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Córdoba" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Médico de Familia. Coordinador de Urgencias del Distrito Guadalquivir. Córdoba" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "Médico de familia. Miembro del grupo de HTA de SAMFYC" "etiqueta" => "<span class="elsevierStyleSup">c</span>" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Correspondencia: E. Martín Rioboó. C./ Antonio Barroso y Castillo, 10, 4.o 1. 14006 Córdoba." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Global evaluation of hypertensive patients. Hyponatremia induced by carbamazepine and diuretics" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec218747" "palabras" => array:4 [ 0 => "hiponatremia" 1 => "diuréticos" 2 => "bloqueantes beta" 3 => "carbamazepina" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec218746" "palabras" => array:4 [ 0 => "hyponatremia" 1 => "diuretics" 2 => "beta-blockers" 3 => "carbamazepine" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Presentamos el caso de una paciente de 70 años con antecedentes de hipertensión arterial (HTA), hipertrofia ventricular izquierda (HVI) electrocardiográfica y neuralgia del trigémino, con presiones arteriales (PA) controladas. En el último año tuvo varios cambios en su tratamiento hipotensor por elevaciones paulatinas de la PA. Acude a la consulta por astenia, intolerancia al esfuerzo, decaimiento, parestesias y calambres musculares de varios meses de evolución que iban progresivamente en aumento. Tras un estudio detallado se llega a la conclusión de que se trata de síntomas atribuibles a efectos secundarios de los bloqueadores beta, unido a una hiponatremia secundaria al consumo tanto de diuréticos como de carbamazepina. Igualmente se aprecia que el “supuesto buen control tensional”, no era correcto y que tras una simple automedición de PA en domicilio (AMPA) con aparato automático validado se constató de forma mantenida una variabilidad tensional con aumentos constantes de PA por la mañana. Tras los cambios correspondientes de tratamiento y un seguimiento posterior se apreció la desaparición de los síntomas y normalización de sus alteraciones iónicas.</p>" ] "en" => array:1 [ "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We present the case of a 70-year-old patient with histories of arterial hypertension (HTN), electrocardiographic left ventricular hypertrophy (LVH), trigeminal neuralgia, and with controlled blood pressure. In the last year, she has undergone several changes in her hypertensive treatment in response to gradual BP elevations. She attends the consult for reasons of physical weakness, stress intolerance, malaise, paresthesias and muscular cramps of several months evolution which had been becoming worse. After a detailed study, it becomes evident that we are dealing with beta-blocker side effects, together with a secondary hyponatremia resulting from the use of diuretics and carbamazepine. We also note that the assumption of “good blood pressure control” was incorrect. A simple home self-measurement with a validated automatic device revealed continued morning rises in BP. After appropriate treatment modifications and a later follow-up, symptoms are observed to disappear and ionic alterations are normalized.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hiponatremia al ingreso en pacientes mayores de 65 años. Relación con la estancia media y mortalidad hospitalaria" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "A. García" 1 => "C. Gadea" 2 => "B. Oliva" 3 => "R. Ruiz" 4 => "F. Antón" 5 => "J. Pinilla" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Ann Med Interna" "fecha" => "1994" "volumen" => "10" "paginaInicial" => "487" "paginaFinal" => "489" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hiponatremia en el anciano" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "P. Camos" 1 => "C. López" 2 => "S. Núñez" 3 => "A. Dalfó" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Aten Primaria" "fecha" => "1996" "volumen" => "17" "paginaInicial" => "34" "paginaFinal" => "38" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8742142" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Disorders of fluid balance deydratation and hiponatremia" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "K.M. Davis" 1 => "K.L. Minaker" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "paginaInicial" => "1183" "paginaFinal" => "1190" "serieTitulo" => "Principles of geriatrics. Medicine and Gerontology. 3.a ed" "serieFecha" => "1994" ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0020" "etiqueta" => "4." "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Rodés J, Guardia J.Medicina Interna versión electrónica. Capítulo 29.Alteraciones del agua y los electrólitos 1997. p. 243-9" ] ] ] 4 => array:3 [ "identificador" => "bib0025" "etiqueta" => "5." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fisiología clínica de los trastornos electrolíticos y del equilibrio ácido-base" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "B.D. Rose" 1 => "R.W. Post" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Trastornos de los electrólitos y del equilibrio ácido-base" "paginaInicial" => "447" "paginaFinal" => "476" "serieFecha" => "2002" ] ] ] ] ] ] 5 => array:3 [ "identificador" => "bib0030" "etiqueta" => "6." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Mora-Maciá" 1 => "R. González-Juanetey" 2 => "J. Redón" 3 => "A. Roca-Cusachs" 4 => "V. Lahera" 5 => "E. Poch" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Libro" => array:3 [ "fecha" => "2000" "editorial" => "pnCaronte" "editorialLocalizacion" => "Barcelona" ] ] ] ] ] ] 6 => array:3 [ "identificador" => "bib0035" "etiqueta" => "7." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "A quantitative analisis of the effects of activity and time of day on the diurnal variations of blood pressure" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "L.A. Clark" 1 => "L. Denby" 2 => "D. Pregibon" 3 => "S.G. Chlirman" 4 => "R.K. Lawrence" 5 => "T.G. Pickering" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "J Chronic Dis" "fecha" => "1987" "volumen" => "40" "paginaInicial" => "671" "paginaFinal" => "679" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/3597670" "web" => "Medline" ] ] ] ] ] ] ] ] 7 => array:3 [ "identificador" => "bib0040" "etiqueta" => "8." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Hormona tirotropa en la población adulta demandante de un centro de atención primaria" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J. Casas" 1 => "R. Marquet" 2 => "E. Grifell" 3 => "J.M. Benet" 4 => "P. Cortés" 5 => "A. Lucas" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Med Clin" "fecha" => "1990" "volumen" => "95" "paginaInicial" => "89" "paginaFinal" => "91" ] ] ] ] ] ] 8 => array:3 [ "identificador" => "bib0045" "etiqueta" => "9." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Alteraciones de Líquidos y electrólitos" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:2 [ 0 => "G.G. Singer" 1 => "B.M. Brenner" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:4 [ "titulo" => "Principios de Medicina Interna. Vol I. 14.a ed" "paginaInicial" => "303" "paginaFinal" => "316" "serieFecha" => "1998" ] ] ] ] ] ] 9 => array:3 [ "identificador" => "bib0050" "etiqueta" => "10." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Circadian variation in the frecuency of onset of acute myocardial infarction" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "J.E. Muller" 1 => "P.H. Stone" 2 => "Z.G. Turi" 3 => "J.D. Rutherferd" 4 => "C.A. Czeisler" 5 => "C. Parker" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJM198511213132103" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "1985" "volumen" => "313" "paginaInicial" => "1315" "paginaFinal" => "1322" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2865677" "web" => "Medline" ] ] ] ] ] ] ] ] 10 => array:3 [ "identificador" => "bib0055" "etiqueta" => "11." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Increased morning incidence of myocardial infarction in the ISAM study: absece with prior beta-adrenergic blockade" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.N. Willich" 1 => "T. Linderer" 2 => "K. Wegscheider" 3 => "A. Leizorovicz" 4 => "I. Alamercery" 5 => "R. Schroder" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:6 [ "tituloSerie" => "Circulation" "fecha" => "1989" "volumen" => "80" "paginaInicial" => "853" "paginaFinal" => "858" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2571430" "web" => "Medline" ] ] ] ] ] ] ] ] 11 => array:3 [ "identificador" => "bib0060" "etiqueta" => "12." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "The patophsysiology of the onser of morning cardiovascular events" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "M.Y. Jhonstone" 1 => "M. Mittelman" 2 => "G. Tofler" 3 => "J.E. Muller" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Am J Hypertens" "fecha" => "1996" "volumen" => "9" "paginaInicial" => "222" "paginaFinal" => "282" ] ] ] ] ] ] 12 => array:3 [ "identificador" => "bib0065" "etiqueta" => "13." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diurnal variation in incidence of stroke. Oxfordshire community stroke proyect" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:6 [ 0 => "S.J. Wroe" 1 => "P. Sandecock" 2 => "J. Bamford" 3 => "L. Wilhense" 4 => "K.J. Rothman" 5 => "S. Greeland" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Br Med J" "fecha" => "1992" "volumen" => "304" "paginaInicial" => "155" "paginaFinal" => "157" ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "es" "url" => "/18891837/0000002000000004/v1_201307261547/S1889183703713762/v1_201307261547/es/main.assets" "Apartado" => array:4 [ "identificador" => "9113" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Caso clínico" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/18891837/0000002000000004/v1_201307261547/S1889183703713762/v1_201307261547/es/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1889183703713762?idApp=UINPBA00004N" ]
Journal Information
Valoración global del enfermo hipertenso. Hiponatremia inducida por carbamazepina y diuréticos
Global evaluation of hypertensive patients. Hyponatremia induced by carbamazepine and diuretics
E. Martín Rioboóa,
, F.J. Fonseca del Pozob, E.I. García Criadoc
Corresponding author
emartinrioboo@supercable.es
Correspondencia: E. Martín Rioboó. C./ Antonio Barroso y Castillo, 10, 4.o 1. 14006 Córdoba.
Correspondencia: E. Martín Rioboó. C./ Antonio Barroso y Castillo, 10, 4.o 1. 14006 Córdoba.