Radiofrequency Energy Induced Ventricular Fibrillation in a Case of Idiopathic Premature Ventricular Contraction Originating from the Left Ventricular Papillary Muscle
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概要
- 論文の詳細を見る
A 15-year-old boy without structural heart disease was admitted for the treatment of frequent episodes of premature ventricular contractions (PVCs). Left ventricular mapping revealed that the origin of PVC was at the posterior papillary muscle. Diastolic small potentials were observed during sinus rhythm with a constant interval following QRS beats. This potential eventually coupled with the ventricular myocardium, resulting in the generation of PVC, and thus preceded QRS by 31 msec. Catheter ablation to this site induced non-sustained ventricular tachycardia, followed by transient ventricular fibrillation. Repeated application of radiofrequency energy eliminated PVC accompanied by the split of the diastolic potential.
著者
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MIYAZAKI Takashi
Department of Oral Biomaterials and Technology, School of Dentistry, Showa University
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Ogawa Hisao
Department of Cardiology, Kumamoto University
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Yamabe Hiroshige
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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Morihisa Kenji
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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Uemura Takashi
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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Enomoto Koji
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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Takashio Seiji
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University
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Koyama Junjiroh
Division of Cardiology, Saiseikai Kumamoto Hospital, Cardiovascular Center
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Enomoto Koji
Department Of Cardiology Kumamoto University School Of Medicine
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Ogawa Hisao
Department Cardiovascular Medicine Kumamoto University:division Of Intensive Care Unit Kumamoto Univ
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Uemura Takashi
Department Of Applied Biological Science Science University Of Tokyo
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Miyazaki Takashi
Department Of Animal Science Faculty Of Bioresources Mie University
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Yamabe Hiroshige
Department Of Cardiology Kumamoto City Hospital
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Koyama Junjiroh
Division of Cardiology, Cardiovascular Center, Saiseikai Kumamoto Hospital
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