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丙吡胺诱发的心室颤动。

Disopyramide-induced ventricular fibrillation.

作者信息

Nicholson W J, Martin C E, Gracey J G, Knoch H R

出版信息

Am J Cardiol. 1979 May;43(5):1053-5. doi: 10.1016/0002-9149(79)90374-6.

DOI:10.1016/0002-9149(79)90374-6
PMID:433766
Abstract

Three cases are described with documented ventricular fibrillation shortly after the patients received disopyramide in moderate dosage. Electrocardiograms showed markedly prolonged Q-T intervals in two patients and a prominent U wave with a prolonged Q-U interval in one patient, but no change in QRS width. Disopyramide-induced ventricular fibrillation appears to be similar to that caused by quinidine and is an indication to discontinue the drug.

摘要

本文描述了3例患者在接受中等剂量丙吡胺后不久记录到心室颤动的病例。心电图显示,2例患者的Q-T间期明显延长,1例患者出现明显的U波且Q-U间期延长,但QRS波宽度无变化。丙吡胺诱发的心室颤动似乎与奎尼丁所致者相似,这是停用该药的指征。

相似文献

1
Disopyramide-induced ventricular fibrillation.丙吡胺诱发的心室颤动。
Am J Cardiol. 1979 May;43(5):1053-5. doi: 10.1016/0002-9149(79)90374-6.
2
Ventricular tachycardia-flutter associated with disopyramide therapy: a report of three cases.丙吡胺治疗相关的室性心动过速-扑动:三例报告
Heart Lung. 1978 Sep-Oct;7(5):783-7.
3
Prolonged QT interval, atrioventricular block, and torsade de pointes after antiarrhythmic therapy.抗心律失常治疗后出现QT间期延长、房室传导阻滞及尖端扭转型室性心动过速。
Br Med J. 1980 Mar 29;280(6218):922-3. doi: 10.1136/bmj.280.6218.922.
4
Ventricular tachyarrhythmias induced by disopyramide and other similar anti-arrhythmic drugs.丙吡胺及其他类似抗心律失常药物诱发的室性快速性心律失常。
S Afr Med J. 1981 Jun 6;59(24):871-3.
5
Quinidine effects due to disopyramide.
N Engl J Med. 1978 Apr 27;298(17):975. doi: 10.1056/nejm197804272981719.
6
Disopyramide.丙吡胺
Ann Intern Med. 1982 Mar;96(3):337-43. doi: 10.7326/0003-4819-96-3-337.
7
Ventricular tachycardia with torsade de pointes morphology induced by oral disopyramide.口服丙吡胺诱发的尖端扭转型室性心动过速
S Afr Med J. 1980 Sep 13;58(11):447-8.
8
Atypical ventricular tachycardia as a manifestation of disopyramide toxicity.
Am J Cardiol. 1978 Dec;42(6):1049-53. doi: 10.1016/0002-9149(78)90694-x.
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Oral disopyramide in prophylaxis of arrhythmias following myocardial infarction.
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10
The antiarrhythmic efficacy of intravenous therapy with disopyramide phosphate.磷酸丙吡胺静脉治疗的抗心律失常疗效。
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引用本文的文献

1
Successful management of serious disopyramide poisoning.严重丙吡胺中毒的成功救治
Postgrad Med J. 1980 Apr;56(654):256-60. doi: 10.1136/pgmj.56.654.256.
2
Satalol-induced torsade de pointes.醋丁洛尔诱发尖端扭转型室性心动过速。
Postgrad Med J. 1981 May;57(667):321-3. doi: 10.1136/pgmj.57.667.321.
3
Torsades de pointes, a common arrhythmia, induced by medication.尖端扭转型室性心动过速,一种常见的心律失常,由药物诱发。
Can Med Assoc J. 1982 Sep 1;127(5):368-72.
4
New antiarrhythmic drugs: their place in therapy.新型抗心律失常药物:它们在治疗中的地位。
Drugs. 1981 Nov;22(5):363-400. doi: 10.2165/00003495-198122050-00002.
5
Aggravation of ventricular arrhythmia. A drug-induced complication.室性心律失常加重。一种药物引起的并发症。
Drugs. 1985;29 Suppl 4:33-44. doi: 10.2165/00003495-198500294-00009.
6
Disopyramide. A reappraisal of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in cardiac arrhythmias.丙吡胺。对其药效学和药代动力学特性以及在心律失常治疗中的应用的重新评估。
Drugs. 1987 Aug;34(2):151-87. doi: 10.2165/00003495-198734020-00001.
7
Poisoning due to class IA antiarrhythmic drugs. Quinidine, procainamide and disopyramide.IA类抗心律失常药物中毒。奎尼丁、普鲁卡因胺和丙吡胺。
Drug Saf. 1990 Nov-Dec;5(6):393-420. doi: 10.2165/00002018-199005060-00002.
8
QT-interval prolonging drugs: mechanisms and clinical relevance of their arrhythmogenic hazards.QT间期延长药物:其致心律失常风险的机制及临床相关性
Cardiovasc Drugs Ther. 1991 Apr;5(2):515-30. doi: 10.1007/BF03029779.
9
Torsades de pointes: prevention and therapy.尖端扭转型室性心动过速:预防与治疗
Cardiovasc Drugs Ther. 1991 Apr;5(2):509-13. doi: 10.1007/BF03029778.
10
Subclassification of class I antiarrhythmic drugs: enhanced relevance after CAST.I类抗心律失常药物的亚分类:CAST研究后相关性增强
Cardiovasc Drugs Ther. 1992 Oct;6(5):519-28. doi: 10.1007/BF00055611.