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心室頻拍を合併した心筋症の電気生理学的評価と治療の意義
http://hdl.handle.net/10191/39689
http://hdl.handle.net/10191/39689409d5952-2ae1-479e-acad-cb90c2b446b5
名前 / ファイル | ライセンス | アクション |
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106(05)_436-453.pdf (3.2 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-03-15 | |||||
タイトル | ||||||
タイトル | 心室頻拍を合併した心筋症の電気生理学的評価と治療の意義 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | 心室頻拍を合併した心筋症の電気生理学的評価と治療の意義 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Cardiomyopathy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Ventricular tachycardia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 心筋症 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 心室頻拍 | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | Importance of Electrophysiologic Evaluation and Management of Patients with Cardiomyopathy Associated with Ventricular Tachycardia | |||||
著者 |
宮島, 静一
× 宮島, 静一 |
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著者別名 | ||||||
識別子 | 128772 | |||||
識別子Scheme | WEKO | |||||
姓名 | Miyajima, Seiichi | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Ventricular tachyarrhythmias are prevalent in patients with cardiomyopathy and are associated with an increased risk of sudden death. In this study, we elucidated the role of electrophysiologic study in the evaluation and management of patients with cardiomyopathy and ventricular tachycardia(VT). Our findings are as follow : (1) Of 11 patients with dilated cardiomyopathy presenting with sustained VT, VT was induced and terminated with programmed ventricular stimulation in 8 patients. In 10 patients, VT was drug-resistant. The sites of origin of VT were present at both ventricles. Since most patients without effective antiarrhythmic tharapy died (8 of 11), aggressive therapy is mandatory in these patients. (2) One patient with alcoholic cardiomyopathy had multiple form of VT. VT was induced and terminated with programmed stimulation. Flecainide was effective in preventing VT. (3) In patients with hypertrophic cardiomyopathy, VT was induced in 3 of 4 patients with sustained VT or VF, in 6 of 16 patients with other arrhythmias. Verapamil or mexiletine was effective in 7 of 9 patients. Patients with effective antiarrhythmic dugs have not suffered from sudden death. We conclude that drug-resistant VT should be managed aggressively in patients with cardiomyopathy. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 106, 号 5, p. 436-453, 発行日 1992-05 |
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出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
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収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
著者版フラグ | ||||||
値 | publisher |