第20回 臨床不整脈研究会 2種類の持続性単形性心室頻拍に対し緊急アブレーションが有効であった心筋梗塞の1例
症例は41 歳,男性. Recent MIに伴う持続性心室頻拍(VT)のため当院へ緊急搬送された.著明な低心機能に伴い右脚ブロック+上方軸型の2種類のVT(VT1,VT2)を認めた.両VTはincessant formを呈し,DC無効であり,PCI,IABPおよび抗不整脈薬/鎮静薬併用により一時的に消失したが,2日後に再発したためアブレーション(ABL)施行.CARTOのactivation mappingで早期性を示した左室下部中隔にて,良好なpace mappingが得られ,同部位のABLにてVT1は停止した.さらにdelayedpotentialを認めた低電位領域における追加ABLにより...
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| Published in | 心臓 Vol. 40; no. Supplement4; pp. 162 - 169 |
|---|---|
| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
公益財団法人 日本心臓財団
2008
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0586-4488 2186-3016 |
| DOI | 10.11281/shinzo1969.40.Supplement4_162 |
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| Abstract | 症例は41 歳,男性. Recent MIに伴う持続性心室頻拍(VT)のため当院へ緊急搬送された.著明な低心機能に伴い右脚ブロック+上方軸型の2種類のVT(VT1,VT2)を認めた.両VTはincessant formを呈し,DC無効であり,PCI,IABPおよび抗不整脈薬/鎮静薬併用により一時的に消失したが,2日後に再発したためアブレーション(ABL)施行.CARTOのactivation mappingで早期性を示した左室下部中隔にて,良好なpace mappingが得られ,同部位のABLにてVT1は停止した.さらにdelayedpotentialを認めた低電位領域における追加ABLにより両VTは消失した.しかし,2週間後にVTの再発を認め,再度ABLを施行し,ICDの植込み術を行った.以上,難治性VTに対するABLにより急性効果が得られた1例を経験した. |
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| AbstractList | 症例は41 歳,男性. Recent MIに伴う持続性心室頻拍(VT)のため当院へ緊急搬送された.著明な低心機能に伴い右脚ブロック+上方軸型の2種類のVT(VT1,VT2)を認めた.両VTはincessant formを呈し,DC無効であり,PCI,IABPおよび抗不整脈薬/鎮静薬併用により一時的に消失したが,2日後に再発したためアブレーション(ABL)施行.CARTOのactivation mappingで早期性を示した左室下部中隔にて,良好なpace mappingが得られ,同部位のABLにてVT1は停止した.さらにdelayedpotentialを認めた低電位領域における追加ABLにより両VTは消失した.しかし,2週間後にVTの再発を認め,再度ABLを施行し,ICDの植込み術を行った.以上,難治性VTに対するABLにより急性効果が得られた1例を経験した. |
| Author | 西崎, 光弘 井原, 健介 仁木, 沙織 平岡, 昌和 前田, 真吾 山分, 規義 櫻田, 春水 村井, 典史 藤井, 洋之 足利, 貴志 |
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| DOI | 10.11281/shinzo1969.40.Supplement4_162 |
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| References | 6) Marius Volkmer, Feifan Ouyang, Matthias Antz, et al: Substrate mapping vs. tachycardia mapping using CARTO in patients with coronary artery disease and ventricular tachycardia: impact on outcome of catheter aclation. Europace 2006: 968-976 1) Kyoko Soejima, Makoto Suzuki, William G. Stevenson, et al: Catherter ablation in patients with multiple and unstabale ventricular tachycardias after myocardial infarction. Circulation 2001; 104: 664-669 2) Jesus Almendral, Mark E. Josephson, et al: All patients with hemodynamically tolerated postinfarction ventricular tachycardia do not require an implantable cardioverter-defibrillator. Circulation 2007; 116: 1204-1212 4) Furniss S, Anil-Kumar R, Simeonidou E, et al: Radiofrequency ablation of haemodynamically unstable ventricular tachycardia after myocardial infarction. Heart 2000; 84: 648-652 5) Paolo Della Bella, Stefania Riva, Nicola Trevisi, et al: Incidence and significance of pleomorphism in patients with postmyocardial infarction ventricular tachycardia -acute and long- term outcome of radiofrequency catherter ablation-. European Heart Journal 2004; 25: 1127-1138 3) Corrado Carbucicchio, Matteo Stantamaria, Paolo Della Bella, et al: Cathertel ablation for the treatment of electrical storm in patients with implantable cardioventer defibrillators short-and long-term outcomes in a prospective single-center study-. Circulation 2008; 117: 462-469 |
| References_xml | – reference: 5) Paolo Della Bella, Stefania Riva, Nicola Trevisi, et al: Incidence and significance of pleomorphism in patients with postmyocardial infarction ventricular tachycardia -acute and long- term outcome of radiofrequency catherter ablation-. European Heart Journal 2004; 25: 1127-1138 – reference: 2) Jesus Almendral, Mark E. Josephson, et al: All patients with hemodynamically tolerated postinfarction ventricular tachycardia do not require an implantable cardioverter-defibrillator. Circulation 2007; 116: 1204-1212 – reference: 1) Kyoko Soejima, Makoto Suzuki, William G. Stevenson, et al: Catherter ablation in patients with multiple and unstabale ventricular tachycardias after myocardial infarction. Circulation 2001; 104: 664-669 – reference: 3) Corrado Carbucicchio, Matteo Stantamaria, Paolo Della Bella, et al: Cathertel ablation for the treatment of electrical storm in patients with implantable cardioventer defibrillators short-and long-term outcomes in a prospective single-center study-. Circulation 2008; 117: 462-469 – reference: 6) Marius Volkmer, Feifan Ouyang, Matthias Antz, et al: Substrate mapping vs. tachycardia mapping using CARTO in patients with coronary artery disease and ventricular tachycardia: impact on outcome of catheter aclation. Europace 2006: 968-976 – reference: 4) Furniss S, Anil-Kumar R, Simeonidou E, et al: Radiofrequency ablation of haemodynamically unstable ventricular tachycardia after myocardial infarction. Heart 2000; 84: 648-652 |
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| Snippet | 症例は41 歳,男性. Recent MIに伴う持続性心室頻拍(VT)のため当院へ緊急搬送された.著明な低心機能に伴い右脚ブロック+上方軸型の2種類のVT(VT1,VT2)を認めた.... |
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| SubjectTerms | カテーテルアブレーション 心室頻拍 心筋梗塞 |
| Title | 第20回 臨床不整脈研究会 2種類の持続性単形性心室頻拍に対し緊急アブレーションが有効であった心筋梗塞の1例 |
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