Kokyu to junkan. Respiration & circulation最新文献_第3页

[Prospective mass study of the treatment of chronic heart failure]. 慢性心力衰竭治疗的前瞻性大规模研究。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

S Kimata

引用次数: 0

[Lethal arrhythmias in a patient with coarctation of the aorta and severe heart failure: their control by combination of low dose amiodarone with procainamide for 3 years]. [1例主动脉缩窄合并严重心力衰竭患者致死性心律失常:低剂量胺碘酮联合普鲁卡因胺治疗3年]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

K Shinmura, H Hasegawa, H Ishida, K Shimizu, Y Ebihara, T Koyama, S Iwanaga, S Honma, M Tani, S Handa

{"title":"[Lethal arrhythmias in a patient with coarctation of the aorta and severe heart failure: their control by combination of low dose amiodarone with procainamide for 3 years].","authors":"K Shinmura, H Hasegawa, H Ishida, K Shimizu, Y Ebihara, T Koyama, S Iwanaga, S Honma, M Tani, S Handa","doi":"","DOIUrl":"","url":null,"abstract":"In 1970, a 19 year-old man was diagnosed as having coarctation of the aorta (CoA). But the patient and his family rejected further examination for CoA and high blood pressure was treated after that time. When the patient was 37 years old, he was admitted to our hospital because of congestive heart failure. During the 2nd admission for determining the operability of CoA in December, 1988, non-sustained ventricular tachycardia was detected. Immediately, intravenous administration of lidocaine or/and mexiletine were started. However, cardiac arrest occurred. After his recovery, lethal ventricular arrhythmias were still observed frequently despite administration of class Ia or Ib antiarrhythmic drugs. Oral amiodarone administration (600 mg) with procainamide (1000 mg) was started on 1st of May, 1989. Axillo-femoral bypass graft was performed during the 2nd admission because curable operation was abandoned because of severely impaired cardiac function. Subsequently, the patient was admitted 5 times due to exacerbated congestive heart failure. However, lethal arrhythmias were able to be controlled by the combination of low dose amiodarone (100-200 mg) with procainamide until he died of congestive heart failure on 9th of May, 1992. We reported a rare adult case with CoA and severe heart failure. Lethal arrhythmias in this case were well controlled by the combined administration of low dose amiodarone with procainamide regardless of severely impaired cardiac function.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 11","pages":"1107-11"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19243914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[A case of life-threatening ventricular arrhythmias probably due to psychotropic drugs]. [可能由精神药物引起的危及生命的室性心律失常一例]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

N Kondou, Y Hiasa, K Kishi, H Fujinaga, Y Ohishi, R Ohtani, T Wada, T Aihara

{"title":"[A case of life-threatening ventricular arrhythmias probably due to psychotropic drugs].","authors":"N Kondou, Y Hiasa, K Kishi, H Fujinaga, Y Ohishi, R Ohtani, T Wada, T Aihara","doi":"","DOIUrl":"","url":null,"abstract":"We present a case provoked life-threatening ventricular arrhythmias probably due to psychotropic drugs. The patient was a 55-year-old man who had previously twice operations of aortic valve replacement (AVR). The signs of cardiac failure were recurrently appeared from the end of 1991, and he had received promethazine and sulpiride for his depressive state. From cardiac catheterization, we planned his third AVR. The electrocardiographic (ECG) QTc interval was prolonged to 0.48 seconds on this admission. In March 1992 syncopal attack appeared suddenly, and his monitor ECG revealed frequent polymorphous ventricular tachycardia (VT) and Torsade de Pointes (Tdp). These arrhythmias stopped by emergent cardiac pacing. After discontinuing these psychotropic drugs, no ventricular arrhythmias appeared. Since the patient complained severe insomnia one month before operation, the diminished dose of psychotropic drugs (promethazine and levomepromazine) was readministered. Ten days after the operation, syncopal attack reappeared and his ECG recorded frequent VT and Tdp. During both syncopal attacks his serum potassium and magnesium were within normal limits. Two days later, he died from multi-organ failure. We concluded that life-threatening arrhythmias such as VT and Tdp might develop under the administration of mild psychotropic drugs (promethazine or levomepromazine), therefore, must better take a care of ECG changes in cases of using any psychotropic drugs.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 11","pages":"1117-20"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19243916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Antiarrhythmic drugs]. (抗心律失常的药物)。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

H Mitamura

引用次数: 0

[Coronary thrombolysis]. (冠状动脉溶栓)。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

K Kamimatsuse

引用次数: 0

[The prevention of stroke in atrial fibrillation]. [房颤卒中的预防]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

T Amano

引用次数: 0

[Adult case of aortopulmonary window with aortic regurgitation: a case report]. 成人主动脉肺窗合并主动脉反流1例。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

H Etsuda, K Mizuno, R Kato, K Arakawa, A Miyamoto, Y Nozaki, S Nakao, H Ohmura, Y Okamoto, A Uehata

{"title":"[Adult case of aortopulmonary window with aortic regurgitation: a case report].","authors":"H Etsuda, K Mizuno, R Kato, K Arakawa, A Miyamoto, Y Nozaki, S Nakao, H Ohmura, Y Okamoto, A Uehata","doi":"","DOIUrl":"","url":null,"abstract":"A 45-year-old woman was admitted to our hospital because of the evaluation of heart murmur. Her height was 152 cm and body weight was 46 kg. The physical examination showed a grade 4 continuous murmur widely audible on the anterior chest wall. The chest X-ray film was normal. The electrocardiogram showed premature ventricular contractions and left ventricular (LV) hypertrophy. The two dimensional echocardiogram demonstrated the presence of moderate aortic regurgitation (AR), however, aortopulmonary window could not be detected. The aortic valve showed neither atherosclerotic nor rheumatic changes. At cardiac catheterization, pulmonary artery (PA) pressure was 20/11 mmHg and aortic pressure was 133/60 mmHg, and a step-up of O2 saturation between right ventricule and pulmonary artery (PA) was demonstrated. The aortography revealed an aortopulmonary window between the proximal ascending aorta and the main PA, and grade 2 AR. The pulmonary to systemic flow ratio averaged 1.5:1. The coronary artery and the LV wall motion was normal. Aortopulmonary window is a very rare anomaly and often requires operation in childhood because of its large left-to-right shunt in most cases. Neither an asymptomatic adult case with this anomaly nor a case with AR has not been reported so far.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 11","pages":"1113-5"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19243915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Antihypertensive drugs and prevention of myocardial infarction]. 【降压药与心肌梗死的预防】。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

H Matsuoka

引用次数: 0

[Successful documentation by coronary angiography of spontaneous simultaneous multivessel coronary spasm in a variant angina patient: a case report]. [通过冠状动脉造影成功记录变异性心绞痛患者自发性同时多支冠状动脉痉挛1例]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

I Misumi, K Tsuruta, H Tanae, T Sakamoto, R Tsunoda, S Sakano, M Tanaka

引用次数: 0

[Effective dose of flecainide for arrhythmia in children]. [氟氯胺治疗儿童心律失常的有效剂量]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-11-01

N Sumitomo, H Ushinohama, M Hara, M Otuka, K Harada, M Okuni

{"title":"[Effective dose of flecainide for arrhythmia in children].","authors":"N Sumitomo, H Ushinohama, M Hara, M Otuka, K Harada, M Okuni","doi":"","DOIUrl":"","url":null,"abstract":"Nine children with arrhythmia (1 automatic atrial tachycardia, 1 premature ventricular construction, and 7 ventricular tachycardia) who started oral treatment using flecainide were studied. All but 2 cases (1 post operative ventricular septal defect, 1 post operative tetralogy of Fallot) had ostensibly normal heart on physical examination, chest X ray and echocardiogram. To raise serum level above 200ng/ml, flecainide dose over 80mg/m2 or 3mg/kg was needed. There was negative correlation between dose (y: mg/kg) and age (x: year) (y = 5.2-0.16x, r = 0.88) in this group. No serious side effect indicating the need to discontinue further medication was detected. In electrocardiogram, PR, QRS and QT interval was not changed before or after the medication. Premature ventricular contraction disappeared in 2 of 8 cases (25%), decreased in number in 3 (38%), did not change in 1 (13%) and increased in number in 2 (25%). However ventricular tachycardia rate decreased or disappeared in all of the 5 cases whose ventricular tachycardia was detected in Holter electrocardiogram. Flecainide seems more effective for sustained ventricular tachycardia than for nonsustained ventricular tachycardia.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 11","pages":"1079-82"},"PeriodicalIF":0.0,"publicationDate":"1993-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19244072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0