Efficacy of Ivabradine in Preventing Inappropriate Shock due to Sinus Tachycardia in a Patient with Cardiac Sarcoidosis.

IF 1.2 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

International heart journal Pub Date : 2024-11-30 Epub Date: 2024-11-14 DOI:10.1536/ihj.24-323

Takuro Masuda, Kazufumi Nakamura, Nobuhiro Nishii, Saori Asada, Akira Ueoka, Masakazu Miyamoto, Koji Nakagawa, Yoichi Takaya, Hironobu Toda, Hiroshi Morita, Shinsuke Yuasa

引用次数: 0

Abstract

We herein report a case of left ventricular dysfunction due to cardiac sarcoidosis following cardiac resynchronization therapy defibrillator (CRT-D) in an 87-year-old man. He presented to our hospital after receiving shock therapy while conscious. Device interrogation revealed that inappropriate shock occurred due to sinus tachycardia. Due to the setting of a low ventricular tachycardia (VT) detection rate because of a history of slow VT, increasing the VT detection rate was not feasible. After initiation of treatment with ivabradine, the sinus rate decreased and there was no recurrence of inappropriate shock during a 3-year follow-up period. Ivabradine was effective for preventing inappropriate shock due to sinus tachycardia.

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伊伐布雷定对预防心脏肉样瘤病患者窦性心动过速引起的不适当休克的疗效。

我们在此报告一例因心脏肉芽肿病而导致左心室功能障碍的病例，患者是一名 87 岁的男性，在使用心脏再同步治疗除颤器（CRT-D）后出现左心室功能障碍。他是在意识清醒的情况下接受电击治疗后到我院就诊的。设备检查显示，由于窦性心动过速，发生了不适当的电击。由于有缓慢室速病史，室速（VT）检出率较低，因此无法提高室速检出率。开始使用伊伐布雷定治疗后，窦性心动过速率有所下降，而且在为期 3 年的随访期间没有再次发生不适当休克。伊伐布雷定能有效预防窦性心动过速引起的不适当休克。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International heart journal 医学-心血管系统

CiteScore

2.50

自引率

6.70%

发文量

148

审稿时长

6-12 weeks

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