Optimization of Atrioventricular Delay and Follow-up in a Patient With Congestive Heart Failure With an Implanted DDD Pacemaker : Case Report
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概要
- 論文の詳細を見る
It has been reported that cardiac function can be improved by implanting a DDD pacemaker (PM) and setting a short atrioventricular(AV) delay in patients with impaired cardiac function. A previous report found that the critical AV delay that induces diastolic mitral regurgitation(MR) may represent the upper limit of the optimal AV delay. The optimal AV delay can be predicted by a simple method: slightly prolonged AV delay minus the interval between the end of the atrial kick and complete closure of the mitral valve (duration of diastolic MR) at the AV delay setting. The patient was a 84-year-old man with an old myocardial infarction. He had repcated admissions to hospital for congestive heart failure. ECG showed prolongation of the PQ interval (0.28s) and complete left bundle branch block. Cardiac function was improved by AV sequential pacing when the AV delay was set at 120 ms. After DDD-PM implantation, the cardiothoracic ratio decreased from 57 to 45% and cardiac function was improved from New York Heart Association class III to I. The AV delay was optimized during follow-up. Four years after PM implantation, the patient was in good condition without further hospital admission.
- 社団法人日本循環器学会の論文
- 2000-12-20
著者
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Ishikawa Toshiyuki
Second Department of Internal Medicine, Yokohama City University Hospital
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Kosuge Masami
Second Department of Internal Medicine, Yokohama City University Hospital
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Kimura Kazuo
Second Department of Internal Medicine, Yokohama City University Hospital
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Umemura Satoshi
Second Department of Internal Medicine, Yokohama City University Hospital
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Kosuge Masami
Yokohama City University School Of Medicine Cardiovascular Center
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Usui Takashi
Department of Cardiology, Fujisawa Municipal Hospital
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Usui Takashi
Department Of Cardiology Fujisawa Municipal Hospital
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Kobayashi I
Department Of Cardiology Sagamihara Hospital
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Minami Kazutoshi
Yokohama City University Medical Center
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Sugano Teruyasu
Second Department of internal medicine, Yokohama City University School of Medicine
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Kobayashi Izumi
Second Department of Internal Medicine, Yokohama City University School of Medicine
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Usui Takashi
Second Department of Internal Medicine, Yokohama City University School of Medicine
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Kobayashi Izumi
Department Of Cardiology Sagamihara Hospital
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Umemura Satoshi
Second Department Of Internal Medicine Yokohama City University School Of Medicine
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Sumita Sinichi
Second Department of Internal Medicine, Yokohama City University School of Medicine
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Shigemasa Tomohiko
Second Department of Internal Medicine, Yokohama City University School of Medicine
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Endo Tsutomu
Second Department of Internal Medicine, Yokohama City University School of Medicine
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Tohyama Shin-ichi
The Second Department Of Internal Medicine Yokohama City University School Of Medicine Yokohama. Jap
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Ishikawa Toshiyuki
Second Department Of Internal Medicine Yokohama City University Hospital
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Tohyama Shinnichi
Division Of Cardiology Kanagawa Circulatory And Respiratory Center
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Kobayashi Izumi
Department Of Cardiology National Sagamihara Hospital
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Kimura Kazuo
Second Department Of Internal Medicine Yokohama City University School Of Medicine
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Kobayashi Izumi
Second Department Of Internal Medicine Yokohama City University School Of Medicine
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