Paroxysmal Tachycardia with Polyuria

Article1 September 1966Paroxysmal Tachycardia with PolyuriaMYRON H. LURIA, M.D., EDWARD I. ADELSON, M.D., SOMCHART LOCHAYA, M.D.MYRON H. LURIA, M.D., EDWARD I. ADELSON, M.D., SOMCHART LOCHAYA, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-65-3-461 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAlthough 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...References1. WENCKEBACHWINTERBERG KFH: Die unregelmässige Hertztätigkeit. Verlag von Wilhelm Engelmann, Leipzig, 1927, p. 252. Google Scholar2. WHITE PD: Heart Disease, 4th ed. Macmillan, New York, 1951, p. 883. Google Scholar3. FRIEDBERG CK: Diseases of the Heart, 2nd ed. W. B. Saunders Co., Philadelphia and London, 1956, p. 347. Google Scholar4. KATZPICK LNA: Clinical Electrocardiography: Part I. The Arrhythmias. Lea & Febiger, Philadelphia, 1956, pp. 276-277. Google Scholar5. WOOD P: Diseases of the Heart and Circulation, 2nd ed. J. B. Lippincott, Philadelphia, 1956, p. 237. Google Scholar6. JONES GM: Paroxysmal auricular tachycardia: Observations in 47 cases. Ann. Intern. Med. 40: 581, 1954. LinkGoogle Scholar7. SPANG K: Rhythmusstörungen des Herzens, Georg Thieme Verlag, Stuttgart, 1957, p. 163. Google Scholar8. SCHERFBOYD DLJ: Cardiovascular Diseases, 3rd ed. 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LYDTINHAMILTON HWF: Effect of acute changes in left atrial pressure on urine flow in unanesthetized dogs. Ibid., p. 530. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: MYRON H. LURIA, M.D.; EDWARD I. ADELSON, M.D.; SOMCHART LOCHAYA, M.D.Affiliations: Chicago, IllinoisFrom the Cardiovascular Institute and Division of Cardiovascular Disease, Department of Medicine, Michael Reese Hospital and Medical Center, Chicago, Ill.This study was supported in part by grant HE-06375, National Heart Institute, National Institutes of Health, Bethesda, Md.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.Requests for reprints should be addressed to Louis N. Katz, M.D., Cardiovascular Institute, Michael Reese Hospital and Medical Center, Chicago, Ill. 60616. 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