Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1988 Apr;59(4):458–462. doi: 10.1136/hrt.59.4.458

Plasma atrial natriuretic polypeptide concentrations during and after reversion of paroxysmal supraventricular tachycardias.

J R Oliver 1, N Twidale 1, C Lakin 1, M Cain 1, A M Tonkin 1
PMCID: PMC1216491  PMID: 2967088

Abstract

Plasma concentrations of immunoreactive atrial natriuretic polypeptide were raised in 22 of 23 patients with paroxysmal supraventricular tachycardia and in all seven patients with atrial flutter. Plasma concentrations of atrial natriuretic polypeptide rose soon after the onset of supraventricular tachycardia. A sample taken 30 minutes after reversion to sinus rhythm (pharmacological or non-pharmacological) showed a significant fall in 19 of the 23 patients with paroxysmal supraventricular tachycardia and all seven patients with atrial flutter. Because atrial natriuretic polypeptide has powerful natriuretic and diuretic properties, an increase may contribute considerably to the polyuria that is often associated with episodes of supraventricular tachycardia.

Full text

PDF
458

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson J. V., Gibbs J. S., Woodruff P. W., Greco C., Rowland E., Bloom S. R. The plasma atrial natriuretic peptide response to treatment of acute cardiac failure, spontaneous supraventricular tachycardia and induced re-entrant tachycardia in man. J Hypertens Suppl. 1986 Jun;4(2):S137–S141. [PubMed] [Google Scholar]
  2. Boykin J., Cadnapaphornchai P., McDonald K. M., Schrier R. W. Mechanism of diuretic response associated with atrial tachycardia. Am J Physiol. 1975 Dec;229(6):1486–1491. doi: 10.1152/ajplegacy.1975.229.6.1486. [DOI] [PubMed] [Google Scholar]
  3. Canepa-Anson R., Williams M., Marshall J., Mitsuoka T., Lightman S., Sutton R. Mechanism of polyuria and natriuresis in atrioventricular nodal tachycardia. Br Med J (Clin Res Ed) 1984 Oct 6;289(6449):866–868. doi: 10.1136/bmj.289.6449.866. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Currie M. G., Geller D. M., Cole B. R., Boylan J. G., YuSheng W., Holmberg S. W., Needleman P. Bioactive cardiac substances: potent vasorelaxant activity in mammalian atria. Science. 1983 Jul 1;221(4605):71–73. doi: 10.1126/science.6857267. [DOI] [PubMed] [Google Scholar]
  5. JAMIESON J. D., PALADE G. E. SPECIFIC GRANULES IN ATRIAL MUSCLE CELLS. J Cell Biol. 1964 Oct;23:151–172. doi: 10.1083/jcb.23.1.151. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Kinney M. J., Stein R. M., DiScala V. A. The polyuria of paroxysmal atrial tachycardia. Circulation. 1974 Sep;50(3):429–435. doi: 10.1161/01.cir.50.3.429. [DOI] [PubMed] [Google Scholar]
  7. Kojima S., Akabane S., Ohe T., Tsuchihashi K., Yamamoto K., Kuramochi M., Shimomura K., Ito K., Omae T. Plasma atrial natriuretic polypeptide and polyuria during paroxysmal tachycardia in Wolff-Parkinson-White syndrome patients. Nephron. 1986;44(3):249–252. doi: 10.1159/000183996. [DOI] [PubMed] [Google Scholar]
  8. Kuribayashi T., Nakazato M., Tanaka M., Nagamine M., Kurihara T., Kangawa K., Matsuo H. Renal effects of human alpha-atrial natriuretic polypeptide. N Engl J Med. 1985 May 30;312(22):1456–1457. doi: 10.1056/NEJM198505303122213. [DOI] [PubMed] [Google Scholar]
  9. Laragh J. H. Atrial natriuretic hormone, the renin-aldosterone axis, and blood pressure-electrolyte homeostasis. N Engl J Med. 1985 Nov 21;313(21):1330–1340. doi: 10.1056/NEJM198511213132106. [DOI] [PubMed] [Google Scholar]
  10. Lewicki J. A., Greenberg B., Yamanaka M., Vlasuk G., Brewer M., Gardner D., Baxter J., Johnson L. K., Fiddes J. C. Cloning, sequence analysis, and processing of the rat and human atrial natriuretic peptide precursors. Fed Proc. 1986 Jun;45(7):2086–2090. [PubMed] [Google Scholar]
  11. Oikawa S., Imai M., Ueno A., Tanaka S., Noguchi T., Nakazato H., Kangawa K., Fukuda A., Matsuo H. Cloning and sequence analysis of cDNA encoding a precursor for human atrial natriuretic polypeptide. Nature. 1984 Jun 21;309(5970):724–726. doi: 10.1038/309724a0. [DOI] [PubMed] [Google Scholar]
  12. Rankin A. J., Courneya C. A., Wilson N., Ledsome J. R. Tachycardia releases atrial natriuretic peptide in the anesthetized rabbit. Life Sci. 1986 May 26;38(21):1951–1957. doi: 10.1016/0024-3205(86)90224-9. [DOI] [PubMed] [Google Scholar]
  13. Rascher W., Tulassay T., Lang R. E. Atrial natriuretic peptide in plasma of volume-overloaded children with chronic renal failure. Lancet. 1985 Aug 10;2(8450):303–305. doi: 10.1016/s0140-6736(85)90351-4. [DOI] [PubMed] [Google Scholar]
  14. Sagnella G. A., Markandu N. D., Shore A. C., MacGregor G. A. Effects of changes in dietary sodium intake and saline infusion on immunoreactive atrial natriuretic peptide in human plasma. Lancet. 1985 Nov 30;2(8466):1208–1211. doi: 10.1016/s0140-6736(85)90741-x. [DOI] [PubMed] [Google Scholar]
  15. Schiffrin E. L., Gutkowska J., Kuchel O., Cantin M., Genest J. Plasma concentration of atrial natriuretic factor in a patient with paroxysmal atrial tachycardia. N Engl J Med. 1985 May 2;312(18):1196–1197. doi: 10.1056/NEJM198505023121822. [DOI] [PubMed] [Google Scholar]
  16. Tikkanen I., Metsärinne K., Fyhrquist F. Atrial natriuretic peptide in paroxysmal supraventricular tachycardia. Lancet. 1985 Jul 6;2(8445):40–41. doi: 10.1016/s0140-6736(85)90087-x. [DOI] [PubMed] [Google Scholar]
  17. WOOD P. Polyuria in paroxysmal tachycardia and paroxysmal atrial flutter and fibrillation. Br Heart J. 1963 May;25:273–282. doi: 10.1136/hrt.25.3.273. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. de Bold A. J., Borenstein H. B., Veress A. T., Sonnenberg H. A rapid and potent natriuretic response to intravenous injection of atrial myocardial extract in rats. Life Sci. 1981 Jan 5;28(1):89–94. doi: 10.1016/0024-3205(81)90370-2. [DOI] [PubMed] [Google Scholar]
  19. de Bold A. J., Raymond J. J., Bencosme S. A. Atrial specific granules of the rat heart: light microscopic staining and histochemical reactions. J Histochem Cytochem. 1978 Dec;26(12):1094–1102. doi: 10.1177/26.12.83339. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES