A Case of Atrial Tachycardia Sensitive to Increased Caffeine Intake

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概要

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• A 33-year-old Japanese man with atrial tachycardia visited our clinic. He regularly consumed daily alcohol with cola, one cup of regular coffee, and a candy containing 0.7 mg of caffeine per tablet. After stopping his caffeine intake, his arrhythmia ameliorated. Since caffeine might be associated with his arrhythmia, a caffeine load test (equivalent to his daily intake of caffeine) was performed for 4 days. Atrial tachycardia time from a Holter recording was 44.2 minute/day before the caffeine load, compared with 215.2 minute/day during the caffeine load. Plasma caffeine concentration before and during caffeine loading was 3.1 mg/dL and 5.4 mg/dL, respectively. Caffeine use seemed to be an important factor for his atrial tachycardia, since his arrhythmia became worse during caffeine load testing and was ameliorated after the cessation of caffeine.

著者

• Kurita Takashi

  Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center

• Kinugawa Toru

  Kinugawa Cardiology Clinic

• Nohara Ryuji

  The Third Div., Dept. of Internal Med., Kyoto Univ. Hospital

• Smith Michael

  Department Of Animal Sciences University Of Missouri-columbia

• Kurita Takashi

  Division of Cardiology, Department of Internal Medicine, Kinki University School of Medicine

• Smith Michael

  Department of Integrative Physiology, University of North Texas Health Science Center at Fort Worth

• Nohara Ryuji

  The Tazuke Kohukai Medical Research Institute, Kitano Hospital

• Kurita Takashi

  Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan

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