Both Low and High Energy Cardioversion Induced Accelerated Ventricular Tachycardia in a Patient Treated with an Implantable Cardioverter Defibrillator.

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概要

• 論文の詳細を見る

• A 72-year old male with an old myocardial infarction who had drug-refractory ventricular tachyarrhythmias received an implantable cardioverter-defibrillator(ICD). The patient did no take his prescribed β-blocking agent for two days, following which he experienced six discrete shocks for spontaneous VT while riding his bicycle. Both 5J and 30J cardioversions were ineffective at terminating the VT and accelerated VT developed following the shocks. After admission, an electrophysiological study was performed while he was taking the β-blocking agent, both low and high energy cardioversions reproducibly terminated the clinical VT without showing any accelerated rhythm. These findings suggest that the increase in sympathetic discharge may enhance the proarrhythmic potential of ICDs.

• International Heart Journal刊行会の論文

著者

• Furushima Hiroshi

  First Department Of Internal Medicine Niigata University School Of Medicine

• Chinushi Masaomi

  First Department Of Internal Medicine Niigata University School Of Medicine

• Washizuka Takashi

  First Department Of Internal Medicine Niigata University School Of Medicine

• Ohhira Kouji

  First Department Of Internal Medicine Niigata University School Of Medicine

• Aizawa Yoshifusa

  First Department Of Internal Medicine Niigata Universaity School Of Medicine

• HATADA Katsuharu

  First Department of Internal Medicine, Niigata University School of Medicine, Asahimachi, Niigata, Japan

• CHINUSHI Masaomi

  First Department of Internal Medicine, Niigata University School of Medicine, Asahimachi, Niigata, Japan

• KASAI Hirohide

  First Department of Internal Medicine, Niigata University School of Medicine, Asahimachi, Niigata, Japan

• WASHIZUKA Takashi

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

• WASHIZUKA Takashi

  First Department of Internal Medicine, Niigata University School of Medicine, Asahimachi, Niigata, Japan

• OHHIRA Kouji

  First Department of Internal Medicine, Niigata University School of Medicine, Asahimachi, Niigata, Japan

• AIZAWA Yoshifusa

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

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