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Paroxysmal Tachycardia with Polyuria

Ann Intern Med. 1966;65(3):461-470. doi:10.7326/0003-4819-65-3-461
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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


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