Document Detail

Dominance of blood pressure in natriuresis associated with supraventricular tachycardia.
MedLine Citation:
PMID:  1826764     Owner:  NLM     Status:  MEDLINE    
Supraventricular tachycardia was induced in 10 patients by programmed cardiac stimulation through esophageal lead. Blood pressure, heart rate, renal function, and hormonal factors were measured before, during, and after tachycardia. The patients were divided into two groups, depending on whether antinatriuresis occurred during tachycardia; one group (n = 5) with antinatriuresis during tachycardia associated with a decrease in blood pressure and the other group (n = 5) with neither antinatriuresis nor changes in blood pressure. The urinary sodium excretion tended to increase after tachycardia only in the latter group. On the other hand, urine volume and free water clearance increased during or after tachycardia in both groups. Plasma levels of atrial natriuretic peptide significantly increased and the urinary vasopressin excretion significantly decreased during tachycardia in both groups. During tachycardia, natriuresis due to atrial natriuretic peptide secretion seems to be hampered by hypotension, but polyuria is preserved despite the fall in blood pressure probably related to suppression of vasopressin release.
T Fujii; S Kojima; T Ohe; S Karakawa; T Iida; Y Hirata; M Kuramochi; K Shimomura; K Ito; T Omae
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Nephron     Volume:  57     ISSN:  0028-2766     ISO Abbreviation:  Nephron     Publication Date:  1991  
Date Detail:
Created Date:  1991-05-23     Completed Date:  1991-05-23     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0331777     Medline TA:  Nephron     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  262-7     Citation Subset:  IM    
Department of Medicine, National Cardiovascular Center Hospital, Osaka, Japan.
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MeSH Terms
Arginine Vasopressin / metabolism
Atrial Natriuretic Factor / secretion
Blood Pressure / physiology*
Hemodynamics / physiology
Kidney / physiopathology
Middle Aged
Natriuresis / physiology*
Polyuria / etiology,  physiopathology
Tachycardia, Supraventricular / complications,  physiopathology*
Reg. No./Substance:
113-79-1/Arginine Vasopressin; 85637-73-6/Atrial Natriuretic Factor

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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