Pleomorphic ventricular tachycardia originating from Purkinje fiber network of left anterior fascicle

スポンサーリンク

概要

• 論文の詳細を見る

• A 55-year old woman with recurrent syncope and palpitation experienced polymorphic ventricular tachycardia (VT) and more than three monomorphic VTs with a right bundle branch block configuration, either inferior-, middle-, and superior-axis. During the pleomorphic VT, the diastolic potential (dp) was recorded at the antero-lateral left ventricle. Changes in the QRS morphology were associated with the time between dp and onset of QRS complex (dp-V interval), and prolongation of dp-V interval terminated the VT. In addition, the delayed potentials were seen during sinus rhythm around this area. Delivery of radiofrequency current targeting the delayed potentials abolished all the VTs. Different exits from relatively large area of slow conduction in the left anterior fascicle might have produced the pleomorphic VTs.

著者

• Yoshida H

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Yokoshiki Hisashi

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Togashi Hiroko

  筑波大学 臨床医学系循環器内科

• Togashi Hiroko

  北海道大学 医学研究科 薬理

• Togashi Hiroko

  北海道大学

• Tsutsui Hiroyuki

  Department Of Cardiovascular Medicine

• Togashi Hiroko

  Department Of Pharmacology Hokkaido University Graduate School Of Medicine

• Sakurai Masayuki

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Sakurai Masayuki

  Department Of Cardiovascular Medicine Hokkaido University School Of Medicine Sapporo Japan

• Togashi Hiroko

  Safety Research Institute For Chemical Compounds

• Tsutsui Hiroyuki

  Department Of Cardiovasucular Medicine Graduate School Of Medical Sciences Kyushu University

• Togashi Hiroko

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Yokoi Hisataka

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Togashi Hiroko

  1st Dept. Of Pharmacol. Hokkaido Univ. Sch. Of Med.

• Tsutsui Hiroyuki

  Department Of Cardiovascular Medicine Hokkaido University Hospital

• Mitsuyama Hirofumi

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Watanabe Masaya

  Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine

• Togashi Hiroko

  Department Of Neuropharmacology Hokkaido University Graduate School Of Medicine

関連論文

• Pleomorphic ventricular tachycardia originating from Purkinje fiber network of left anterior fascicle
• Natural Killer T Cells Are Involved in Adipose Tissues Inflammation and Glucose Intolerance in Diet-Induced Obese Mice
• Discharge use of angiotensin receptor blockers provides comparable effects with angiotensin-converting enzyme inhibitors on outcomes in patients hospitalized for heart failure
• Olmesartan, but not amlodipine, improves endothelium-dependent coronary dilation in hypertensive patients
• Dendritic cell-derived TNF-α is responsible for development of IL-10-producing CD4+ T cells
• Angiotensin II Receptor Blocker, Valsartan, Increases Myocardial Blood Volume and Regresses Hypertrophy in Hypertensive Patients
• Effects of Atrial Fibrillation on Long-Term Outcomes in Patients Hospitalized for Heart Failure in Japan : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
• Anemia is an Independent Predictor of Long-Term Adverse Outcomes in Patients Hospitalized With Heart Failure in Japan : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
• Characteristics and Outcomes of Hospitalized Patients With Heart Failure and Reduced vs Preserved Ejection Fraction : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
• Chronic Kidney Disease as an Independent Risk for Long-Term Adverse Outcomes in Patients Hospitalized With Heart Failure in Japan : Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
• 6 Long-term Outcomes of Patients with Preserved Systolic Function Hospitalized for Heart Failure : an Analysis from JCARE-CARD(Pathophysiology and Therapeutic Strategy of Diastolic Dysfunction in Heart Failure,Plenary Session 4 (PL-4) (IHD),The 73rd Annua
• PJ-907 Oxydative Stress Impairs Mitochondrial Respiration in Skeletal Muscle and Limits Exercise Capacity in Diabetic Mice(Metabolism / Biochemistry / Energetics(03)(M),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulatio
• OJ-095 Impairment of insulin signaling by oxidative stress in skeletal muscle causes insulin resistance in mice with heart failure.(Heart failure, basic(02)(M),Oral Presentation(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Soci
• OJ-061 Telmisartan ameliorates insulin resistance by improving insulin signaling in skeletal muscle from mice with heart failure.(Cardiovascular pharmacology, basic/clinical(02)(H),Oral Presentation(Japanese),The 72nd Annual Scientific Meeting of the Japa
• OE-372 Angiotensin II-induced Oxidative Stress Impairs Mitochondrial Energy Metabolism in Lower Extremity Skeletal Muscle and Limits Exercise Capacity in Mice(Neurohumoral factors(01)(H),Oral Presentation(English),The 72nd Annual Scientific Meeting of the
• PJ-571 Multiple Mechanisms underlie Long QT Syndrome by the Change of Amino Acid R259 in the Intracellular S4-S5 Linker of KCNQ1(PJ096,Arrhythmia, Others (Clinical/Pathophysiology) 4 (A),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The
• OE-084 Surgical Ventricular Reconstruction Improves Myocardial Oxidative Efficiency Assessed by ^ C-acetate PET and Echocardiography in Patients with Severe Heart Failure(OE15,Cardiac Function (Clinical) (M),Oral Presentation (English),The 73rd Annual
• Discharge use of angiotensin receptor blockers provides comparable effects with angiotensin-converting enzyme inhibitors on outcomes in patients hospitalized for heart failure
• Therapeutic Potentials of an Artificial Oxygen-Carrier, Liposome-Encapsulated Hemoglobin, for Ischemia/Reperfusion-Induced Cerebral Dysfunction in Rats
• Mutation Site Dependent Variability of Cardiac Events in Japanese LQT2 Form of Congenital Long-QT Syndrome
• A Novel Mutation Associated With Jervell and Lange-Nielsen Syndrome in a Japanese Family
• A single mutation of cardiac sodium channel gene confers phenotypes of both Brugada and long QT syndromes
• Ion channel mutations and polymorphisms in Japanese patients with acquired long QT syndrome
• OJ-152 Do JCD, IDF and NCEP Criteria of Metabolic Syndrome Predict Cardiovascular Events? : 3-Year Cohort Study of 3,343 Japanese Men(Preventive medicine / Epidemiology / Education(02)(H),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of
• 3 Mutant KCNE3 Reduces Repolarizing Potassium Current And Causes Long QT Syndrome(Plenary Session 4 (PL-4) (A) New Scientific Approaches to QT Prolongation,Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
• OJ-009 N- And C-terminal KCNE1 Mutations Cause Distinct Phenotypes of Long QT Syndrome(Arrhythmia, diagnosis/pathophysiology/EPS-03, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
• OJ-191 Remarkable Effects of Continuous Blood Flow Restriction during Multiple Sets of Low Intensity Resistance Exercise(OJ32,Exercise Test/Cardiac Rehabilitation (H),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulat
• OJ-145 Optimizing a Protocol of Low Intensity Resistance Training with Blood Flow Restriction(Exercise test / Cardiac rehabilitation(02)(H),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-309 Angiotensin II Impairs Skeletal Muscle Properties and Limits Exercise Capacity(PJ052,Hypertension, Basic (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
• PJ-026 Pravastatin Ameliorates the Development of High Fat Diet-induced Diabetes by Inhibiting Oxidative Stress and Insulin Signaling Defects in Skeletal Muscle(PJ005,Diabetes 1 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japan
• OE-259 Lowered Aerobic Exercise Capacity was Associated with Impaired Skeletal Muscle Energy Metabolism in Patients with Metabolic Syndrome(OE44,Exercise Test/Cardiac Rehabilitation (H),Oral Presentation (English),The 73rd Annual Scientific Meeting of The
• 8 Management of the "Real World" Patients with Heart Failure in Japan : JCARE and J-HOMECARE trial(Symposium 18 (SY-18) (H) How can we Make the Best Use of Japanese Evidences for Future Guidelines,Special Program,The 72nd Annual Scientific Meeting of the
• Congenital atrial standstill associated with coinheritance of a novel SCN5A mutation and connexin 40 polymorphisms
• Lower High-Density Lipoprotein Cholesterol is a Significant and Independent Risk for Coronary Artery Disease in Japanese Men
• Metabolic syndrome is a significant and independent risk factor for increased arterial stiffness in Japanese subjects
• PJ-195 Decreased Glomerular Filtration Rate is a Significant and Independent Risk for In-Hospital Mortality in Japanese Patients with Acute Myocardial Infarction(PJ033,Preventive Medicine/Epidemiology/Education 1 (H),Poster Session (Japanese),The 73rd Ann
• Diazepam-Induced Increases of Synaptic Efficacy in the Hippocampal – Medial Prefrontal Cortex Pathway Are Associated With Its Anxiolytic-like Effect in Rats
• PJ-098 Effects of Smoking Cessation on Coronary Endothelial Dysfunction in Young and Middle-aged Healthy Smokers(PJ017,Nuclear Cardiology (PET) (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
• Heterogeneous Reduction of Myocardial Oxidative Metabolism in Patients With Ischemic and Dilated Cardiomyopathy Using C-ll Acetate PET
• Plasma Interleukin-6 and Tumor Necrosis Factor-α Can Predict Coronary Endothelial Dysfunction in Hypertensive Patients
• IS092 Ion channel gene mutations in acquired long QT syndrome
• IS086 Novel missense mutation in the Pore region of HERG gene in Long QT syndrome Patient
• OJ-426 Enhanced Temporal and Spatial Cycle Length Variability during Ventricular Fibrillation in Hypertrophic Cardiomyopathy(ECG/Body Surface Potential Mapping/Holter 6 (A) : OJ52)(Oral Presentation (Japanese))
• Increased cycle length variability during ventricular fibrillation : a novel predictor of arrhythmia recurrence
• Altered repolarization dynamics during premature stimulation in Brugada syndrome with inducible ventricular fibrillation
• Prevalence and Clinical Characteristics of Patients With Atrial Fibrillation : Analysis of 20,000 Cases in Japan
• A Case of Familial Ventricular Tachycardia
• A fundamental study for quantitative measurement of ultrasound contrast concentration by low mechanical index contrast ultrasonography
• Hypofibrinolysis Downregulates Coronary Capillary Network Remodeling in Aged Obese Diabetic Rats : Implications for Increased Myocardial Vulnerability to Ischemia in Diabetes
• Effects of hemoglobin derivatives on the liver microcirculation system ; evaluation of the s-nitroso-polyethylene glycol modified hemoglobin as an artificial oxygen carrier
• Coronary Capillary Remodeling in Non-Insulin-Dependent Diabetic Rats: Amelioration by Inhibition of Angiotensin Converting Enzyme and Its Potential Clinical Implications
• PJ-413 Paced QRS Prolongation is Associated with the Vulnerability to Ventricular Fibrillation by the T-wave Shock(PJ070,Ventricular Arrhythmia (Clinical/Diagnosis/Treatment) 1 (A),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japane
• PJ-046 Genotype-Phenotype Correlations of KCNJ2 Mutations in Japanese Patients with Andersen-Tawil Syndrome(Arrhythmia, diagnosis/pathophysiology/EPS-10, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
• Impaired Activation of ATP-sensitive K^+ channels in Endocardial Cells from Left Ventricular Hypertrophy(Excitation-contraction Coupling/Ion Channel 1 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• OE-081 Mechanistic Basis for the Pathogenesis of Long QT Syndrome Associated with a Common Splicing Mutation in KCNQ1 Gene(Arrhythmia, basic-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-190 A KCNE1 Single Nucleotide Polymorphism, D85N, Serves as a Modifier in Forme-fruste Type of Long QT syndrome(Genetics/Genetically engineered models/Gene therapy-3 (M) PJ32,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of t
• OJ-349 High Incidence of Cardiac Events for Long-QT Syndrome with Compound Mutations(Arrhythmia, diagnosis/pathophysiology/EPS-4 (A) OJ59,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
• OJ-064 Age-Related Triggers for Life-Threatening Arrhythmia in Genotyped Long-QT Syndrome(Arrhythmia, diagnosis/pathophysiology/EPS-3 (A) OJ11,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
• Genetic Analysis of PRKAG2 in a Family with Inherited Wolff-Parkinson-White Syndrome (Arrhythmia, Diagnosis/Pathophysiology/EPS 8 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• The role of tumor necrosis factor-α for interleukin-10 production by murine dendritic cells
• Right ventricular diastolic dysfunction in patients with left ventricular hypertrophy : analysis of right ventricular myocardial relaxation using two-dimensional speckle tracking imaging
• Usefulness of Left Parasternal Approach for the Continuous-Wave Doppler Measurement of Left Ventricular Outflow Tract Pressure Gradient in Patients With Hypertrophic Cardiomyopathy
• An S-Nitrosylated Hemoglobin Derivative Protects the Rat Hippocampus From Ischemia-Induced Long-Term Potentiation Impairment With a Time Window
• Role of KCNQ1 in the Cell Swelling-Induced Enhancement of the Slowly Activating Delayed Rectifier K^+ Current
• Double SCN5A mutation underlying asymptomatic Brugada syndrome
• Single Nucleotide Polymorphisms of Cardiac Na^+ Channel Gene SCN5A : Allelic Prevalence in Brugada Syndrome and Their Biophysical Properties
• Platelet Aggregability in Patients with Hypertension Treated with Angiotensin II Type 1 Receptor Blockers
• High-risk for Bradyarrhythmic Complications in Patients with Brugada Syndrome Caused by SCN5A Gene Mutations(Arrhythmia, Basic (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• PJ-602 Clinical Characteristics Associated with Mutation Sites in LQT2 Form of Congenital Long-QT Syndrome(Arrhythmia, basic-5 (A) PJ101,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
• Improvement of Myocardial Ischemia in the Areas with Chronic Total Tcclusion without MI after PCI Assessed by 99mTc-tetrofosmin SPECT(Nuclear Cardiology 8 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• PE-307 Left Ventricular Noncompaction Associated With Mutations in Cardiac Na Channel Gene SCN5A(Cardiomyopathy, basic/clinical-4, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
• OE-085 Genetic Factors Conferring Congenital Sick Sinus Syndrome in SCN5A Mutation Carriers(Arrhythmia, basic-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
• Nonreentrant atrioventricular nodal tachycardia due to triple nodal pathways manifested by radiofrequency ablation at coronary sinus ostium
• Quantitative Analysis of Aberrant Splicing Caused by a Splice-site Mutation in KCNQ1 Gene of a Patient with Long QT Syndrome (Genetics/Genetically Engineered Models (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• 1 Genotype-Phenotypes Relations of SCN5A-Positive Brugada Syndrome(Brugada Syndrome:From Cell to Bedside,Plenary Session 2 (PL2) (A),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
• Increased Cycle Length Variability during Ventricular Fibrillation in Patients with Cardiomyopathy
• SCN5A Gene Silencing by Adenovirus-mediated Short Interfering RNA Delivery in Neonatal Rat Ventricular Myocytes(Arrhythmia, Basic 2 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
• Body Mass Index Is an Independent Predictor of Long-Term Outcomes in Patients Hospitalized With Heart Failure in Japan : A Report Frown the Japanese Cardiac Registry of Hears Failure in Cardiology (JCARE-CARD)
• Therapeutic Potentials of an Artificial Oxygen-Carrier, Liposome-Encapsulated Hemoglobin, for Ischemia/Reperfusion-Induced Cerebral Dysfunction in Rats
• Serotonin_ Receptor-Mediated Synaptic Response in the Rat Medial Prefrontal Cortex Is Altered by Early Life Stress : In Vivo and In Vitro Electrophysiological Studies
• Novel Strain Rate Index of Contractility Loss Caused by Mechanical Dyssynchrony : A Predictor of Response to Cardiac Resynchronization Therapy
• Brachial-ankle pulse wave velocity is an independent predictor of incident hypertension in Japanese normotensive male subjects
• Predictors of Long-Term Adverse Outcomes in Elderly Patients Over 80 Years Hospitalized With Heart Failure : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
• Liposome-Encapsulated Hemoglobin Ameliorates Impairment of Fear Memory and Hippocampal Dysfunction After Cerebral Ischemia in Rats
• Diazepam-Induced Increases of Synaptic Efficacy in the Hippocampal-Medial Prefrontal Cortex Pathway Are Associated With Its Anxiolvtic-like Effect in Rats
• Type II NKT Cells Stimulate Diet-Induced Obesity by Mediating Adipose Tissue Inflammation, Steatohepatitis and Insulin Resistance
• Early diastolic mitral annular velocity at the interventricular septal annulus correctly reflects left ventricular longitudinal myocardial relaxation
• Decreased glomerular filtration rate is a significant and independent risk for in-hospital mortality in Japanese patients with acute myocardial infarction : report from the Hokkaido acute myocardial infarction registry
• Loop Diuretic Use at Discharge Is Associated With Adverse Outcomes in Hospitalized Patients With Heart Failure : A Report From the Japanese Cardiac Registry of Heart Failure in Cardiology (JCARE-CARD)
• Effect of multiple set on intramuscular metabolic stress during low-intensity resistance exercise with blood flow restriction
• Mode of Death in Patients With Heart Failure and Reduced vs. Preserved Ejection Fraction : Report From the Registry of Hospitalized Heart Failure Patients
• Beta-Blocker Use at Discharge in Patients Hospitalized for Heart Failure Is Associated With Improved Survival
• Possible Modulation of the Amygdala on Metaplasticity Deficits in the Hippocampal CA1 Field in Early Postnatally Stressed Rats
• Strain Rate Dispersion Index Can Predict Changes in Left Ventricular Volume and Adverse Cardiac Events Following Cardiac Resynchronization Therapy
• Iodine-123-Metaiodobenzylguanidine Scintigraphy of Total Cardiac Adrenergic Denervation in Brugada Syndrome.
• Anticoagulation Management in the Perioperative Phase of Implantable Cardioverter Defibrillator Implantation
• Long-Term Survival in Implantable Cardioverter-Defibrillators (ICD) Leads Inserted by the Extrathoracic Introduction Technique
• Report of the American Heart Association (AHA) Scientific Sessions 2013, Dallas
• Anticoagulation Management in the Perioperative Phase of Implantable Cardioverter Defibrillator Implantation
• Strain Rate Dispersion Index Can Predict Changes in Left Ventricular Volume and Adverse Cardiac Events Following Cardiac Resynchronization Therapy

もっと見る 閉じる

スポンサーリンク