Slow Ventricular Tachycardia Located in the Epicardium of the Left Ventricular Base and Characterized by Effects of Adenosine Triphosphate, Nicorandil and Verapamil

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概要

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• A 31-year-old male with slow ventricular tachycardia(VT)developed a nonsustained VT with prolongation of the JT intervals after injection of contrast medium and saline into the marginal vein of the coronary sinus. The earliest activation site of the VT existed in the epicardium of the left ventricular base. Adenosine triphosphate prevented induction of VT and prolongation of JT intervals. Ventricular premature contractions showing the same morphology as the VT were also inhibited by nicorandil and verapamil. The mechanism of the VT was suggested to be abnormal automaticity due to an increase in the Ca^++ current into cells after prolongation of the action potential duration induced by hypothermia.

• 社団法人日本循環器学会の論文
• 1998-11-20

著者

• Katagiri Takashi

  Third Dept. of Internal Medicine, Showa University

• Kobayashi Youichi

  Third Department of Internal Medicine, Showa University School of Medicine

• Tanno Kaoru

  Third Department Of Internal Medicine Showa University

• Miyata Akira

  Third Department of Internal Medicine, Showa University School of Medicine

• Miyata Akira

  Third Department Of Internal Medicine Showa University School Of Medicine

• Kobayashi Youichi

  The Third Department Of Internal Medicine School Of Medicine Showa University

• Kobayashi Youichi

  Third Department Of Internal Medicine Showa University School Of Medicine

• Kikushima Shuji

  Third Department of Internal Medicine, Showa University, School of Medicine

• Baba Takao

  Third Department of Internal Medicine, Showa University, School of Medicine

• Kikushima Shuji

  Third Department Of Internal Medicine Showa University Of Medicine

• Katagiri Takashi

  Third Department Of Internal Medicine Showa University School Of Medicine

• Baba Takao

  Third Department Of Internal Medicine Showa University School Of Medicine

• Matsuzaki Akihiro

  The Third Department Of Intemal Medicine Showa University School Of Medicine

• Katagiri Takashi

  Third Department Inter Nat Medicine Showa University

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