|
KMID : 1155520210160030284
|
|
Anesthesia and Pain Medicine
2021 Volume.16 No. 3 p.284 ~ p.289
|
|
|
Tachycardia-polyuria syndrome after swan-ganz catheterization in liver transplant patient - A case report -
|
|
Heo Sang-Kwon
Kim Kyoung-Sun
Lee Jeong-Hyun
Song Jun-Gol
|
|
|
Abstract
|
|
|
Background: Tachycardia-polyuria syndrome is characterized by polyuria occurring because of tachycardia with a heart rate of ≥ 120 beats/min lasting ≥ 30 min. We report such a case occurring after swan-ganz catheterization.
Case: A 41-year-old male was scheduled for living-donor liver transplantation. After general anesthesia, atrial fibrillation occurred during swan-ganz catheterization, and polyuria developed 1 h later. During the anhepatic phase, the patient’s heart rate increased further, and cardioversion was performed. After a normal sinus rhythm was achieved, the patient’s urine output returned to normal.
Conclusions: The patient’s polyuria seemed related to the iatrogenic atrial fibrillation occurring during swan-ganz catheterization. Although we did not measure atrial natriuretic peptide, an increase in its concentration may have been the main mechanism of polyuria, as natriuresis was observed.
|
|
|
KEYWORD
|
|
|
Antidiuretic hormone, Atrial fibrillation, Atrial natriuretic peptide, Polyuria, Swan-ganz catheter
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|