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Beriberi Heart Disease With Acute Renal Failure

Beriberi Heart Disease With Acute Renal Failure Abstract Patients with beriberi heart disease usually present with a history of dietary deficiency, signs of high output failure, and peripheral neuritis. A high blood pyruvic acid, an abnormally low peripheral vascular resistance,1 a favorable response to thiamine, and most specifically, an increased thiamine pyrophosphate (TPP) effect2 confirms the diagnosis. The purpose of this report is to present a patient who at first appeared to have primary renal failure and circulatory overload but who proved to have beriberi heart failure, which probably caused functional renal failure. Report of a Case A 36-year-old white carpenter and alcoholic was admitted to Crouse-Irving Hospital Nov 26, 1965, with a chief complaint of leg swelling and shortness of breath for five months. Four months prior to admission weight gain, shoulder weakness, and dyspnea on exertion forced him to stop work. He rested in his bachelor apartment where he drank an alleged five to seven bottles References 1. Wagner, P.I.: Beriberi Heart Disease , Amer Heart J 69:200, 1965.Crossref 2. Brin, M.: Erythrocytes as a Biopsy for Functional Evaluation of Thiamine Adequacy , JAMA 187:762, 1964.Crossref 3. Brin, M., et al: Some Preliminary Findings on the Nutritional Status of the Aged in Onondaga County, New York , Amer J Clin Nutr 17:240, 1965. 4. Walters, J.H.: Hyperpiesis in Cardiovascular Beriberi , Quart J Med 22:195, 1953. 5. Youmans, W.B.: Mechanism of High Output Circulatory Failure , Ann Intern Med 41:747, 1954.Crossref 6. Freeman, R.B.; Maker, J.F.; and Schriener, G.E.: Renal Tubular Necrosis Due to Nephrotoxicity of Organic Mercurial Diuretics , Ann Intern Med 57:34, 1962.Crossref 7. Merrill, J.P.: The Treatment of Renal Failure , New York: Grune & Stratton, Inc., 1965, p 112. 8. Kepler, E.J.: Beriberi From Diet of Raw Starch , JAMA 85:409, 1925.Crossref 9. Scott, L.C., and Herrman, G.R.: Beriberi (Maladie Des Jambes) in Louisiana , JAMA 20:2083, 1928.Crossref 10. Keefer, C.S.: The Beriberi Heart , Arch Intern Med 45:1, 1930.Crossref 11. Hashimoto, H.: Acute Pernicious Form of Beriberi and Its Treatment by Intravenous Administration of Vitamin B1 , Amer Heart J 13: 580, 1937.Crossref 12. Weiss, S., and Wilkins, R.W.: The Nature of the Cardiovascular Disturbances in Nutritional Deficiency States (Beriberi) , Ann Intern Med 11: 104, 1937.Crossref 13. Weiss, S.: Occidental Beriberi With Cardiovascular Manifestations , JAMA 115:832, 1940.Crossref 14. Porter, R.R., and Downs, R.S.: Some Physiological Observations on the Circulation During Recovery from Vitamin B1 Deficiency , Ann Intern Med 17:645, 1942.Crossref 15. Grady, C.W.: The Beriberi Heart , Med Bull Veterans Admin 20:424, 1944. 16. Blakenhorn, M.A., et al: Occidental Beriberi Heart Disease , JAMA 131:717, 1946.Crossref 17. Epstein, S.: Observations on Beriberi Heart Disease , Amer Heart J 34:432, 1947.Crossref 18. Lahey, W.J., et al: Physiologic Observations on a Case of Beriberi Heart Disease, With a Note on the Acute Effects of Thiamine , Amer J Med 14: 248, 1953.Crossref 19. Iseri, L.T., et al: Fluid and Electrolyte Balance During Recovery From High-Output Heart Failure Due to Beriberi , Circulation 9:247, 1954.Crossref 20. Blacket, R.B.: Edema in Heart Failure: Lessons From the Beriberi Heart , Aust Ann Med 4: 261, 1955. 21. Blacket, R.B., and Palmer, A.J.: Haemodynamic Studies in High Output Beriberi , Brit Heart J 22:483, 1960.Crossref 22. Jones, R.H. Jr.: Beriberi Heart Disease , Circulation 19:275, 1957.Crossref 23. Schlesinger, P., and Benchimol, A.B.: Cardiac Beriberi Simulating Arteriosclerotic Heart Disease , Amer Heart J 42:801, 1964.Crossref 24. Campbell, G.M.: Beriberi Cardiomyopathy , New Zeal Med J 64:503, 1965. 25. Akfarian, M.; Yankopoulos, N.A.; and Abelman, W.H.: Hemodynamic Studies in Beriberi Heart Disease , Amer J Med 41:197, 1966.Crossref 26. Arima, E.: Observations on the Non-Protein Nitrogen Blood Content in Beriberi , China Med J 31:336, 1917. 27. Hilton, J.G.; Hays, D.R.; and Bowen, E.H.: Effects of Acute Arteriovenous Fistula on Renal Function , Fed Proc 12:67, 1953. 28. Davis, J.O., et al: Hypersecretion of Aldosterone in Dogs With Chronic Aorticcaval Fistula and High Output Heart Failure , Circ Res 14:471, 1964.Crossref 29. Epstein, F.H.; Post, R.S.; and McDowell, M.: The Effect of an Arteriovenous Fistula on Renal Hemodynamics and Electrolyte Excretion , J Clin Invest 32:233, 1953.Crossref 30. Judson, W.W.: Cardiovascular Renal Regulation in the Hyperkinetic States , Progr Cardiov Dis 4:65, 1961.Crossref 31. Eichna, L.W., et al: Non-Cardiac Circulatory Congestion Simulating Congestive Heart Failure , Trans Assoc Amer Physicians 67:72, 1954. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Beriberi Heart Disease With Acute Renal Failure

Archives of Internal Medicine , Volume 120 (4) – Oct 1, 1967

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Publisher
American Medical Association
Copyright
Copyright © 1967 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1967.04410010108016
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Abstract

Abstract Patients with beriberi heart disease usually present with a history of dietary deficiency, signs of high output failure, and peripheral neuritis. A high blood pyruvic acid, an abnormally low peripheral vascular resistance,1 a favorable response to thiamine, and most specifically, an increased thiamine pyrophosphate (TPP) effect2 confirms the diagnosis. The purpose of this report is to present a patient who at first appeared to have primary renal failure and circulatory overload but who proved to have beriberi heart failure, which probably caused functional renal failure. Report of a Case A 36-year-old white carpenter and alcoholic was admitted to Crouse-Irving Hospital Nov 26, 1965, with a chief complaint of leg swelling and shortness of breath for five months. Four months prior to admission weight gain, shoulder weakness, and dyspnea on exertion forced him to stop work. He rested in his bachelor apartment where he drank an alleged five to seven bottles References 1. Wagner, P.I.: Beriberi Heart Disease , Amer Heart J 69:200, 1965.Crossref 2. Brin, M.: Erythrocytes as a Biopsy for Functional Evaluation of Thiamine Adequacy , JAMA 187:762, 1964.Crossref 3. Brin, M., et al: Some Preliminary Findings on the Nutritional Status of the Aged in Onondaga County, New York , Amer J Clin Nutr 17:240, 1965. 4. Walters, J.H.: Hyperpiesis in Cardiovascular Beriberi , Quart J Med 22:195, 1953. 5. Youmans, W.B.: Mechanism of High Output Circulatory Failure , Ann Intern Med 41:747, 1954.Crossref 6. Freeman, R.B.; Maker, J.F.; and Schriener, G.E.: Renal Tubular Necrosis Due to Nephrotoxicity of Organic Mercurial Diuretics , Ann Intern Med 57:34, 1962.Crossref 7. Merrill, J.P.: The Treatment of Renal Failure , New York: Grune & Stratton, Inc., 1965, p 112. 8. Kepler, E.J.: Beriberi From Diet of Raw Starch , JAMA 85:409, 1925.Crossref 9. Scott, L.C., and Herrman, G.R.: Beriberi (Maladie Des Jambes) in Louisiana , JAMA 20:2083, 1928.Crossref 10. Keefer, C.S.: The Beriberi Heart , Arch Intern Med 45:1, 1930.Crossref 11. Hashimoto, H.: Acute Pernicious Form of Beriberi and Its Treatment by Intravenous Administration of Vitamin B1 , Amer Heart J 13: 580, 1937.Crossref 12. Weiss, S., and Wilkins, R.W.: The Nature of the Cardiovascular Disturbances in Nutritional Deficiency States (Beriberi) , Ann Intern Med 11: 104, 1937.Crossref 13. Weiss, S.: Occidental Beriberi With Cardiovascular Manifestations , JAMA 115:832, 1940.Crossref 14. Porter, R.R., and Downs, R.S.: Some Physiological Observations on the Circulation During Recovery from Vitamin B1 Deficiency , Ann Intern Med 17:645, 1942.Crossref 15. Grady, C.W.: The Beriberi Heart , Med Bull Veterans Admin 20:424, 1944. 16. Blakenhorn, M.A., et al: Occidental Beriberi Heart Disease , JAMA 131:717, 1946.Crossref 17. Epstein, S.: Observations on Beriberi Heart Disease , Amer Heart J 34:432, 1947.Crossref 18. Lahey, W.J., et al: Physiologic Observations on a Case of Beriberi Heart Disease, With a Note on the Acute Effects of Thiamine , Amer J Med 14: 248, 1953.Crossref 19. Iseri, L.T., et al: Fluid and Electrolyte Balance During Recovery From High-Output Heart Failure Due to Beriberi , Circulation 9:247, 1954.Crossref 20. Blacket, R.B.: Edema in Heart Failure: Lessons From the Beriberi Heart , Aust Ann Med 4: 261, 1955. 21. Blacket, R.B., and Palmer, A.J.: Haemodynamic Studies in High Output Beriberi , Brit Heart J 22:483, 1960.Crossref 22. Jones, R.H. Jr.: Beriberi Heart Disease , Circulation 19:275, 1957.Crossref 23. Schlesinger, P., and Benchimol, A.B.: Cardiac Beriberi Simulating Arteriosclerotic Heart Disease , Amer Heart J 42:801, 1964.Crossref 24. Campbell, G.M.: Beriberi Cardiomyopathy , New Zeal Med J 64:503, 1965. 25. Akfarian, M.; Yankopoulos, N.A.; and Abelman, W.H.: Hemodynamic Studies in Beriberi Heart Disease , Amer J Med 41:197, 1966.Crossref 26. Arima, E.: Observations on the Non-Protein Nitrogen Blood Content in Beriberi , China Med J 31:336, 1917. 27. Hilton, J.G.; Hays, D.R.; and Bowen, E.H.: Effects of Acute Arteriovenous Fistula on Renal Function , Fed Proc 12:67, 1953. 28. Davis, J.O., et al: Hypersecretion of Aldosterone in Dogs With Chronic Aorticcaval Fistula and High Output Heart Failure , Circ Res 14:471, 1964.Crossref 29. Epstein, F.H.; Post, R.S.; and McDowell, M.: The Effect of an Arteriovenous Fistula on Renal Hemodynamics and Electrolyte Excretion , J Clin Invest 32:233, 1953.Crossref 30. Judson, W.W.: Cardiovascular Renal Regulation in the Hyperkinetic States , Progr Cardiov Dis 4:65, 1961.Crossref 31. Eichna, L.W., et al: Non-Cardiac Circulatory Congestion Simulating Congestive Heart Failure , Trans Assoc Amer Physicians 67:72, 1954.

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Oct 1, 1967

References