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Nicholas G. Kounis, MD; Alasdair C. Kenmure, MD, FRCP

JAMA. 1976;236(8):954.

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

THE FIRST report of syncope associated with micturition was published by Rugg-Gunn,¹ but the association of syncope with circulatory disturbances had been described much earlier by Weiss.² Dermksian and Lamb³ described cardiac arrhythmias in experimentally induced syncope and, recently, Schoenberg et al⁴ reported a case of micturition syncope with transient complete heart block. We report a case of micturition syncope associated with atrial fibrillation and hypokalemia.

Report of a Case

A 37-year-old truck driver was admitted to the hospital with atrial fibrillation. After drinking 1.41 liters of beer, he had gone to see a movie. Half an hour later, he got up from his seat and went to the toilet to urinate. While urinating, he suddenly became unconscious, fell, and hit the occipital area of his head.

On examination, he was feeling well except for some paresthesia in his neck. There was no previous history of . . . [Full Text PDF of this Article]

Author Affiliations
From the Coronary Care Unit, Aberdeen Medical School, Aberdeen Royal Infirmary, Aberdeen, Scotland. Dr Kounis is now with the East Birmingham Hospital, Birmingham, England.

Footnotes
Reprint requests to East Birmingham Hospital, Chest Branch, Yardley Green Rd, Birmingham, B9 5PX, England (Dr Kounis).

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