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Patients on dexamethasone may experience fewer overall side effects due to its relative lack of mineralocorticosteroid effects and consequently lower sodium retention than seen with other steroids.12, 13 Sodium balance A recent study of the relationship between sodium intake and the risk of sudden death in patients with congestive heart failure found that patients on salt-controlled regimens had a lower incidence of sudden death than they did in those on regular sodium restriction, manufacturer dexamethasone.14 The most serious of myocardial causes of death is myocardial infarction, which is directly related to excess sodium intake (Table 3). Potential adverse effects from sodium intake In patients consuming a sodium-containing diet, the risk of premature death may be elevated by 30%-40% if those who are very high risk for cardiovascular disease (high plasma sodium) are on a sodium-containing diet.15 This group includes patients with high-grade or even mildly elevated plasma sodium (>180mM) that is not related to other risk factors and that cannot be effectively reduced by a sodium-restricted diet. Table 3. Possible adverse effect(s) associated with the consumption of large quantities of high sodium foods (see below), not otherwise specified, in patients with acute or severe coronary disease Cardiovascular disease Cardiovascular disease Patients with acute coronary syndrome Increased sodium intake (≥160mg/d) Cardiovascular disease Patients with chronic cardiovascular disease Increased sodium intake (≥80 mg/d) Cardiovascular disease In patients with acute coronary syndrome, sodium intake may be associated with a greater risk of myocardial infarction, stroke, and heart failure, advar pharma anavar.16, 18-21 However, these associations may not apply on long-term followup, advar pharma anavar.22, 24 In patients with chronic cardiovascular disease, sodium intake is strongly related to hypertension, although studies have shown conflicting results concerning risk of these and other diseases independent of hypertension, effects of steroids in athletes.25-28 In addition, the effect of sodium on the risk of cardiovascular disease and mortality appears to be associated with its rate of excretion, effects of steroids in athletes.29-32 There appears to be no increased risk with increased sodium intake independent of a high sodium excretion rate, although some evidence has suggested that the relative risk of hypertension is higher in patients who have high-risk for cardiovascular disease, even those in the same weight reduction group, effects of steroids in athletes.14 In patients with acute coronary syndrome or a CVD, and especially patients receiving a sodium-containing diet, sodium intake may lower serum potassium levels and worsen potassium balance.7-9

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