Low sodium levels may disrupt heart rhythms, study finds
NCT ID NCT07255833
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study examined 250 adults with dangerously low sodium levels to see how it changes their heart's electrical signals (ECG). Researchers compared ECGs taken when sodium was low and after it was corrected. The goal was to understand which heart rhythm changes occur and whether they go away after treatment.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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250 people
The number who actually took part.
- Started
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Jun 2022
- Finished
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Jan 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients with profound hyponatremia presenting to the emergency department
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Adult patients ≥18 years of the Emergency Department of the University Hospital of Cologne/Germany * Plasma sodium ≤125 mmol/L in the admission blood sample and ≥ 130 mEq/L in a subsequent sample obtained during inpatient care. * 12-lead-ECG on admission and a second ECG during inpatient care after resolution of profound hyponatremia. Exclusion Criteria: * Lack of follow-up sodium analyses within the first 24 hours after admission * initial blood glucose \>300 mg/dL * Moderate or severe hypokalemia (potassium level \< 3 mmol/L) * Moderate or severe hyperkalemia (potassium level \> 6 mmol/L) * Pacemaker dependency with ventricular pacing * Relevant structural heart disease * Severe ischemic cardiomyopathy with an EF \< 35% * Untreated severe aortic valve stenosis * Dilated cardiomyopathy (DCM) * Hypertrophic cardiomyopathy (HCM) * Arrhythmogenic right ventricular cardiomyopathy (ARVC) * Infiltrative cardiomyopathy * Ion channel disease
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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University Hospital Cologne
Cologne, 50937, Germany
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Other studies related to the condition(s) this trial covers.
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