Effects of Adenosine Triphosphate on Wide QRS Tachycardia. Analysis in 18 Patients.:Analysis in 18 Patients
スポンサーリンク
概要
- 論文の詳細を見る
A few studies have indicated that adenosine terminated triggered-activity idiopathic ventricular tachycardia, but all involved a small number of cases. The effects of adenosine triphosphate (ATP) on wide QRS tachycardia have thus not yet been completely clarified. This retrospective study was performed to evaluate the therapeutic and diagnostic utility of ATP in wide QRS tachycardia. A total of 18 patients with wide QRS tachycardia (QRS width >120msec, rate ≥150beats/min) were evaluated. ATP, 20-40mg, was administered intravenously. An electrophysiological study and treadmill stress test were performed in all patients to elucidate the mechanism of the tachycardia. ATP terminated tachycardia or induced atrio-ventricular block in all 6 patients who had supraventricular tachycardia, but it had no effect on preexcited atrial fibrillation or pre-excited atrial flutter. Ventricular tachycardia was terminated by ATP in 5 of the 10 patients. In 4 of these 5 patients, the focus of the tachycardia was the right ventricular outflow tract. No entrainment phenomenon was demonstrated by electrophysiological study with induction of the tachycardia by stress test or isoproterenol infusion, suggesting the contribution of triggered activity to the tachycardia. In the remaining patient with complete right bundle branch block type tachycardia with right axis deviation, the mechanism of ventricular tachycardia could not be determined. In the 5 patients in whom ATP failed to terminate ventricular tachycardia, the reentry mechanism was suggested by the presence of entrainment phenomenon depicted on electrophysiological study. In summary, this study suggests that ATP terminates supraventricular wide QRS tachycardia and ventricular tachycardia due to triggered-activity, but that it has no effect on pre-excited atrial fibrillation or flutter or on ventricular tachycardia due to a reentry mechanism. These findings add to the mounting evidence regarding the therapeutic and diagnostic utility of ATP in wide QRS tachycardia.
- International Heart Journal刊行会の論文
著者
-
Kusachi Shozo
The First Department of Internal Medicine, Okayama University Medical School
-
Kusachi Shozo
The First Department Of Internal Medicine
-
Kita Toshimasa
Cardiovascular Center Sakakibara Hospital
-
Murakami Takashi
The First Department of Internal Medicine, Okayama University Medical School
-
Sakuragi Satoru
Cardiovascular Medicine, University of Okayama
-
TAKAISHI Atsushi
Cardiovascular Center, Sakakibara Hospital
-
HINA Kazuyoshi
Cardiovascular Center, Sakakibara Hospital
-
YAMASAKI Satoshi
Cardiovascular Center, Sakakibara Hospital
-
SAKURAGI Satoru
Cardiovascular Center, Sakakibara Hospital
-
KITA Toshimasa
Cardiovascular Center, Sakakibara Hospital
関連論文
- OE-373 Abnormal Transmural Repolarization Dynamics at Bradycardia were Associated with the Occurrence of Ventricular Fibrillation in Patients with Brugada Syndrome(OE63,ECG/Body Surface Potential Mapping/Holter 1 (A),Oral Presentation (English),The 73rd A
- -439- ALPHA-hANP INCREASES CORONARY CONDUCTANCE WITH NO EFFECTS ON MYOCARDIAL CONTRACTILITY
- -19- FORSKOLIN POTENTIATES MYOCARDIAL REACTIVE HYPEREMIA IN THE OPEN-CHEST DOG : Coronary Circulation : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 51th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Augmentation index is associated with B-type natriuretic peptide in patients with paroxysmal atrial fibrillation
- PJ-802 The Utility of QTc Dispersion to Distinguish CRT Responder from Non-responder before CRT(Heart failure, clinical-19, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-060 Sequential Changes in Left Atrial Function After Pulmonary Vein Isolation in Patients with Atrial Fibrillation(Arrhythmia, therapy-15, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-037 Efficacy of Prone Position Image by Multidetector Computed Tomography for Detecting Pseudo Pulmonary Vein Stenosis(Arrhythmia, diagnosis/pathophysiology/EPS-09, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-020 Analysis of Plaque Characterization in Patients with Acute Myocardial Infarction Using Intravascular Ultrasound Virtual Histology(Acute myocardial infarction, clinical (pathophysiology)-4, The 71st Annual Scientific Meeting of the Japanese Circulat
- PE-355 Association of Plaque Characterization by Intravascular Ultrasound Virtual Histology with Arterial Remodeling in Patients with Angina Pectoris(Intravascular endoscopy/Intravascular ultrasound-5, The 71st Annual Scientific Meeting of the Japanese Ci
- PE-084 The Relation Between Coronary Calcification and Plaque Component for Patients with Acute Coronary Syndrome and Angina Pectoris : A Virtual-Histology IVUS Analysis(Acute coronary syndrome, basic/clinical-3, The 71st Annual Scientific Meeting of the
- PE-013 Comparison of Gender and Age for Plaque Components in Patients with Angina Pectoris : A Virtual Histology IVUS Analysis(Angina pectoris, basic/clinical-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-301 Comparison between Effects of Candesartan and Enarapril on Myocardial Flow Reserve by Oxygen-15 Positron Emission Tomography in Patients with AMI(Acute myocardial infarction, clinical (diagnosis/treatment)-11 (IHD) PJ51,Poster Session (Japanese),Th
- PJ-049 Pravastatin Improves Short-term Results after S.M.A.R.T. CONTROL Stent Implantation(PJ008,Peripheral Circulation/Vascular Disease (Therapy) 1 (H),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-371 Impact of Olmesartan on Progression of Coronary Atherosclerosis : A Serial Volumetric IVUS Analysis from the OLIVUS Trial(PE062,Atherosclerosis (Clinical/Treatment) (IHD),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese C
- Prone Position is Essential for Detection of Pulmonary Vein Pseudostenosis by Enhanced Multidetector Computed Tomography in Patients Who Undergo Pulmonary Vein Isolation
- PJ-652 Distal Protection reduces the Incidence of Minor Cardiac Biomarker elevation after Coronary Stenting(Coronary revascularization, PCI(24)(IHD),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-276 Pioglitazone Prevents Myocardial Damage Resulting from Percutaneous Coronary Intervention for the Patients with type-2 Diabetes(Diabetes/Obesity/Metabolic syndrome(10)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese C
- OE-205 Nicorandil Prevents Microvascular Dysfunction and Myocardial Damage Resulting from Percutaneous Coronary Intervention(Coronary circulation, basic/clinical(01)(IHD),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circul
- OE-038 Autonomic Modification Associated with Radiofrequency Pulmonary Vein Isolation Plays an Important Role for Cure of Atrial Fibrillation(Arrhythmia, therapy-1 (A) OE7,Oral Presentation (English),The 70th Anniversary Annual Scientific Meeting of the J
- Strain Echocardiography to Analyze Left Atrial (LA) Function and Remodeling in Patients with Paroxysmal Atrial Fibrillation (PAF)(Echo/Doppler 2 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- ACUTE LEFT MAIN CORONARY ARTERY OBSTRUCTION WITH MYOCARDIAL INFARCTION : Reperfusion Strategies, and the Clinical and Angiographic Outcome
- PE-204 Heart Rate Circadian Rhythm is the Strongest Factor to Determine the BNP Level in Permanent AF without LV Systolic Dysfunction(PE034,ECG/Body Surface Potential Mapping/Holter (A),Poster Session (English),The 73rd Annual Scientific Meeting of The Ja
- DPE-038 Differential Effects of Calcium Channel Blocker and Diuretic in Combination with Angiotensin II Receptor Blockers on Late Systolic Pressure Augmentation(DPE07,Hypertension, Clinical (H),Digital Poster Session (English),The 73rd Annual Scientific M
- Association of New Arterial Stiffness Parameter, the Cardio-Ankle Vascular Index, with Left Ventricular Diastolic Function
- SIMPLE TECHNIQUE FOR MEASURING REGIONAL CONTRACTILITY BY A MODIFIED STRAIN GAUGE ARCH
- PJ-814 Unique Three-dimensional Construction of Neovessel Formation by Fluvastatin Treatment in the Infarcted Myocardium(Cardiovascular pharmacology, basic / clinical(06)(H),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circu
- OE-270 Cardiac Myoblast Differentiation Promoting Factor Reduced Infarct Size and Preserved Cardiac Function in Rat Myocardial Infarction Model(Acute myocardial infarction, basic(01)(IHD),Oral Presentation(English),The 72nd Annual Scientific Meeting of th
- PE-388 Olmesartan Attenuated Connective Tissue Growth Factor (CTGF) Expression in Vascular Smooth Muscle Cells and Ameliorated Cardiac Hypertrophy in Pressure-overload Rats(Cardiovascular pharmacology, basic/clinical-4, The 71st Annual Scientific Meeting
- PJ-649 Architectural Change in the Neovessels in the Infarct Healing Heart Observed by Scanning Electron Microscopy : Effect of Statin Treatment(Cardiovascular pharmacology, basic/clinical-5 (H) PJ109,Poster Session (Japanese),The 70th Anniversary Annual
- -480-FACTORS AFFECTING ACUTE RESTENOSIS AND LATE REOCCLUSION IN EMERGENCY CORONARY ANGIOPLASTY FOR ACUTE MYOCARDIAL INFARCTION : PTCA, CABG : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Decremental Oscillation Curve Fitting of Heart Rate Response Following Face Immersion into Cold Water
- Use of Serum Creatine Kinase MM Isoforms for Predicting the Progression of Left Ventricular Dilation in Patients With Hypertrophic Cardiomyopathy
- Safety of and Tolerance to Adenosine Infusion for Myocardial Perfusion Single-Photon Emission Computed Tomography in a Japanese Population
- PE-477 Significant Increase of Cholesterol, Trigriceride and AA were Observed in AMI : From 20 Years Database in Mitoyo General Hospital(PE080,ACS/AMI (Clinical/Pathophysiology/Treatment/Basic), Angina Pectoris (Clinical) (IHD),Poster Session (English),Th
- PE-363 Difference of Risk Factors and PUFAs between Generations and Sex in Patients of Acute Myocardinal Infarction(PE061,ACS/AMI (Clinical/Pathophysiology) 2 (IHD),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation So
- PE-302 Relationship between Adipocyte Fatty Acid-Binding Protein and Coronary Plaque Burden : An Intravascular Ultrasound Study(PE051,Metabolic Syndrome 3 (H),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-208 Olmesartan Decreased Serum TGF-β Level and Protected Fibrotic Change in Rat Pressure Overload Heart(PE035,Cardiovascular Pharmacology (Basic) (H),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- PE-203 QT Prolongation and Global ST-T Change are the Characteristics of Electrocardiogram of Heat Stroke(PE034,ECG/Body Surface Potential Mapping/Holter (A),Poster Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- DPJ-068 HIF-1 Directly Induced Novel Metalloproteinase ADAMTS1 Expression and ADAMTS1 under Hypoxia Accelerated Endothelial Cell Migration(DPJ12,Coronary Circulation/Chronic Coronary Disease (Basic/Clinical) (IHD),Digital Poster Session (Japanese),The 73r
- OE-229 Two Hyaluronan Receptors, Toll-like receptor-4 (TLR4) and CD44, Play Distinct Roles in Cytokine Induction in Monocytes(OE39,Infection/Inflammation/Immunity (H),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanese Circulati
- FRS-060 A Novel Drug Delivery System with Targeting Liposome Reduced Inflammation in Macrophages(FRS12,New Approaches to Atherosclerosis Research (IHD),Featured Research Session (English),The 73rd Annual Scientific Meeting of The Japanese Circulation Soci
- Serum N-3 Polyunsaturated Fatty Acid Levels Correlate With the Extent of Coronary Plaques and Calcifications in Patients With Acute Myocardial Infarction
- PE-580 siRNA Silencing Reveals Role of Vascular Cell Adhesion Molecule-1 In Vascular Smooth Muscle Cell Migration(Restenosis basic/clinical(03)(IHD),Poster Session(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-475 Activin A as a Novel Marker of Infarct Size in Patients with Acute Myocardial Infarction Who Undergo Percutaneous Coronary Intervention(Acute myocardial infarction, clinical(diagnosis/treatment)(07)(IHD),Poster Session(English),The 72nd Annual Scie
- Coronary Pressure Measurement Identifies Patients with Diffuse Coronary Artery Disease who Benefit from Coronary Revascularization (Coronary Circulation, Basic/Clinical 4 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Coronary Pressure (CP) Measurement Identifies Patients with Diffuse Coronary Artery Disease Who Benefit from Coronary Intervention
- Nicorandil Reduces the Incidence of Minor Enzyme Elevation after Percutaneous Coronary Intervention (PCI)
- Sequential Changes in laminin and Type IV Collagen in the Infarct Zone : Immunohistochemical Study in Rat Myocardial Infarction
- OE-190 In vivo Imaging of Atherosclerosis with Novel Targeting Liposomes(Atherosclerosis, basic(01)(IHD),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-365 Tolerance and Diagnostic Accuracy of Adenosine Infusion for Myocardial Perfusion SPECT in a Japanese Population(Nuclear cardiology-5, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Use of Plasma B-Type Natriuretic Peptide Level to Identify Asymptomatic Hypertensive Patients with Abnormal Diurnal Blood Pressure Variation Profiles : Nondippers, Extreme Dippers, and Risers
- PJ-167 Increase of Escape Rhythms with Years after Radiofrequency Ablation of Atrioventricular-junction Combined with Pacemaker (Ablate and Pace) in Atrial Fibrillation(Arrhythmia, Non-Pharmacological Therapy 6 (A) : PJ28)(Poster Session (Japanese))
- OJ-061 ADAMTS1 Inhibits Angiogenesis via Metalloprotease-independent Endothelium-specific Activity(Endothelium-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-297 Changes in Serum Interferon-gamma Inducible Protein 10 (IP-10) Levels Correlated with Ventricular Function and Infarct Size in Myocardial Infarction Patients(Acute myocardial infarction, clinical (diagnosis/treatment)-8 (IHD) PJ50,Poster Session (J
- Effect of Nicorandil on Slow Flow and No Reflow during Rotational Atherectomy Compared with Those of Verapamil
- OE-357 Differential LDL-oxidation by Endothelial Cells in Mouse Strains with Different Atherosclerosis Susceptibility(Endothelium-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Relation of QT-Interval Variability to Ventricular Arrhythmias During Percutaneous Transluminal Coronary Angioplasty
- 0903 TIME-DEPENDENT ALTERATIONS OF SERUM MATRIX METALLOPROTEINASE-1(MMP-1)AND TISSUE INHIBITOR OF METALLOPROTEINASE-1(TIMP-1)LEVELS AFTER ACUTE MYOCARDIAL INFARCTION
- -0858-CLINICAL OUTCOMES OF EMERGENCY CORONARY ANGIOPLASTY FOR ACUTE MYOCARDIAL INFARCTION : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- AUTO-ANTIBODY AGAINST ADENINE NUCLEOTIDE TRANSLOCATOR IN DILATED CARDIOMYOPATHY AND MYOCARDITIS : Incidence and Relation to Cardiac Function and Morphology
- OE-379 Bradycardia and Blunted Response of Heart Rate to Autonomic Nervous Activity in Brugada Syndrome Patients with Spontaneous Ventricular Fibrillation(ECG/Body surface potential mapping/Holter-1, The 71st Annual Scientific Meeting of the Japanese Circ
- OE-378 Blunted Response of Vagal and Bradycardia-Induced QT Prolongation in Brugada Syndrome Patients with Spontaneous Ventricular Fibrillation(ECG/Body surface potential mapping/Holter-1, The 71st Annual Scientific Meeting of the Japanese Circulation Soc
- PJ-457 Effect of Sodium Channel Blocker to Brugada Syndrome Patients without SCN5A Mutation(Arrhythmia, diagnosis/pathophysiology/EPS-12 (A) PJ77,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- Increase in Connective Tissue Growth Factor (CTGF) Expression Precedes Extrracellular Matrix (ECM) Gene Expressions in Pressure-overload Heart in Rats (Hypertension, Basic 5 (H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- EMERGENCY CORONARY ANGIOPLASTY FOR ACUTE MYOCARDIAL INFARCTION : Factors Affecting Acute Restenosis in Catheterization Laboratory and Reocclusion during Hospitalization
- SILENT ZONE ON LORENZ PLOTS OF THE VENTRICULAR RESPONSE BEFORE TERMINATION OF PAROXYSMAL ATRIAL FIBRILLATION : Report of a Case
- SILENT ZONE ON LORENZ PLOTS OF THE VENTRICULAR RESPONSE BEFORE TERMINATION OF PAROXYSMAL ATRIAL FIBRILLATION : Report of a Case
- SILENT ZONE ON LORENZ PLOTS OF THE VENTRICULAR RESPONSE BEFORE TERMINATION OF PAROXYSMAL ATRIAL FIBRILLATION : Report of a Case
- SILENT ZONE ON LORENZ PLOTS OF THE VENTRICULAR RESPONSE BEFORE TERMINATION OF PAROXYSMAL ATRIAL FIBRILLATION : Report of a Case
- Association of Atrial Fibrillation with Increase in Carotid Artery Intimal-Medial Complex Thickness
- EFFECTS OF REPERFUSION ON LEFT VENTRICULAR EJECTION FRACTION AND VOLUME AFTER ACUTE MYOCARDIAL INFARCTION
- FRS-068 SCN5A Mutation Exacerbated Atrial Vulnerability in Patient with Brugada Syndrome(Clinical Arrhythmia-1 (A) FRS14,Featured Research Session,The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- FRS-067 Pilsicainide Provokes Significant Depolarization Abnormalities in Patient with Brugada Syndrome with SCN5A Mutation(Clinical Arrhythmia-1 (A) FRS14,Featured Research Session,The 70th Anniversary Annual Scientific Meeting of the Japanese Circulatio
- OE-170 Response of Depolarization and Repolarization Parameters to Sodium Channel Blocker with or without SCN5A Mutation in Brugada Syndrome(Arrhythmia, diagnosis/pathophysiology/EPS-1 (A) OE29,Oral Presentation (English),The 70th Anniversary Annual Scien
- FLOW MECHANICS IN THE RIGHT CORONARY SYSTEM : Coronary Circulation : PROCEEDINGS OF THE 50th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- INTERACTION BETWEEN ADENOSINE AND BETA-ADRENOCEPTORS
- Development of an automatic Doppler flow signal detection system : variability of pulmonary and aortic peak flow velocity
- PJ-820 Frequency of Early Repolarization in Electrocardiogram in Chronic Hemodialysis Patients and its Clinical Characteristics(Kidney/Renal circulation-6, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Connective tissue growth factor induction in a pressure-overloaded heart ameliorated by the angiotensin II type 1 receptor blocker olmesartan
- Low Incidence of Minor Myocardial Damage Associated with Coronary Stenting Detected by Serum Troponin T Comparable to That with Balloon Coronary Angioplasty.
- Effects of Adenosine Triphosphate on Wide QRS Tachycardia. Analysis in 18 Patients.:Analysis in 18 Patients
- Histological Abnormalities in a Biopsy Specimen Obtained from the Left Ventricle without Reduced Function in a Patient with Right Ventricular Dysplasia.