Suppression of exercise-induced ventricular arrhythmias by propranolol and diltiazem in a woman without organic heart disease--a case report.
作者： Katsusuke Yano , Katsumi Miyauchi , Takao Mitsuoka , Kunitake Hashiba
DOI: 10.1177/000331979004100111
关键词:
摘要: A thirty-five-year-old woman without organic heart disease who has exercise-induced ventricular arrhythmias suppressed by propranolol and diltiazem is reported. Treadmill exercise provoked reproducibly nonsustained tachycardia (NSVT) salvos of premature contraction (VPC). QRS morphology these showed left bundle branch block pattern right axis deviation. Oral (20 mg) (90 prevented provocation NSVT VPC. However, oral mexiletine (200 procainamide (500 could not prevent arrhythmias. No be induced any form extrastimulations. Right pacing at a rate 210 beats/minute which the was similar to that NSVT. Triggered activity may possible electrophysiologic mechanism for in this patient, although other m...
sagepub.com
sci-hub.se 参考文章(13)
Andrew L. Bryson, Alfred F. Parisi, Eliot Schechter, Steven Wolfson, Life-threatening ventricular arrhythmias induced by exercise American Journal of Cardiology. ,vol. 32, pp. 995- 999 ,(1973) , 10.1016/S0002-9149(73)80171-7
J P Moak, M R Rosen, Induction and termination of triggered activity by pacing in isolated canine Purkinje fibers. Circulation. ,vol. 69, pp. 149- 162 ,(1984) , 10.1161/01.CIR.69.1.149
DELON WU, Exercise-Triggered Paroxysmal Ventricular Tachycardia Annals of Internal Medicine. ,vol. 95, pp. 410- 414 ,(1981) , 10.7326/0003-4819-95-4-410
Alan Woelfel, James R. Foster, R.G. McAllister, Ross J. Simpson, Leonard S. Gettes, Efficacy of verapamil in exercise-induced ventricular tachycardia The American Journal of Cardiology. ,vol. 56, pp. 292- 297 ,(1985) , 10.1016/0002-9149(85)90852-5
Michael V. Jelinek, Bernard Lown, Exercise stress testing for exposure of cardiac arrhythmia. Progress in Cardiovascular Diseases. ,vol. 16, pp. 497- 522 ,(1974) , 10.1016/0033-0620(74)90008-5
H Reuter, H Scholz, The regulation of the calcium conductance of cardiac muscle by adrenaline. The Journal of Physiology. ,vol. 264, pp. 49- 62 ,(1977) , 10.1113/JPHYSIOL.1977.SP011657
Hein J. Wellens, Pathophysiology of Ventricular Tachycardia in Man Archives of Internal Medicine. ,vol. 135, pp. 473- 479 ,(1975) , 10.1001/ARCHINTE.1975.00330030123012
Edwin V. Palileo, William W. Ashley, Steven Swiryn, Robert A. Bauernfeind, Boris Strasberg, A.Tom Petropoulos, Kenneth M. Rosen, Exercise provocable right ventricular outflow tract tachycardia. American Heart Journal. ,vol. 104, pp. 185- 193 ,(1982) , 10.1016/0002-8703(82)90190-9
David M. Mokotoff, Miguel A. Quinones, Richard R. Miller, Exercise-induced ventricular tachycardia. Clinical features, relation to chronic ventricular ectopy, and prognosis. Chest. ,vol. 77, pp. 10- 16 ,(1980) , 10.1378/CHEST.77.1.10
Paul L. McHenry, Charles Fisch, John W. Jordan, Betty R. Corya, Cardiac arrhythmias observed during maximal treadmill exercise testing in clinically normal men The American Journal of Cardiology. ,vol. 29, pp. 331- 336 ,(1972) , 10.1016/0002-9149(72)90527-9