Complete Atrioventricular Block Associated With Takotsubo Cardiomyopathy
スポンサーリンク
概要
- 論文の詳細を見る
An 82-year-old woman was admitted to the hospital due to repeated episodes of syncope with incontinence. Electrocardiography showed torsades de pointes, complete atrioventricular (AV) block, T-wave inversions and a prolonged QTc interval. Urgent coronary angiography showed no significant coronary stenosis and left ventriculography demonstrated typical abnormal wall motion of takotusbo cardiomyopathy. Electrophysiology study suggested that the damaged structure might be the bundle of His. After temporary transvenous pacing and administration of intravenous lidocaine, no recurrence of torsade de pointes was found. Symptoms of worsening heart failure were not found. Although abnormal left ventricular wall motion improved, a complete AV block remained and the patient needed pacemaker implantation on Day 18 after admission. This case demonstrated that complete AV block associated with takotsubo cardiomyopathy may persist after improvement of left ventricular wall motion, and implantation of a pacemaker maybe needed.
- 社団法人日本循環器学会の論文
- 2009-02-20
著者
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TAKAMURA Masayuki
Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine
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Inoue Masaru
Division Of Cardiology Ishikawa Prefectural Hospital
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Kanaya Honin
Division of Cardiovascular Medicine, Kanazawa University Graduate School of Medicine
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Takamura Masayuki
Division Of Cardiovascular Medicine Kanazawa University Graduate School Of Medicine
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Takata Mutsuko
Division Of Cardiovascular Medicine Kanazawa University Graduate School Of Medical Science
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Takamura Masayuki
Department Of Disease Control And Homeostasis Graduate School Of Medical Science Kanazawa University
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Takamura Masayuki
Department Of Cardiology Kanazawa University
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Kanaya Honin
Division Of Cardiology Ishikawa Prefectural Hospital
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Kanaya Hounin
石川県立中央病院 循環器内科
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Honin Kanaya
石川県立中央病院
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Yasuda Toshihiko
Division Of Cardiology Ishikawa Prefectural Hospital
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Uno Yoshihide
Department Of Cardiology Ishikawa Prefectural Central Hospital
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Uno Yoshihide
Division Of Cardiology Ishikawa Prefectural Hospital
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Miwa Kenji
Division Of Cardiology Ishikawa Prefectural Hospital
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Matsuyama Toru
Molecular Genetics Of Cardiovascular Disorders Division Of Cardiovascular Medicine Graduate School O
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Matsubara Takao
Department Of Cardiology Ishikawa Prefectural Central Hospital
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Matsubara Takao
Division of Cardiology, Ishikawa Prefectural Hospital
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Kurumaya Hiroshi
石川県立中央病院 循環器内科
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Tsuchida Masayuki
Division Of Cardiovascular Medicine Kanazawa University Graduate School Of Medical Science
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Takamura Masayuki
Graduate School Of Medical Sciences Kanazawa University
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Takamura Masayuki
Division Of Cardiovascular Medicine Kanazawa University Graduate School Of Medical Science
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Kanaya Hounin
Fukui Junkanki Hospital
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Tsuchida Masayuki
Division Of Cardiovascular Medicine Kanazawa University Graduate School Of Medicine
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Yasuda Toshihiko
Department Of Cardiology Ishikawa Prefectural Central Hospital
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Miwa Kenji
Department Of Cardiology Ishikawa Prefectural Central Hospital
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Kanaya Hounin
Division Of Cardiology Ishikawa Prefectural Hospital
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Matsubara Takao
Division Of Cardiology Ishikawa Prefectural Hospital
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Takamura Masayuki
Department Of Internal Medicine Kanazawa University Graduate School Of Medical Sciences
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Kanaya Hounin
2nd Department Of Internal Medicine School Of Medlclne Kanazawa University
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