Advanced Disturbances of the Cardiac Mechanism in Potassium Intoxication in Man

Author:

LEVINE HAROLD D.1,MERRILL JOHN P.1,SOMERVILLE WALTER1

Affiliation:

1. From the Medical Clinic of the Peter Bent Brigham Hospital and the Department of Medicine, Harvard Medical School, Boston, Mass.

Abstract

The use of the artificial kidney at the Peter Bent Brigham Hospital in the treatment of acute renal shutdown has afforded a unique and extensive opportunity to study the disturbances of rhythm and conduction occurring in potassium intoxication. In this theoretic, and at times frankly speculative, paper the authors present evidence which suggests the applicability to man of Wiggers' views based upon animal experimentation, namely that the ectopic rhythms developing in this condition arise "by default" (escape mechanisms) rather than "by usurpation" (increased excitability) and that potassium exerts its early and preponderant effect upon the subendocardial layers of the human ventricle.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference32 articles.

1. WINKLER WV. WV. HOFF H. E. AND SMITH P. K.: Cardiovascular effects of potassium calcium magnesium and barium. Yale J. Biol. & Chem. 1 . 123 1940-41.

2. THE RÔLE OF POTASSIUM IN PHYSIOLOGICAL PROCESSES

3. Electrical changes in the isolated heart of the rabbit following changes in the potassium content of the perfusing fluid;MCLEAN F. C.;Am. J. Physiol.,1933

4. Electrocardiographic changes associated with experimental alterations in blood potassium in cats

5. Uber erregende Wirkungen der Kalium auf das Shugertierherz (extrasystolische Tachykardie, Flimmern). Pfluiger's Arch. f. d. ges;HERING H. E.;Physiol.,1915

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