONE ANTAGONIST; BICARBONATE; DIURETIC AGENT; ENDOTHELIN; EPLERENONE; FUROSEMIDE; HYDROCHLORIC ACID; SPIRONOLACTONE;

ADRENERGIC SYSTEM; AGED; ARTICLE; ARTIFICIAL VENTILATION; CASE REPORT; CLINICAL FEATURE; CONGESTIVE HEART FAILURE; CONTINUOUS RENAL REPLACEMENT THERAPY; DISEASE SEVERITY; DIURETIC THERAPY; FLUID BALANCE; FLUID RESUSCITATION; HUMAN; KIDNEY FAILURE; LABORATORY TEST; LUNG EDEMA; MALE; METABOLIC ALKALOSIS; RENIN ANGIOTENSIN ALDOSTERONE SYSTEM; TREATMENT OUTCOME; URINARY EXCRETION;

ACID-BASE EQUILIBRIUM; AGED; ALKALOSIS; FOLLOW-UP STUDIES; HEART FAILURE; HUMANS; MALE; RENAL DIALYSIS;

EID: 84876282429     PISSN: 02726386     EISSN: 15236838     Source Type: Journal    
DOI: 10.1053/j.ajkd.2012.10.028     Document Type: Article

References (48)

1. F.J. Gennari, S. Hussain-Khan, A. Segal An unusual case of metabolic alkalosis: a window into the pathophysiology and diagnosis of this common acid-base disturbance Am J Kidney Dis 55 6 2010 1130 1135
2. A. Frangiosa, L.S. De Santo, P. Anastasio, N.G. De Santo Acid-base balance in heart failure J Nephrol 19 suppl 9 2006 S115 S120
3. M.S. Elisaf, K.C. Siamopoulos Acid-base and electrolyte abnormailties in patients with congestive heart failure Exp Clin Cardiol 2 1997 140 144
4. H.J. Milionis, M.S. Elisaf Metabolic alkalosis in patients with renal failure Nephrol Dial Transplant 19 7 2004 1932 author reply 1932-1933
5. G. Riggio, R. Clemente Modificazioni dell'equilibrio acido-base nello scompenso cardiovascolare Miner Cardioangiol 17 1969 591 595
6. R.D. Squires, R.B. Singer, G.R. Moffitt Jr, J.R. Elkinton The distribution of body fluids in congestive heart failure II. Abnormalities in serum electrolyte concentration and in acid-base equilibrium Circulation 4 5 1951 697 705
7. A. Frangiosa, L.S. De Santo, N.G. De Santo Acid-base state in patients after cardiac transplantation Am J Nephrol 22 4 2002 332 337
8. M. Awamura Clinical studies on the acid-base balance disturbance in congestive heart failure Jpn Circ J 33 3 1969 275 291
9. V. Kratky, J. Bartonova, R. Hrdina Nektere metabolicke a acidobazicke zmeny pri intenzvini diureticke lecbe srdecni slabosti Vnitr Lek 36 4 1990 330 341
10. R.F. Wilson, D. Gibson, A.K. Percinel Severe alkalosis in critically ill surgical patients Arch Surg 105 2 1972 197 203
11. L.E. Anderson, W.L. Henrich Alkalemia-associated morbidity and mortality in medical and surgical patients South Med J 80 6 1987 729 733
12. Y.L. Chan Adrenergic control of bicarbonate absorption in the proximal convoluted tubule of the rat kidney Pflugers Arch 388 2 1980 159 164
13. + antiport activity in the rabbit renal proximal tubule J Clin Invest 80 6 1987 1755 1762
14. M.E. Laski, S. Sabatini Metabolic alkalosis, bedside and bench Semin Nephrol 26 6 2006 404 421
15. E. Braunwald Biomarkers in heart failure N Engl J Med 358 20 2008 2148 2159
16. A. Nohria, M.A. Creager The peripheral circulation in heart failure J.D. Hosenpud, B.H. Greenberg, Congestive Heart Failure 3rd ed. 2007 Lippincott Williams & Wilkins Philadephia, PA 226 242
17. J.D. Parker, J.J. Thiessen Increased endothelin-1 production in patients with chronic heart failure Am J Physiol Heart Circ Physiol 286 3 2004 H1141 H1145
18. D.E. Wesson Regulation of kidney acid excretion by endothelins Kidney Int 70 12 2006 2066 2073
19. H.J. Adrogue, N.E. Madias Management of life-threatening acid-base disorders Second of two parts N Engl J Med 338 2 1998 107 111
20. J.H. Galla Metabolic alkalosis T.G. DuBose, L.L. Hamm, Acid-Base and Electrolyte Disorders 2002 Saunders Philadelphia, PA 109 128
21. J.H. Galla, D.N. Bonduris, R.G. Luke Correction of acute chloride-depletion alkalosis in the rat without volume expansion Am J Physiol 244 2 1983 F217 F221
22. J.H. Galla, D.N. Bonduris, R.G. Luke Effects of chloride and extracellular fluid volume on bicarbonate reabsorption along the nephron in metabolic alkalosis in the rat Reassessment of the classical hypothesis of the pathogenesis of metabolic alkalosis J Clin Invest 80 1 1987 41 50
23. R.A. Rosen, B.A. Julian, E.V. Dubovsky, J.H. Galla, R.G. Luke On the mechanism by which chloride corrects metabolic alkalosis in man Am J Med 84 3, pt 1 1988 449 458
24. P.C. Warms, M.F. Michelis, H. Singh, R.D. Fusco, A. Eichenholz, B.B. Davis Effect of hyperoncotic solutions on electrolyte excretion in metabolic alkalosis Metabolism 23 5 1974 417 423
25. R.G. Luke, J.H. Galla It is chloride depletion alkalosis, not contraction alkalosis J Am Soc Nephrol 23 2 2012 204 207
26. J.E. Mazur, J.W. Devlin, M.J. Peters, M.A. Jankowski, M.C. Iannuzzi, B.J. Zarowitz Single versus multiple doses of acetazolamide for metabolic alkalosis in critically ill medical patients: a randomized, double-blind trial Crit Care Med 27 7 1999 1257 1261
27. C.W. Wagner, R.R. Nesbit Jr, A.R. Mansberger Jr Treatment of metabolic alkalosis with intravenous hydrochloric acid South Med J 72 10 1979 1241 1245
28. K.B. Kwun, T. Boucherit, J. Wong, Y. Richards, C.W. Bryan-Brown Treatment of metabolic alkalosis with intravenous infusion of concentrated hydrochloric acid Am J Surg 146 3 1983 328 330
29. S. Brimioulle, J. Berre, P. Dufaye, J.L. Vincent, J.P. Degaute, R.J. Kahn Hydrochloric acid infusion for treatment of metabolic alkalosis associated with respiratory acidosis Crit Care Med 17 3 1989 232 236
30. I.B. Buchanan, B.T. Campbell, M.D. Peck, B.A. Cairns Chest wall necrosis and death secondary to hydrochloric acid infusion for metabolic alkalosis South Med J 98 8 2005 822 824
31. M. Leblanc, A. Farah Severe metabolic alkalosis corrected by hemodialysis Clin Nephrol 48 1 1997 65
32. R.E. Gerhardt, J.D. Koethe, J.D. Glickman, K.A. Ntoso, J.P. Hugo, C.J. Wolf Acid dialysate correction of metabolic alkalosis in renal failure Am J Kidney Dis 25 2 1995 343 345
33. L. Huber, F.J. Gennari Severe metabolic alkalosis in a hemodialysis patient Am J Kidney Dis 58 1 2011 144 149
34. D. Kindgen-Milles, J. Amman, W. Kleinekofort, S. Morgera Treatment of metabolic alkalosis during continuous renal replacement therapy with regional citrate anticoagulation Int J Artif Organs 31 4 2008 363 366
35. P. Fall, H.M. Szerlip Continuous renal replacement therapy: cause and treatment of electrolyte complications Semin Dial 23 6 2010 581 585
36. M. Jessup, W.T. Abraham, D.E. Casey 2009 Focused update: ACCF/AHA Guidelines for the Diagnosis and Management of Heart Failure in Adults: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines: developed in collaboration with the International Society for Heart and Lung Transplantation Circulation 119 14 2009 1977 2016
37. H.N. Hulter, E.L. Bonner Jr, R.D. Glynn, A. Sebastian Renal and systemic acid-base effects of chronic spironolactone administration Am J Physiol 240 5 1981 F381 F387
38. A. Henger, P. Tutt, W.F. Riesen, H.N. Hulter, R. Krapf Acid-base and endocrine effects of aldosterone and angiotensin II inhibition in metabolic acidosis in human patients J Lab Clin Med 136 5 2000 379 389
39. J.J. McMurray, J.R. Teerlink, G. Cotter Effects of tezosentan on symptoms and clinical outcomes in patients with acute heart failure: the VERITAS randomized controlled trials JAMA 298 17 2007 2009 2019
40. N.S. Rehsia, N.S. Dhalla Potential of endothelin-1 and vasopressin antagonists for the treatment of congestive heart failure Heart Fail Rev 15 1 2010 85 101
41. I. Anand, J. McMurray, J.N. Cohn Long-term effects of darusentan on left-ventricular remodelling and clinical outcomes in the EndothelinA Receptor Antagonist Trial in Heart Failure (EARTH): randomised, double-blind, placebo-controlled trial Lancet 364 9431 2004 347 354
42. F. Zannad, J.J. McMurray, H. Krum Eplerenone in patients with systolic heart failure and mild symptoms N Engl J Med 364 1 2011 11 21
43. B. Pitt, W. Remme, F. Zannad Eplerenone, a selective aldosterone blocker, in patients with left ventricular dysfunction after myocardial infarction N Engl J Med 348 14 2003 1309 1321
44. B. Pitt, F. Zannad, W.J. Remme The effect of spironolactone on morbidity and mortality in patients with severe heart failure Randomized Aldactone Evaluation Study Investigators N Engl J Med 341 10 1999 709 717
45. W. Schlueter, T. Keilani, M. Hizon, B. Kaplan, D.C. Batlle On the mechanism of impaired distal acidification in hyperkalemic renal tubular acidosis: evaluation with amiloride and bumetanide J Am Soc Nephrol 3 4 1992 953 964
46. H. Knauf, E. Mutschler Sequential nephron blockade breaks resistance to diuretics in edematous states J Cardiovasc Pharmacol 29 3 1997 367 372
47. M.R. Costanzo, M.E. Guglin, M.T. Saltzberg Ultrafiltration versus intravenous diuretics for patients hospitalized for acute decompensated heart failure J Am Coll Cardiol 49 6 2007 675 683
48. M.R. Costanzo, M. Cozzolino, N. Aspromonte, F. Mistrorigo, R. Valle, C. Ronco Extracorporeal ultrafiltration in heart failure and cardio-renal syndromes Semin Nephrol 32 1 2012 100 111