The Follow-up Evaluation of Electrocardiogram and Arrhythmias in Children With Fluminant Myocarditis

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概要

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• Background: Fulminant myocarditis involves various serious arrhythmias that sometimes have lethal consequences. The purpose of the present study was to investigate the electrocardiogram findings, arrhythmogenicity and abnormalities of the cardiac conduction system in children with fulminant myocarditis. Methods and Results: Between 1999 and 2008, 7 consecutive patients (mean age: 7 years) who suffered from fulminant myocarditis were included in the study. A 12-lead electrocardiogram, Holter monitoring and signal-averaged electrocardiograms were performed and compared between the acute, convalescent, and recovery phases in the 4 surviving patients. Also, electrophysiologic assessment was carried out during the convalescent phase. Five out of 7 patients developed complete atrioventricular block, 3 developed ventricular tachycardia, 2 had cardiac arrest, 2 developed sinus tachycardia, 1 developed ventricular fibrillation, 1 had advanced atrioventricular block, and 1 developed sick sinus syndrome. Among the surviving patients, all arrhythmias resolved during the convalescent and remote phases. No atrial or ventricular arrhythmias were induced in any patients during the programmed stimulation study. In the convalescent phase, no arrhythmias could be induced and there were no signs of any conduction abnormalities on electrophysiological assessment. Conclusions: Close follow-up should be performed to observe for the occurrence of any new arrhythmias and/or a decrease in cardiac function in children with fulminant myocarditis. (Circ J 2011; 75: 932-938)

• 2011-03-25

著者

• Matsuzaki Masunori

  Yamaguchi University Graduate School of Medicine

• MUGISHIMA Hideo

  Department of Division of Cell Regeneration and Transplantation, Nihon University School of Medicine

• Mugishima Hideo

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Minato Michiyoshi

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Ayusawa Mamoru

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Ayusawa Mamoru

  Department Of Pediatrics Nihon University School Of Medicine

• Ichikawa Rie

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Miyashita Michio

  Department Of Applied Chemistry Nagoya Institute Of Technology

• Sumitomo Naokata

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Mitsui M

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Matsumura Masaharu

  日本大学 医学部小児科学

• Kanamaru Hiroshi

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Fukuhara Junji

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Matsuoka Mitsuteru

  琉球大学医学部 第三内科

• Miyahara Mitsuo

  The Second Department Of Internal Medicine Sapporo Medical College

• Miyashita Michio

  Department Of Pediatrics Nihon University School Of Medicine

• Matsuoka M

  Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch

• Sumitomo Naokata

  Nihon University School Of Medicine Department Of Pediatrics

• Matsuzaki Masunori

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Matsuzaki Masunori

  Department Of Surgery And Clinical Science Division Of Cardiac Surgery Yamaguchi University Graduate

• Matsuzaki M.

  Yamaguchi University School of Medicine

• Nakamura Takahiro

  Department Of Allergy And Immunology National Research Institute For Child Health And Development Na

• Mochizuki Mamoru

  Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch

• Matsubara Mitsunobu

  Division Of Molecular Medicine Tohoku University Graduate School Of Medicine

• Mochizuki Mamoru

  Department Of Medicine And Clinical Science Division Of Cardiology Yamaguchi University Graduate Sch

• Murakami Masanori

  Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch

• Matsuzaki Masunori

  The Second Department Of Internal Medicine University Of Yamaguchi

• Matsuzaki Masunori

  Japanese Circulation Society Guideline Preparation Group Myocarditis

• Abe Yuriko

  Department Of Chemistry Faculty Of Science Nara Women's University

• Ayusawa Mamoru

  Department Of Pediatrics School Of Medicine Nihon University

• Matsuaki Masunori

  Department Of Medical Bioregulation Division Of Cardiovascular Medicine Yamaguchi University School

• Matsumura Masaharu

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• KOMORI Akiko

  Department of Pediatrics and Child Health, Nihon University, School of Medicine

• Murakami Masanori

  Department Of Medicine And Clinical Science Division Of Cardiology Yamaguchi University Graduate Sch

• Nakamura Takahiro

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Komori Akiko

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Mitsui Masayasu

  Department Of Pediatrics And Child Health Nihon University School Of Medicine

• Murakami Masanori

  The Second Division Of Internal Medicine Yamaguchi University School Of Medicine

• Kanamaru Hiroshi

  Department Of Life Environment And Material Science Fukuoka Institute Of Technology

• Mugishima Hideo

  Department of Pediatrics and Child Health, Nihon University, School of Medicine

• Ayusawa Mamoru

  Department of Pediatrics and Child Health, Nihon University, School of Medicine

• KOMORI Akiko

  Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center

• SUMITOMO Naokata

  Department of Pediateics and Child Health, Nihon University School of Medicine

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