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Cited by 18Cardiac Arrhythmias and TreatmentsCardiac electrophysiology and arrhythmiasHeart Rate Variability and Autonomic Control

Neurohumoral and hemodynamic mechanisms of diuresis during atrioventricular nodal reentrant tachycardia

ABE, HARUHIKO, NAGATOMO, TOSHIHISA, KOBAYASHI, HIDEYUKI, MIURA, YASUSHI, ARAKI, MASARU, KUROIWA, AKIO, NAKASHIMA, YASUHIDE·1997·Pacing and Clinical Electrophysiology
DOI 10.1111/j.1540-8159.1997.tb05436.x
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Abstract

Thirty-two consecutive patients with paroxysmal supraventricular tachycardias, with previously defined mechanisms of the tachycardias, were interviewed by noninvestigators about whether they experienced symptoms of diuresis during or at the termination of the tachycardias, to test the hypothesis that patients with AV nodal reentrant tachycardia would have a feeling of diuresis, polyuria, or both during or at the termination of the tachycardia. Twelve of the 13 patients with AV nodal reentrant tachycardia (92%), two of the 15 patients with AV reentrant tachycardia (13%), and one of the 4 patients with atrial flutter associated with 2:1 AV conduction (25%) felt diuresis during or at the termination of the tachycardias (AV nodal reentrant tachycardia vs other forms of tachycardia; P < 0.001). In 14 of the 32 patients, the right atrial pressure and plasma atrial natriuretic peptide (ANP) concentration were measured during both the tachycardias and sinus rhythm. The mean right atrial pressure during AV nodal reentrant tachycardia was significantly elevated compared to that during other forms of tachycardia (P < 0.01). The plasma ANP concentration during AV nodal reentrant tachycardia was also elevated significantly compared to that during other forms of tachycardias (P < 0.001). There were no significant differences in the cycle lengths of the tachycardias, age, left atrial dimensions, or the left ventricular ejection fraction between the AV nodal reentrant tachycardia and the other forms of tachycardia. We concluded that the feeling of diuresis during or at the termination of tachycardia was a more common symptom in patients with AV nodal reentrant tachycardia. The higher secretion of plasma ANP from the right atrium might be involved in the mechanism of this symptom.

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Authors
ABE, H., NAGATOMO, T., KOBAYASHI, H., MIURA, Y., ARAKI, M., KUROIWA, A., & NAKASHIMA, Y.
Affiliations
  • University of Occupational and Environmental Health Japan (JP)
  • University of Miyazaki (JP)
  • Kyushu Rosai Hospital (JP)
Corresponding author
ABE, HARUHIKO
ORCID
Venue
Pacing and Clinical Electrophysiology
Publisher
Wiley
Published
1997-11
Volume
20
Issue
11
Pages
2783-2788
ISSN
  • 0147-8389 (ISSN-L)
  • 1540-8159
DOI
10.1111/j.1540-8159.1997.tb05436.x
OpenAlex
W1995603660
Cited by
18
References
18
Citations by year
2025: 1 · 2022: 1 · 2021: 1 · 2019: 1 · 2017: 1 · 2016: 1 · 2015: 5 · 2013: 1 · 2012: 2
FWCI
0.00
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3163 d)
Locations
  • Pacing and Clinical Electrophysiology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Keywords
atrioventricular nodal reentrant tachycardia, diuresis, polyuria, atrial natriuretic peptide, right atrial pressure, paroxysmal supraventricular tachycardia, atrial flutter, patient-reported symptoms, hemodynamic mechanisms
MeSH terms
Cardiac Pacing, Artificial, Diuresis, Electrocardiography, Female, Heart Atria, Cardiac Catheterization, Hemodynamics, Humans, Male, Middle Aged, Atrial Natriuretic Factor, Surveys and Questionnaires, Radioimmunoassay, Tachycardia, Atrioventricular Nodal Reentry

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