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Salt-losing nephropathy associated with supraventricular arrhythmia
  1. Amanah Sana Fatima1,2,
  2. Nashat Imran1,3,
  3. Obead Yaseen1,3 and
  4. Omer Alrawi1,3
  1. 1Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan, USA
  2. 2Internal Medicine, Detroit Medical Center, Detroit, Michigan, USA
  3. 3Nephrology, Detroit Medical Center, Detroit, Michigan, USA
  1. Correspondence to Dr Amanah Sana Fatima; afatim{at}


We present a case of a young man with a new-onset supraventricular arrhythmia accompanied by polyuria and natriuresis with subsequent renal salt-wasting causing hypovolemic hyponatremia. Resolution of the electrolyte imbalance occurred only after successful atrial flutter ablation.

  • Arrhythmias
  • Medical management
  • Fluid electrolyte and acid-base disturbances

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: ASF, NI, OY, OA. The following authors gave final approval of the manuscript: NI, OY, OA.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer-reviewed.