Evidence map›Paper›PMID 39085067›Full record

ArticleInternal medicine (Tokyo, Japan)2025

Exercise-associated Hyponatremia Developing Immediately after a Musical Stage Performance in a Healthy Actress.

Moeko Kubo, Ichiro Horie, Jun-Ichi Tokumitsu, Hideyuki Tsuchiyama, Erika Nakaji, Keiko Naganobu, Haruka Arimori, Ai Haraguchi, Toshiyuki Ikeoka, Atsushi Kawakami

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Internal medicine (Tokyo, Japan), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Moeko KuboDepartment of Diabetes and Endocrinology, Isahaya General Hospital, Japan Community Health Care Organization, Japan.
Ichiro HorieDepartment of Endocrinology and Metabolism, Nagasaki University Hospital, Japan.
Jun-Ichi TokumitsuDepartment of Diabetes and Endocrinology, Isahaya General Hospital, Japan Community Health Care Organization, Japan.
Hideyuki TsuchiyamaDepartment of Diabetes and Endocrinology, Isahaya General Hospital, Japan Community Health Care Organization, Japan.
Erika NakajiDepartment of Diabetes and Endocrinology, Isahaya General Hospital, Japan Community Health Care Organization, Japan.
Keiko NaganobuDepartment of Diabetes and Endocrinology, Isahaya General Hospital, Japan Community Health Care Organization, Japan.
Haruka ArimoriDepartment of Diabetes and Endocrinology, Isahaya General Hospital, Japan Community Health Care Organization, Japan.
Ai HaraguchiDepartment of Endocrinology and Metabolism, Nagasaki University Hospital, Japan.
Toshiyuki IkeokaDepartment of Endocrinology and Metabolism, Nagasaki University Hospital, Japan.
Atsushi KawakamiDepartment of Endocrinology and Metabolism, Nagasaki University Hospital, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Exercise-associated hyponatremia (EAH) is a life-threatening dilutional hyponatremia that typically occurs during or immediately after exercise in endurance athletes. A 49-year-old actress experienced dizziness 15 min after a 2-h stage performance while drinking several bottles of water. Thirty minutes later, the patient fell unconscious and was hospitalized. On admission, she showed dilutional hyponatremia (117 mmol/L) with extremely elevated arginine vasopressin (11.3 pg/mL). After initial treatment with 3% saline, her sodium levels immediately increased, and she recovered consciousness without developing subsequent osmotic demyelination syndrome. This case emphasizes the need for caution against excessive fluid intake during and/or after exercise to avoid EAH, even in non-athletes.

Indexed as

ExerciseHyponatremiaMusicFemaleHumansMiddle Agedantidiuretic hormone (ADH)arginine vasopressin (AVP)exercise-associated hyponatremia (EAH)hyponatremiarhabdomyolysis

Identifiers

PMID39085067
PMCPMC11949682

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.