[HSF] Re: Persistent hypokalemia

[Nasser F. Abou'Seada]

Prasanna 
I think your case would make a wonderful case report .... 
just gather all the Differential Diagnosis ... and proper documentation ... 

NFA

> -----Original Message-----
> From: openheart-l-bounces at lists.hsforum.com [mailto:openheart-l-
> bounces at lists.hsforum.com] On Behalf Of prasannasimha
> Sent: Saturday, November 04, 2006 6:45 AM
> To: OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Re: Persistent hypokalemia
> 
> Alsadd,
> This case was with Hyperkalemia.
> I  think that this was a case of Aldosterone inhibition due to Heparin
> in a case with borderline renal dysfunction. May be it doesn't matter in
> a "normal" kidney but could become significant in a borderline kidney.
> The creatinine had marginally raised but that would mean a damage of
> slightly over 50 % of the nephrons.
> Any way this small statement in a corner of a web site helped me make a
> decision that we must all actually should be pretty well aware off. I
> never remember reading this in any pharmacology book.
> 
> Prasanna
> 
> A wrote:
> > Prasanna:
> >
> >
> >
> > I am glad it turned out well for the patient. About two years ago I
posted a
> > problem with persistent hypokalemia in spite of good hemodialysis. We
could
> > not determine the cause and this happened in a number of patients over
the
> > course of few years in  a few and far in between cases.
> >
> > Now perhaps we can add Heparin as a possible cause. Any additional
thought
> > on this We have not had a similar problem for over a year now. I hope it
> > stays that way.
> >
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