Belhassen B, Pines A, Laniado S
Department of Cardiology, Tel-Aviv Medical Center, Ichilov Hospital, Israel.
Chest. 1989 Apr;95(4):918-20. doi: 10.1378/chest.95.4.918.
Programmed ventricular stimulation was performed in a patient with sarcoidosis who exhibited an episode of sustained ventricular tachycardia. Sustained rapid ventricular tachyarrhythmias requiring cardioversion for termination were induced by double right ventricular apical extrastimuli during control, and treatment with disopyramide, quinidine, and fluocortolone. In contrast, only four repetitive ventricular complexes were induced during combined therapy with quinidine, mexiletine and amiodarone. While receiving the latter regimen, the patient has been asymptomatic during 28 months of follow-up.
对一名患有结节病且曾出现持续性室性心动过速发作的患者进行了程控心室刺激。在对照期间，通过右心室心尖部双重额外刺激以及使用丙吡胺、奎尼丁和氟可的索进行治疗，诱发了需要进行心脏复律才能终止的持续性快速室性心律失常。相比之下，在使用奎尼丁、美西律和胺碘酮联合治疗期间，仅诱发了4次重复性室性复合波。在接受后一种治疗方案期间，该患者在28个月的随访中一直无症状。
