Effective Disopyramide Treatment in a Boy With Mid-Ventricular Hypertrophic Obstructive Cardiomyopathy
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概要
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A 14-year-old boy with mid-ventricular hypertrophic obstructive cardiomyopathy (MVHOCM) first presented at the age of 10 years with severe chest pain. Two-dimensional echocardiography disclosed marked hypertrophy at the mid-portion of the ventricular septum, and left ventriculography showed an hourglass appearance at systole. He was initially treated with propranolol, but the chest pain and dyspnea on exertion worsened at the age of 12 years. After disopyramide was started, the chest pain disappeared and the degree of the pressure gradient at the mid-ventricular level was reduced. There was also significant improvement on a ^<123>I β-methyliodophenyl pentadecaonic acid (BMIPP) myocardial scintigram.
- 社団法人日本循環器学会の論文
- 2002-06-20
著者
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Kobayashi Yohnosuke
Department Of Paediatrics Kansai Medical University
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Ikemoto Yumiko
Department Of Pediatrics Kansai Medical University
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TERAGUCHI MASAYUKI
Department of Pediatrics Kansai Medical University
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Teraguchi Masayuki
Department of Pediatrics, Kansai Medical University
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