Transient diabetes insipidus in post CABG patient after vasopressin withdrawal: A report
Mukesh Kumar Jaswant Singh Pachahara, Rajat Kalra, Ravi Roshan, Hirday Kumar
TL;DR
A patient developed transient diabetes insipidus after stopping vasopressin following heart surgery.
Contribution
This report highlights a rare case of DI caused by vasopressin withdrawal after CABG.
Findings
Diabetes insipidus occurred after vasopressin was discontinued post-CABG.
The case suggests a possible link between vasopressin withdrawal and DI.
The condition was transient and resolved with appropriate management.
Abstract
Vasopressin is increasingly being used as inotropic agent due to its catecholamine's sparing property. Vasopressin is instrumental in rapid adjustment of water excretion according to the state of body hydration. It is also used in treatment of DI; Arginine vasopressin disorder, formerly known as diabetes insipidus (DI), is a disease process that results in either decreased release of antidiuretic hormone (Anti Diuretic Hormone (ADH), also known as vasopressin or Arginine Vasopressin (AVP) or reduced response to ADH, causing electrolyte imbalances. however, there are only anecdote reports discussing the precipitation of DI d/t vasopressin withdrawal. Hence, we report a case of diabetes insipidus in post Coronary artery bypass grafting after vasopressin withdrawal.
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Taxonomy
TopicsElectrolyte and hormonal disorders · Neuroendocrine regulation and behavior · Ion Transport and Channel Regulation