Clinical Characteristics of Rapid Atrial Fibrillation Preceding Ventricular Tachycardia
スポンサーリンク
概要
- 論文の詳細を見る
Spontaneous degeneration of rapid atrial fibrillation(AF)to ventricular fibrillation has been documented in patients with hypertrophic cardiomyopathy(HCM)and Wolff-Parkinson-White(WPW)syndrome. However, the importance of rapid AF as a triggering factor leading to sustained ventricular tachycardia(VT)in patients with other structural heart diseases is unknown. The purpose of this study was to characterize patients who developed VT following paroxysmal or chronic AF with a rapid ventricular response. The mode of VT initiation and clinical characteristics were reviewed in 8 patients(7 men, 1 woman; age 64±9 years)with monomorphic VT preceded by rapid AF(6 paroxysmal, 2 chronic). All patients developed monomorphic VT(mean cycle length 285±31 ms)with syncope only after rapid, but hemodynamically stable, AF(mean heart rate 153±30 beats/min)without acute ischemia or exacerbation of heart failure. There was no significant variation in R-R intervals of the AF preceding VT. All patients had structural heart disease other than HCM with a mean left ventricular ejection fraction of 41±12%. During the 807±201 days of follow-up, VTs did not recur in 7 patients. Sinus rhythm was maintained in all patients who received amiodarone. Rapid AF may be an important triggering factor of monomorphic VT in some patients with moderately impaired cardiac function.
- 社団法人日本循環器学会の論文
- 2001-11-20
著者
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Nitta Junichi
Department of Cardiology, Saitama Red Cross Hospital
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Hirose Makoto
Division Of Cradiology Heart Institute Chiba-nishi General Hospital
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Hiroe Michiaki
Department Of Medicine Tokyo Medical And Dental University
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Niwa Akihiro
Department of Cardiology, Musashino Red Cross Hospital
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Konagai Hideo
Department Of Cardiology Musashino Red Cross Hospital
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Nogami Akihiko
The Second Department of Internal Medicine, Tokyo Medical and Dental University
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Iesaka Yoshito
The Second Department of Internal Medicine, Tokyo Medical and Dental University
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Hiroe Michiaki
The Second Department of Internal Medicine, Tokyo Medical and Dental University
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Marumo Fumiaki
The Second Department of Internal Medicine, Tokyo Medical and Dental University
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Satoh Yasuhiro
The Second Department Of Internal Medicine Tokyo Medical And Dental University
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Marumo Fumiaki
Department Of Nephrology Tokyo Medical And Dental University
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Marumo Fumiaki
The Second Department Of Medicine Tokyo Medical And Dental University
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Marumo Fumiaki
The Second Department Of Internal Medicine Tokyo Medical And Dental University
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Aonuma Kazutaka
The Second Department of Internal Medicine, Tokyo Medical and Dental University
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林田 孝平
Keio University
-
Marumo Fumiaki
Second Department Of Medicine Tokyo Medical And Dental University
-
Nitta Junichi
Department Of Cardiology Musashino Red Cross Hospital
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Hiroe Michiaki
Department Of Radiology Tokyo Women's Medical College
-
Hiroe Michiaki
Department Of Nephrology And Cardiology
-
Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Patholog
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Niwa Akihiro
Department Of Cardiology Hiratsuka Kyosai Hospital
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Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Patholog
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Niwa Akihiro
Department Of Cardiology Hiratsuka Kyosai Heart Center
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Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Patholog
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Hirosawa Koshichiro
Tokyo Women's Medical College
-
Marumo Fumiaki
Institute Of Geriatrics Department Of Cardiology Department Of Radiology And Departement Of Pathology Tokyo Women's Medical College The 2nd Department Of Medicine Tokyo Medical And Dental University
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Hiroe Michiaki
The Second Department Of Internal Medicine Tokyo Medical And Dental University
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