Literature DB >> 17656477

Use of the DeltaAG/DeltaHCO3- ratio in the diagnosis of mixed acid-base disorders.

Asghar Rastegar1.   

Abstract

When a strong acid is added to plasma, one expects a quantitative relationship between excess anion gap (DeltaAG) and bicarbonate deficit (DeltaHCO(3)(-)) with the DeltaAG/DeltaHCO(3)(-) ratio close to unity. If true, then this ratio could be used to diagnose mixed acid-base disorders in patients with metabolic acidosis. Although the mean ratio in selected patients is close to unity, this ratio also has a wide range, making its use in individual patients problematic. The ratio should therefore be used cautiously in making a diagnosis of mixed acid-base disorders.

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Year:  2007        PMID: 17656477     DOI: 10.1681/ASN.2006121408

Source DB:  PubMed          Journal:  J Am Soc Nephrol        ISSN: 1046-6673            Impact factor:   10.121


  11 in total

1.  Life-threatening reversible acidosis caused by alcohol abuse.

Authors:  Philip D Shull; Jayson Rapoport
Journal:  Nat Rev Nephrol       Date:  2010-07-20       Impact factor: 28.314

2.  Modified delta gap equation for quick evaluation of mixed metabolic Acid-base disorders.

Authors:  Mykola V Tsapenko
Journal:  Oman Med J       Date:  2013-01

Review 3.  Drug-induced acid-base disorders.

Authors:  Daniel Kitterer; Matthias Schwab; M Dominik Alscher; Niko Braun; Joerg Latus
Journal:  Pediatr Nephrol       Date:  2014-11-05       Impact factor: 3.714

Review 4.  Metabolic acidosis: pathophysiology, diagnosis and management.

Authors:  Jeffrey A Kraut; Nicolaos E Madias
Journal:  Nat Rev Nephrol       Date:  2010-03-23       Impact factor: 28.314

5.  Association between delta anion gap and hospital mortality for patients in cardiothoracic surgery recovery unit: a retrospective cohort study.

Authors:  Kai Xie; Chao Zheng; Gao-Ming Wang; Yi-Fei Diao; Chao Luo; Ellen Wang; Li-Wen Hu; Zhi-Jian Ren; Jing Luo; Bin-Hui Ren; Yi Shen
Journal:  BMC Surg       Date:  2022-05-14       Impact factor: 2.030

6.  Chloride alterations in hospitalized patients: Prevalence and outcome significance.

Authors:  Charat Thongprayoon; Wisit Cheungpasitporn; Zhen Cheng; Qi Qian
Journal:  PLoS One       Date:  2017-03-22       Impact factor: 3.240

7.  [Confusion, tachypnea, and tachycardia in a 71-year-old man with type 2 diabetes mellitus].

Authors:  S Großmann; U Hoffmann; C Girlich
Journal:  Internist (Berl)       Date:  2021-01-07       Impact factor: 0.743

8.  Familial distal renal tubular acidosis.

Authors:  Lihong Zhang; Bei Xu; Ya Niu; Yajuan Wang; Hui Tang
Journal:  J Int Med Res       Date:  2021-03       Impact factor: 1.671

Review 9.  Review of the Diagnostic Evaluation of Normal Anion Gap Metabolic Acidosis.

Authors:  Kenrick Berend
Journal:  Kidney Dis (Basel)       Date:  2017-09-01

10.  A case series of distal renal tubular acidosis, Southeast Asian ovalocytosis and metabolic bone disease.

Authors:  Wmsn Gunaratne; Dmdib Dissanayake; Kads Jayaratne; N P Premawardhana; Sisira Siribaddana
Journal:  BMC Nephrol       Date:  2020-08-05       Impact factor: 2.388

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