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Palpitation followed by polyuria
    Differential Diagnosis[Top] [Nav]
paroxysmal atrial tachyarrhythmia
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • AV nodal re-entrant tachycardia was most likely arrhythmia to cause polyuria. It was also the one most likely to raise atrial pressure. [101]
  • If high levels of natriuretic peptides are a result of left ventricular dysfunction, as this paper reports, then we can explain Wood's observation that polyuria does not follow tachycardia when left ventricular dysfunction is present. [107]
  • Editorial on the McDonagh paper. [108]
  • Correspondence on the McDonagh paper. [109]
    Footnotes in Print Edition[Top] [Nav]
    (1) Polyuria in paroxysmal tachycardia and paroxysmal atrial flutter and fibrillation.
  Wood P.   Br Heart J. 1963;25:273-282.
    (2) Paroxysmal tachycardia with polyuria.
  Luria MH, Adelson EI, et al.   Ann Intern Med 1966 Sep;65(3):461-70.  Pubmed  Similars
    (3a) Mechanism of polyuria and natriuresis in atrioventricular nodal tachycardia.
  Canepa-Anson R, Williams M, et al.   Br Med J (Clin Res Ed) 1984 Oct 6;289(6449):866-8.  Pubmed+Abstract  Similars
    (3b) Mechanism of polyuria and natriuresis in atrioventricular nodal tachycardia.
  Penney MD, Rizeq M.   Br Med J. 1984;289:1536.
    (4a) Plasma concentration of atrial natriuretic factor in a patient with paroxysmal atrial tachycardia [letter].
  Schiffrin EL, Gutkowska J, et al.   N Engl J Med 1985 May 2;312(18):1196-7.  Pubmed  Similars
    (4b) Possible role for atrial natriuretic peptide in polyuria associated with paroxysmal atrial arrhythmias [letter].
  Yamaji T, Ishibashi M, et al.   Lancet 1985 May 25;1(8439):1211.  Pubmed  Similars
    (5) Atrial natriuretic factor during atrial fibrillation and supraventricular tachycardia.
  Roy D, Paillard F, et al.   J Am Coll Cardiol 1987 Mar;9(3):509-14.  Pubmed+Abstract  Similars
    (6) Some clinical aspects of migraine. A prospective survey of 500 patients.
  Lance JW, Anthony M.   Arch Neurol 1966 Oct;15(4):356-61.  Pubmed  Similars
    (-) Atrial endocrine function in humans with artificial hearts.
  Schwab TR, Edwards BS, et al.   N Engl J Med 1986 Nov 27;315(22):1398-401.  Pubmed  Similars
    New References[Top] [Nav]

Clinical aspects
    101.Neurohumoral and hemodynamic mechanisms of diuresis during atrioventricular nodal reentrant tachycardia.
  Abe H, Nagatomo T, et al.   Pacing Clin Electrophysiol 1997 Nov;20(11):2783-8.  Pubmed+Abstract  Similars
    102.Atrial regulation of intravascular volume: observations on the tachycardia-polyuria syndrome.
  Zullo MA.   Am Heart J 1991 Jul;122(1 Pt 1):188-94.  Pubmed+Abstract  Similars
    103.The polyuria of paroxysmal atrial tachycardia.
  Kinney MJ, Stein RM, et al.   Circulation 1974 Sep;50(3):429-35.  Pubmed  Similars

Biochemistry of natriuretic peptides
    104.Effect of induced supraventricular tachycardias on changes in urine output and plasma hormone levels in man.
  Kaye GC, Bayliss P, et al.   Clin Sci (Colch) 1992 Jan;82(1):33-7.  Pubmed+Abstract  Similars
    105.Different mechanisms of polyuria and natriuresis associated with paroxysmal supraventricular tachycardia.
  Fujii T, Kojima S, et al.   Am J Cardiol 1991 Aug 1;68(4):343-8.  Pubmed+Abstract  Similars
    106.Plasma levels of immunoreactive atrial natriuretic factor increase during supraventricular tachycardia.
  Nicklas JM, DiCarlo LA, et al.   Am Heart J 1986 Nov;112(5):923-8.  Pubmed+Abstract  Similars

Natriuretic peptides in the detection of heart failure
    107.Biochemical detection of left-ventricular systolic dysfunction [see comments].
  McDonagh TA, Robb SD, et al.   Lancet 1998 Jan 3;351(9095):9-13.  Pubmed+Abstract  Similars
    108.Natriuretic peptides in detection of heart failure [comment].
  Dickstein K.   Lancet 1998 Jan 3;351(9095):4.  Pubmed  Similars
    109.Biochemical detection of systolic dysfunction [letter; comment].
  Sionis A, Bosch X.   Lancet 1998 Apr 4;351(9108):1063; discussion 1063-4.  Pubmed  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:34 PDT on July 4, 2000.[Top]

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