Pennell D J, Ell P J
Institute of Nuclear Medicine, University College and Middlesex School of Medicine, London, UK.
Eur J Nucl Med. 1992;19(12):1064-5. doi: 10.1007/BF00180869.
Dipyridamole 0.56 mg/kg was administered intravenously for thallium tomography after myocardial infarction. Fast atrial fibrillation developed which failed to resolve with aminophylline. Sinus rhythm returned within 3 days. Myocardial tomography revealed apical infarction without reversible ischaemia. Atrial fibrillation after dipyridamole is rare and may be caused by direct electrophysiological effects on the atrial myocardium.
心肌梗死后行铊断层扫描时,静脉注射双嘧达莫0.56mg/kg。出现快速房颤,使用氨茶碱未能缓解。3天内恢复窦性心律。心肌断层扫描显示心尖部梗死,无可逆性缺血。双嘧达莫后发生房颤罕见,可能是对心房心肌的直接电生理作用所致。