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Paroxysmal Tachycardia with Polyuria
- MYRON H. LURIA, M.D.;
- EDWARD I. ADELSON, M.D.; and
- SOMCHART LOCHAYA, M.D.
- Requests for reprints should be addressed to Louis N. Katz, M.D., Cardiovascular Institute, Michael Reese Hospital and Medical Center, Chicago, Ill. 60616.
Excerpt
Although familiar to many physicians, the polyuria associated with paroxysmal tachycardia is a phenomenon which has received insufficient attention until recently. Wenckebach and Winterberg (1) found that "For many cases, polyuria preceding or associated with an attack, is quite typical with excretion of large amounts of light urine of low specific gravity." They termed it "urina spastica." However, the diuresis has received only brief mention in several standard textbooks (2-5) and somewhat more attention by Jones (6), Spang (7) and Scherf and Boyd (8). The current clinical awareness of this remarkable renal response to paroxysmal tachycardia is principally the result
This 100-word excerpt has been provided in the absence of an abstract.
Summario in Interlingua
Approximativemente un medietate del patientes con tachycardia paroxysmal sed sin morbo cardiac valvular manifesta un associate polyuria.
In un patiente qui esseva studiate meticulosemente durante plure paroxysmos, augmentate valores esseva constatate pro le excretion total de soluto, pro le clearance de aqua libere, e pro le clearance de creatinina endogene. Isto esseva accompaniate de un augmento initial in le tension dextero-atrial. Le rendimento cardiac esseva tenite sub observation durante le periodo del diurese maximal. Illo non se monstrava marcatemente elevate.
Le diurese de aqua es possibilemente relationate con le distension sinistro-atrial e le subsequente inhibition de hormon antidiuretic. Isto non exclude le possibilitate del participation de altere mechanismos. Le mechanismo del diurese de soluto remane obscur.
Article and Author Information
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From the Cardiovascular Institute and Division of Cardiovascular Disease, Department of Medicine, Michael Reese Hospital and Medical Center, Chicago, Ill.
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This study was supported in part by grant HE-06375, National Heart Institute, National Institutes of Health, Bethesda, Md.
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Dr. Lochaya is a Postdoctorate Research Fellow in the Cardiovascular Institute of the Michael Reese Hospital and Medical Center, supported by training grant 5T1-HE-05252, National Heart Institute, National Institutes of Health, Bethesda, Md.
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- Received March 21, 1966.
- Accepted April 29, 1966.
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