Effects of Spironolactone on Serum and Muscle Electrolytes in Patients on Long-term Diuretic Therapy for Congestive Heart Failure And/or Arterial Hypertension
Overview
Authors
Affiliations
The effect of adding spironolactone (Aldactone) on muscle electrolytes was studied in 48 patients with arterial hypertension and/or congestive heart failure who had received conventional diuretic treatment, including a potassium supplement, for more than 1 year. After 6 months on spironolactone 100 mg/day as well as the original conventional diuretic therapy, there was a significant increase in both skeletal muscle potassium and magnesium. At the same time these parameters decreased in the control group. In the spironolactone group there was also a significant increase in the mean serum potassium and creatinine levels. There was a significant fall in blood pressure in the spironolactone-treated group.
Physiology of a Forgotten Electrolyte-Magnesium Disorders.
Ray E, Mohan K, Ahmad S, Wolf M Adv Kidney Dis Health. 2023; 30(2):148-163.
PMID: 36868730 PMC: 10291516. DOI: 10.1053/j.akdh.2022.12.001.
Burton L, Sumukadas D, Witham M, Struthers A, McMurdo M Am J Med. 2013; 126(7):590-7.
PMID: 23706520 PMC: 3695565. DOI: 10.1016/j.amjmed.2012.11.032.
Sica D Curr Cardiol Rep. 2011; 13(6):520-6.
PMID: 21993610 DOI: 10.1007/s11886-011-0224-z.
Treatment considerations with aldosterone receptor antagonists.
Sica D, Flack J J Clin Hypertens (Greenwich). 2011; 13(1):65-9.
PMID: 21214724 PMC: 8673171. DOI: 10.1111/j.1751-7176.2010.00377.x.
Optimizing care of heart failure after acute MI with an aldosterone receptor antagonist.
Verma A, Solomon S Curr Heart Fail Rep. 2008; 4(4):183-9.
PMID: 18221614 DOI: 10.1007/s11897-007-0011-8.