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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.

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。

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