Benign Prostate Hyperplasia (BPH) – Induced Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH): A Rare Precipitant of Acute Decompensated Heart Failure
Keywords:
ADHF, BPH, SIADH, HFpEF
Abstract
In Acute decompensation of heart failure (ADHF), the precipitating factors need to be identified and treated promptly. Urinary retention is rarely recognized as a cause of ADHF. Here, we presented a case of Benign Prostate Hypertrophy (BPH) with urinary retention inducing SIADH, which precipitated an episode of decompensated heart failure. The correction of hyponatremia and placement of a DC catheter, along with diuretic and tolvaptan administration, dramatically improved the patient’s condition.
Downloads
Download data is not yet available.
References
1. Ali D, Niemeijer M, Banerjee P. Urinary retention and heart failure: One of the many precipitating causes of decompensation. Int J Cardiol. 2012;154(2):38-39. doi:10.1016/j.ijcard.2011.05.095
2. Kumagai T, Miyashita H, Shimada U, Ono T. Severe Hyponatremia Caused by the Syndrome of Inappropriate Antidiuresis Due to Urinary Retention. Cureus. 2024;16(11):1-6. doi:10.7759/cureus.73589
3. Mahnič O, Bader P. a Rare Case of Hyponatremia Caused By Urinary Retention. Eur J Case Reports Intern Med. 2024;11(11). doi:10.12890/2024_004945
4. Ishikawa SE, Funayama H. Hyponatremia Associated with Congestive Heart Failure: Involvement of Vasopressin and Efficacy of Vasopressin Receptor Antagonists. J Clin Med. 2023;12(4):1-11. doi:10.3390/jcm12041482
5. Mangini S, Pires PV, Braga FGM, Bacal F. Decompensated heart failure. Einstein (Sao Paulo). 2013;11(3):383-91.
6. Pierre-Louis B, Rodriques S, Gorospe V, Guddati AK, Aronow WS, Ahn C, Wright M. Clinical factors associated with early readmission among acutely decompensated heart failure. Arch Med Sci. 2016;12(3):538-45.
7. Njoroge JN, Teerlink JR. Pathophysiology and therapeutic approaches to acute decompensated heart failure. Circ Res. 2021;128(10):1468-86.
8. Ali D, Niemeijer M, Banerjee P. Urinary retention and heart failure: one of the many precipitating causes of decompensation. Int J Cardiol. 2012;154(2):e38-9.
9. Kapoor JR, Kapoor R, Ju C, Heidenrich PA, Eapen ZJ, Hernandez AF, Butler J, Yancy CW, Fonarow GC. Precipitating clinical factors, heart failure characterization, and outcomes in patients hospitalized with heart failure with reduced, borderline, and preserved ejection fraction. JACC Heart Fail. 2016;5(6):464-72.
10. Manappallil RG, Chally R, Josephine B. SYMPTOMATIC HYPONATREMIA: a Consequence of Acute Urinary Retention Due to Benign Prostatic Hyperplasia. Indian Journal of Case Reports. 2019;5(3):297-298. doi:10.32677/ijcr.2019.v05.i03.034
11. Mahnič M, Bader N, Bader L. A rare case of hyponatremia caused by urinary retention. Eur J Case Rep Intern Med. 2024;11(9):004945. doi:10.12890/2024_004945_
2. Kumagai T, Miyashita H, Shimada U, Ono T. Severe Hyponatremia Caused by the Syndrome of Inappropriate Antidiuresis Due to Urinary Retention. Cureus. 2024;16(11):1-6. doi:10.7759/cureus.73589
3. Mahnič O, Bader P. a Rare Case of Hyponatremia Caused By Urinary Retention. Eur J Case Reports Intern Med. 2024;11(11). doi:10.12890/2024_004945
4. Ishikawa SE, Funayama H. Hyponatremia Associated with Congestive Heart Failure: Involvement of Vasopressin and Efficacy of Vasopressin Receptor Antagonists. J Clin Med. 2023;12(4):1-11. doi:10.3390/jcm12041482
5. Mangini S, Pires PV, Braga FGM, Bacal F. Decompensated heart failure. Einstein (Sao Paulo). 2013;11(3):383-91.
6. Pierre-Louis B, Rodriques S, Gorospe V, Guddati AK, Aronow WS, Ahn C, Wright M. Clinical factors associated with early readmission among acutely decompensated heart failure. Arch Med Sci. 2016;12(3):538-45.
7. Njoroge JN, Teerlink JR. Pathophysiology and therapeutic approaches to acute decompensated heart failure. Circ Res. 2021;128(10):1468-86.
8. Ali D, Niemeijer M, Banerjee P. Urinary retention and heart failure: one of the many precipitating causes of decompensation. Int J Cardiol. 2012;154(2):e38-9.
9. Kapoor JR, Kapoor R, Ju C, Heidenrich PA, Eapen ZJ, Hernandez AF, Butler J, Yancy CW, Fonarow GC. Precipitating clinical factors, heart failure characterization, and outcomes in patients hospitalized with heart failure with reduced, borderline, and preserved ejection fraction. JACC Heart Fail. 2016;5(6):464-72.
10. Manappallil RG, Chally R, Josephine B. SYMPTOMATIC HYPONATREMIA: a Consequence of Acute Urinary Retention Due to Benign Prostatic Hyperplasia. Indian Journal of Case Reports. 2019;5(3):297-298. doi:10.32677/ijcr.2019.v05.i03.034
11. Mahnič M, Bader N, Bader L. A rare case of hyponatremia caused by urinary retention. Eur J Case Rep Intern Med. 2024;11(9):004945. doi:10.12890/2024_004945_
Published
2026-06-11
Views & Downloads
Abstract views: 0
PDF downloads: 0
PDF downloads: 0
How to Cite
Aditya, W., Dewanggi, B., Dewi, P., Putra, T., & Prameswari, H. (2026). Benign Prostate Hyperplasia (BPH) – Induced Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH): A Rare Precipitant of Acute Decompensated Heart Failure. Indonesian Journal of Cardiology, 47(2), 222-227. https://doi.org/10.30701/ijc.2195
Section
Case Reports
Copyright (c) 2026 Indonesian Journal of Cardiology
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
