Danger of use of disopyramide in patients with hypertrophic obstructive cardiomyopathy. An electrophysiologic study.:An Electrophysiologic Study

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概要

• 論文の詳細を見る

• A 61-year-old man with hypertrophic obstructive cardiomyopathy with asymptomatie ventricular tachycardia underwent electrophysiologic study. Double extrastimuli at the right ventricular outflow tract induced polymorphic ventricular tachycardia which degenerated into fibrillation. After intravenous administration of 50mg of disopyramide, the pressure gradient in the outflow tract disappeared, but the tachycardia inducing zone appeared at the right ventricular apex. Although disopyramide may be used in patients with hypertrophic cardiomyopathy to relieve the intraventricular pressure gradient, it should be used only after evaluating its safety and efficacy electrophysiologically.

• International Heart Journal刊行会の論文

著者

• MATSUOKA AKIO

  First Department of Internal Medicine and Second Depanment of Surgery

• Shibata Akira

  First Department Of Internal Medicine Niigata University Niigata Case Western Reserve University

• Aizawa Yoshifusa

  First Department Of Internal Medicine Niigata Universaity School Of Medicine

• MIYAJIMA Seiichi

  First Department of Internal Medicine, Niigata University School of Medicine

• OKABE Masaaki

  First Department of Internal Medicine, Niigata University School of Medicine

• AIZAWA Yoshifusa

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

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