Postpartum Complete Atrioventricular Block Due to Cardiac Sarcoidosis : Steroid Therapy Without Permanent Pacemaker
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概要
- 論文の詳細を見る
A 32 year-old woman with bilateral hilar lymphadenopathy suffered from syncopal attacks after her first delivery. Electrocardiograms showed complete atrioventricular block (AVB) and myocardial scintigrams demonstrated a decreased uptake in the anteroseptal area. She was diagnosed as having postpartal cardiac acceleration of sarcoidosis. Because she rejected permanent pacemaker implantation, we started steroid therapy under temporary pacing. Fortunately, the treatment was very effective. Even after tapering-off of the steroid, the AVB has never reappeared. Permanent pacemaker implantation with subsequent steroid therapy is generally recommended for complete AVB due to cardiac sarcoidosis. However, steroid therapy alone can be considered for some selected cases.
- インターナショナル・ハート・ジャーナル刊行会の論文
著者
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Aizawa Akira
Department of Cardiology, Tokyo Medical University Hachioji Medical Center
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Sugishita Kazuro
Jr東京総合病院 循環器内科
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Sugishita Kazuro
Department Of Cardiology Jr Tokyo General Hospital
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Togashi Yuki
Department of Cardiology, JR Tokyo General Hospital
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Asakawa Masako
Department of Cardiology, JR Tokyo General Hospital
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Usui Shin-ichi
Department of Cardiology, JR Tokyo General Hospital
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Ito Nobuhiko
Department of Cardiology, JR Tokyo General Hospital
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Yamaguchi Tetsuo
Department of Respiratory Medicine, JR Tokyo General Hospital
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Hada Yoshiyuki
Department of Cardiology, JR Tokyo General Hospital
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Takahashi Toshiyuki
Department of Cardiology, JR Tokyo General Hospital
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Ito Nobuhiko
Department Of Cardiology Jr Tokyo General Hospital
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Hada Yoshiyuki
Department Of Cardiology Jr Tokyo General Hospital
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Aizawa Akira
Department Of Cardiology Tokyo Medical University Hachioji Medical Center
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Yamaguchi Tetsuo
Department Of Applied Physics Graduate School Of Engineering The University Of Tokyo:crest Jst
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Takahashi Toshiyuki
Department of Applied Chemistry, Faculty of Science and Engineering, Kinki University
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Aizawa Akira
Department of Cardiology, JR Tokyo General Hospital
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