Decreasing the Pressure Gradient of the Left Ventricular Outflow Tract by Single-lead VDD Pacing in a Patient with Hypertrophic Obstructive Cardiomyopathy
スポンサーリンク
概要
- 論文の詳細を見る
A 59-year-old woman with hypertrophic cardiomyopathy of 8 years duration, who had been taking ﾎｲ-blocker, was admitted to our hospital for exertional dyspnea and previous syncope. Cardiac catheterization showed a prominent left-ventricular outflow tract (LVOT) pressure gradient, and hypertrophic obstructive cardiomyopathy (HOCM) was diagnosed. To reduce LVOT obstruction, we implanted a single-lead VDD-mode pacemaker. Cardiac catheterization after the implantation revealed a remarkable decrease in the LVOT pressure gradient with short atrioventricular delay, 80 msec, and her symptoms disappeared. A singlelead VDD pacemaker is also a useful treatment for an HOCM patient due to the relative ease with which it can be implanted.
- 長崎大学の論文
著者
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Shimokawa Isao
Nagasaki Univ. Nagasaki Jpn
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Miyazaki Y
Dep. Of Lab. Medicine Nagasaki Univ. Graduate School Of Biomedical Sciences Nagasaki Univ. Hospital
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Ikeda Satoshi
Second Department of Internal Medicine, Nagasaki University School of Medicine
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Miyahara Yoshiyuki
2nd Department Of Internal Medicine Nagasaki University School Of Medicine
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Yoshinaga Takayuki
Cardiovascular Center Omura Municipal Hospital
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Yoshinaga Takayuki
Miyazaki Hospital
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Kanazawa Shigeo
Department Of Surgery Ishikawa General Hospital
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Miyahara Yoshiyuki
Second Department Of Internal Medicine Nagasaki University School Of Mediciene
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Kawahara Eisuke
The Second Department Of Internal Medicine Nagasaki University School Of Medicine
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Miyazaki Yoshitsugu
Second Department Of Internal Medicine Nagasaki University Graduate School Of Biomedical Sciences
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Shioguchi Kousuke
Second Department Of Internal Medicine Nagasaki University School Of Medicine
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Ikeda Satoshi
Second Department Of Internal Medicine Nagasaki University School Of Medicine
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