Haynal Imre: Paroxysmal tachycardia. Pathogenesis and treatment of the supraventicular form (Budapest, 1968)
I. HAYNAL - J. MATSCH PAROXYSMAL TACHYCARDIA PATHOGENESIS AND TREATMENT OF THE SUPRAVENTRICULAR FORM The first part of the monograph contains a historical survey of the various theories on the pathomechanism of paroxysmal tachycardia (PT). Based on the evidence of their own examinations the authors conclude that in supraventricular PT (constituting the overwhelming majority of essential PT cases) a deficiency in the function of either the pituitary or the target glands is observable. This, in turn, causes hypothalamic excitation, to stimulate pituitary activity which spreads to cell groups of the basal brain structure that are able to control vegetative activity and also that of the heart. The pathomechanism of a concomitant phenomenon, urina spastica, is dealt with. The paroxysms could, in certain cases, be stopped with substitutional endocrine therapy. If the hypothalamic excitation waspostulated to be psychogenic, tranquillizers and sedatives were given, with good results. AKADÉMIAI KIADÓ PUBLISHING HOUSE OF THE HUNGARIAN ACADEMY OF SCIENCES BUDAPEST