Nephrogenic Diabetes Insipidus after Cardiac Catheterization and Intervention in a Patient with Ischemic Heart Disease Takato Hikosaka 1 , Kazuki Ito 1 , Takuji Tanabe 1 , Kan Zen 1 , Yoshihiko Adachi 1 , Satoshi Yoneyama 1 , Akihiro Azuma 2 , Shuji Katoh 1 1Division of Cardiovascular Medicine, Murakami Memorial Hospital, Asahi University 2Second Department of Medicine, Kyoto Prefectural University of Medicine Keyword: 虚血性心疾患 , 非イオン性低浸透圧造影剤 , 経皮的冠動脈形成術 , ステント留置 , ischemic heart disease , non ionic low osmolar contrast media , percutaneous transluminal angioplasty , stenting pp.1189-1192
Published Date 2000/11/15
DOI https://doi.org/10.11477/mf.1404902198
  • Abstract
  • Look Inside

We encountered a rare case of unstable angina pecto-ris associated with remarkable polyuria after cardiaccatheterization and intervention. The patient was an 80-year-old female who underwent cardiac catheteriza-tion including percutaneous transluminal coronary an-gioplasty and stenting for an unstable angina pectoris(#12 and # 14 on AHA classification). Contrast volumeused during cardiac catheterization and interventionwas 230ml. Soon after cardiac catheterization, thepatient had polyuria (over 1liter per hour), totaling 18liters of urine volume per day after cardiac catheteriza-tion. She had 29 liters of urine volume on the third dayafter cardiac catheterization. Urine osmolarity was 281mOsm/kg H2O and plasma osmolarity was 282 mOsm/kg・H2O. Plasma vasopressin concentration was nor-mal. Urinalysis revealed no remarkable findings. Bloodurea nitrogen and creatinine in blood chemistry werenormal, and she had a normal renogram on the thirdday. Urine volume and osmolarity was not changed bythe administered DDAVP. Urine osmolarity was 281-467mOsm/kg・H2O and plasma osmolarity was 279-286mOsm/kg・H2O. Urine volume was normalized underconservative therapy.

Copyright © 2000, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院