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LCDR Edwin A. Rutsky, MC

Arch Intern Med. 1971;128(3):445-447.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Peritoneal dialysis has been utilized extensively in the management of patients with acute and chronic renal failure and in acute drug intoxication. Although many of the hazards of this procedure have been discussed in detail,^1-6 the occurrence of vagal-induced bradycardia and hypotension have been mentioned only briefly.^2,7,8 That serious and life-threatening arrhythmias may be produced by peritoneal dialysis-induced vagotonia has not been emphasized. This report stresses the potentially serious nature of such arrhythmias observed during the performance of peritoneal dialysis in three patients.

Patient Summaries

PATIENT 1.

—A 54-year-old woman was admitted to the Portsmouth Naval Hospital in December 1969 following the onset of pericarditis associated with chronic renal failure. Physical examination showed the blood pressure to be 136/92 mm Hg and the pulse rate, 94 beats per minute. Moderate cardiomegaly and a typical three-component pericardial friction rub were present. Pitting edema was present in the lower extremities. . . . [Full Text PDF of this Article]

Author Affiliations
USNR, Portsmouth, Va

From the Department of Medicine, Naval Hospital, Portsmouth, Va.

Footnotes
Received for publication July 29, 1970; accepted Feb 8, 1971.

The opinions or assertions contained herein are those of the author and are not to be construed as official or reflecting the views of the Navy Department or the Naval Service at large.

Reprint requests to Department of Medicine, Division of Nephrology, University of Alabama Medical Center, Birmingham, Ala 35233 (Dr. Rutsky).

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