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  1. 0 資料タイプ別
  2. 03 紀要論文
  1. 250 大学院医歯学総合研究科(医)
  2. 20 紀要
  3. 01 Acta medica et biologica
  4. Vol.44 No.4

Initial Experiences of Implantable Cardioverter-Defibrillator Treatment in Patients with Ventricular Tachyarrhythmias

http://hdl.handle.net/10191/33182
http://hdl.handle.net/10191/33182
e2be0965-6ee4-4b89-8537-81e831d56224
名前 / ファイル ライセンス アクション
44(4)_199-207.pdf 44(4)_199-207.pdf (1.5 MB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2015-08-27
タイトル
タイトル Initial Experiences of Implantable Cardioverter-Defibrillator Treatment in Patients with Ventricular Tachyarrhythmias
タイトル
言語 en
タイトル Initial Experiences of Implantable Cardioverter-Defibrillator Treatment in Patients with Ventricular Tachyarrhythmias
言語
言語 eng
キーワード
主題Scheme Other
主題 ICD
キーワード
主題Scheme Other
主題 ventricular tachyarrhythmias
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
著者 Chinushi, Masaomi

× Chinushi, Masaomi

WEKO 52825

Chinushi, Masaomi

Search repository
Aizawa, Yoshifusa

× Aizawa, Yoshifusa

WEKO 52826

Aizawa, Yoshifusa

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Abe, Akira

× Abe, Akira

WEKO 52827

Abe, Akira

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Shiba, Masami

× Shiba, Masami

WEKO 52828

Shiba, Masami

Search repository
Washizuka, Takashi

× Washizuka, Takashi

WEKO 52829

Washizuka, Takashi

Search repository
Tamura, Makoto

× Tamura, Makoto

WEKO 52830

Tamura, Makoto

Search repository
Igarashi, Yutaka

× Igarashi, Yutaka

WEKO 52831

Igarashi, Yutaka

Search repository
Kusano, Yoriko

× Kusano, Yoriko

WEKO 52832

Kusano, Yoriko

Search repository
Niwano, Shinichi

× Niwano, Shinichi

WEKO 52833

Niwano, Shinichi

Search repository
Shibata, Akira

× Shibata, Akira

WEKO 52834

Shibata, Akira

Search repository
Watanabe, Hiroshi

× Watanabe, Hiroshi

WEKO 52835

Watanabe, Hiroshi

Search repository
Eguchi, Shoji

× Eguchi, Shoji

WEKO 52836

Eguchi, Shoji

Search repository
抄録
内容記述タイプ Abstract
内容記述 Implantable cardioverter-defibrillators (ICD) were implanted in 11 patients with drug refractory ventricular tachyarrhythmias. Both ventricular fibrillation (VF) and sustained ventricular tachycardia (VT) were documented in 4 of the 11 patients, and VF or VT was observed in the other 4 and 3 patients, respectively. The mean left ventricular ejection fraction of the 11 patients was 40±22%; underlying heart diseases were observed in 9 patients, old myocardial infarction in 4 patients, and dilated cardiomyopathy in 5 patients. Transvenous ICD was implanted in 10 patients (91%), but because of a high defibrillation threshold, two epicardial patch electrodes were necessary in the remaining one patient. During the operative procedure, no complications were observed except for an episode of vasospastic angina in one patient with normal coronary arteries. In 3 patients with severe left ventricular dysfunction, VT with clinical QRS morphology was frequently observed within a few days after surgery, and additional antiarrhythmic drug therapy and changes in the detection mode of VF were required. Subclavian crash syndrome was noticed 26 months after ICD implantation in one patient. During the follow-up periods of 6 to 54 months (the mean being 28.7 ± 20.6 months), VT and/or VF recurred in 6 of the 11 patients, and these tachycardias were terminated by appropriate ICD treatment. One patient died due to refractory heart failure 7 months after ICD implantation. Transvenous implantation was easier and judged to be the first choice procedure for ICD implantation. ICD is a feasible therapy for drug refractory ventricular tachyarrhythmias, but special management is required to control VT/VF by antiarrhythmic drug or to detect complications.
書誌情報 Acta medica et biologica
en : Acta medica et biologica

巻 44, 号 4, p. 199-207, 発行日 1996-12
出版者
出版者 Niigata University School of Medicine
ISSN
収録物識別子タイプ ISSN
収録物識別子 05677734
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AA00508361
著者版フラグ
値 publisher
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