Demonstration of Transient Entrainment in Monomorphic Sustained Ventricular Tachycardia Associated With Cardiac Sarcoidosis

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概要

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• A 49-year-old man was referred for further treatment of sustained monomorphic ventricular tachycardia (VT) associated with cardiac sarcoidosis. During an electrophysiologic study (EP), dl-sotalol suppressed the spontaneous VT and prevented induction of VT. However, when predonisolone treatment was started, monomorphic VT recurred frequently. To terminate the VT, a temporal pacing lead was placed at the apex of the right ventricle, and programmed elecrrical stimulation was attempted from the lead. During the EP study, 2 different monomorphic VTs were repetitively induced and both types were able to be terminated by rapid ventricular pacing; in one of the VT morphologies, constant and progressive fusion was obvious during the ventricular pacing. Some monomorphic VTs associated with cardiac sarcoidosis are due to reentry with an excitable gap, but the clinical efficacy of EP-guided antiarrhythmic drug treatment seems to be less certain during steroid thrapy. In the present case, a defibrillator device was implanted to prevent a possible arrhythmic event.

• 社団法人日本循環器学会の論文
• 2000-07-20

著者

• Aizawa Yoshifusa

  First Department of Internal Medicine, Niigata University School of Medicine

• Chinushi Masaomi

  First Department Of Internal Medicine Niigata University School Of Medicine

• Washizuka Takashi

  First Department of Internal Medicine, Division of Cardiology, Niigata University School of Medicine

• Washizuka Takashi

  First Department Of Internal Medicine Niigata University School Of Medicine

• Mezaki Touru

  The First Department Of Internal Medicine Niigata University School Of Medicine

• Nakagawa Iwao

  First Department Of Internal Medicine Niigata University School Of Medicine

• Aoki Yoshinori

  First Department of Medicine, Niigata University School of Medicine

• Mezaki Touru

  First Department of Internal Medicine, Niigata University School of Medicine

• Matsuyama Takaaki

  Department Of Pathology National Cardiovascular Center

• Aizawa Yoshifusa

  First Department Of Internal Medicine Niigata Universaity School Of Medicine

• Aoki Yoshinori

  First Department Of Internal Medicine Niigata University School Of Medicine

• Mezaki Touru

  First Department Of Internal Medicine Niigata University School Of Medicine

• WASHIZUKA Takashi

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

• AIZAWA Yoshifusa

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

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