Benign Prostate Hyperplasia (BPH) – Induced Syndrome of Inappropriate Antidiuretic Hormone Secretion (SIADH): A Rare Precipitant of Acute Decompensated Heart Failure

Wahyu Aditya (Department of Cardiology and Vascular Medicine, Gatot Soebroto Central Army Hospital, Jakarta, Indonesia)
Bunga Dewanggi (Department of Cardiology and Vascular Medicine, Gatot Soebroto Central Army Hospital, Jakarta, Indonesia)
Paskariatne Probo Dewi (Department of Cardiology and Vascular Medicine, Gatot Soebroto Central Army Hospital, Jakarta, Indonesia)
Teuku Muhammad Haykal Putra (Department of Cardiology and Vascular Medicine, Jakarta Heart Center, Jakarta, Indonesia)
Hawani Sasmaya Prameswari (Department of Cardiology and Vascular Medicine, Hasan Sadikin General Hospital, Bandung, Indonesia)

Indonesian Journal of Cardiology
Vol 47 No 2 (2026): April - June, 2026

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.