Persistent Atrial Standstill Due to Atrial Inexcitability : An Electrophysiological and Histological Study

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概要

• 論文の詳細を見る

• Electrophysiological and histopathological examinations were carried out in 2 patients with persistent atrial standstill. Intracardiac studies revealed that atrial standstill was due to atrial inexcitability. It was demonstrated in both patients that prolongation of the H-V interval and the duration of H deflection was associated with complete right bundle branch block and that the escape rhythm was an A-V junctional origin. Histologically, marked fibrosis of the right atrium and fibrous strands in the right ventricle were demonstrated in a 69-year-old man with idiopathic cardiomyopathy. In another female patient with peripartum heart disease aged 40 years, there was moderate degeneration of the myocardium in the right ventricle. The results of electron microscopic observations are also presented. The importance of the examination of His bundle electro-graphy in persistent atrial standstill and the diagnostic criteria and treatment of this lesion are discussed

• International Heart Journal刊行会の論文

著者

• Tanaka Nobuyuki

  First Department of Internal Medicine, Osaka City University Medical School

• Kanehisa Takuya

  First Department of Internal Medicine

• Taira Akira

  Second Department Of Surgery Center For Chronic Viral Diseases Kagoshima University Faculty Of Medic

• Tanaka Hiromitu

  The 1st Department Of Internal Medicine Faculty Of Medicine Kagoshima University

• Tanaka Hiromitsu

  First Department Of Internal Medicine Faculty Of Medicine Kagoshima University

• ATSUCHI Yoshihiko

  First Department of Internal Medicine, Faculty of Medicine, Kagoshima University

• Nishii Seiji

  First Department of Internal Medicine, Faculty of Medicine, Kagoshima University

• TANAKA Sadao

  Second Department of Pathology, Faculty of Medicine, Kagoshima University.

• TANAKA Hiromitsu

  First Department of Internal Medicine, Faculty of Medicine, Kagoshima University

• TANAKA Nobuyuki

  First Department of Internal Medicine, Faculty of Medicine, Kagoshima University

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