Clinical and Histopathological Studies in Children With Supraventricular Tachycardia
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概要
- 論文の詳細を見る
To determine whether myocardial changes in patients with supraventricular tachycardia (SVT) are primary or secondary to persistent tachycardia, 11 patients with SVT were studied. These patients were divided into 2 groups with respect to the type of SVT. Group I consisted of 5 patients with incessant SVT and one with multifocal atrial tachycardia, while group II consisted of 4 patients with paroxysmal supraventricular tachycardia and one with short-run supraventricular premature contraction. All of the patients underwent electrophysiological study and endomyocardial biopsy from the right ventricle following routine cardiac catheterization. In group II, there were no significant abnormalities in the clinical and hemodynamic parameters. In group I, 3 patients had clinical features of dilated cardiomyopathy including abnormal ECG, chest X-ray and hypokinesis on left ventriculography. Induction and termination of SVT were possible in 2 patients in group I and in 4 of the 5 patients in group II. The only significant histologic difference between group I and group II was fibrosis. A high incidence of histopathological abnormalities, such as hypertrophy, degeneration, interstitial fibrosis and disarray was observed in both groups. The incidence of significant pathology was higher in group I than in group II. Almost all of the patients were given antiarrhythmic drugs. One patient under-went a successful surgical procedure and normal cardiac function returned after resection of the foci of the right atrium. Our present results suggest that patients with SVT who have incessant or recurrent SVT should undergo not only intracardiac electrophysiologic study but also endomyocardial biopsy for the evaluation of myocardial damage, since SVT might be the initial sign of cardiomyopathy.
- 社団法人日本循環器学会の論文
- 1996-07-20
著者
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TAKAHASHI Toru
Department of Pediatrics, Hirosaki University School of Medicine
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YONESAKA Susumu
Hirosaki University School of Health Sciences
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Yonesaka Susumu
Department Of Pediatrics Hirosaki University School Of Medicine
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Yonesaka Susumu
Department Of Pediatrics And Surgery Hirosaki University School Of Medicine
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YONESAKA SUSUMU
The Department of Nursing, Hirosaki University School of Health Sciences
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KODA MAKOTO
Department of Pediatrics, Towada Municipal Central Hospital
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KINJO MANABU
Department of Pediatrics, Aomori Rousai Hospital
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NAKADA Toshimasa
Departments of Pediatrics, Aomori Prefectural Central Hospital
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Tomimoto Kazuhiko
Department of Pediatrics, Hirosaki University School of Medicine
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Sunagawa Yoshiaki
Department of Pediatrics, Hirosaki University School of Medicine
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Sato Sumito
Department of Pediatrics, Hirosaki University School of Medicine
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Matubara Toru
Department of Pediatrics, Hirosaki University School of Medicine
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Oura Hiroaki
Department of Pediatrics, Hirosaki University School of Medicine
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Furukawa Hidetugu
Department of Pediatrics, Hirosaki University School of Medicine
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Sato Sumito
Department Of Pediatrics Hirosaki University School Of Medicine
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Koda Makoto
Department Of Pediatrics Hirosaki University School Of Medicine
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Kinjo Manabu
Department Of Pediatrics Hirosaki University School Of Medicine
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Oura Hiroaki
Department Of Pediatrics Hirosaki University School Of Medicine
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Matubara Toru
Department Of Pediatrics Hirosaki University School Of Medicine
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Nakada Toshimasa
Department Of Pediatrics Hirosaki University School Of Medicine
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Nakada Toshimasa
Department Of Pediatrics Endoscopy And Pathology Aomori Central Hospital
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Sunagawa Yoshiaki
Department Of Pediatrics Hirosaki University School Of Medicine
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Tomimoto Kazuhiko
Department Of Pediatrics Hirosaki University School Of Medicine
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Tomimoto Kazuhiko
Department Of Cardiology Shizuoka Central Prefectural Hospital Shizuoka
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Furukawa Hidetugu
Department Of Pediatrics Hirosaki University School Of Medicine
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Takahashi Toru
Department Of Hematology And Gastroenterology Caress Alliance Tenshi Hospital
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Takahashi Toru
Department Of Pediatrics Hirosaki University School Of Medicine
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Takahashi Toru
Department Of Anatomy Gifu University School Of Medicine
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Sato Sumito
Department of Neurosurgery, Yokohama Stroke and Brain Center
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Takahashi Toru
The Department of Pediatrics, Hirosaki University School of Medicine
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