Cokkinos D V, Tolis G, Koroxenidis G, Vorides E M
Acta Cardiol. 1981;36(6):445-50.
A patient had continuous paroxysms of the specific ventricular arrhythmia of the "Torsades de Pointes" type during attacks of variant angina. The arrhythmia was refractory to lidocaine and procainamide and only responded dramatically to verapamil, initially intravenous and afterwards oral. The low success rate in the treatment of such arrhythmias by other drugs and available experimental data suggest that verapamil should be further evaluated.
一名患者在变异型心绞痛发作期间持续出现“尖端扭转型”特异性室性心律失常的阵发性发作。该心律失常对利多卡因和普鲁卡因胺无效,仅对维拉帕米有显著反应,最初为静脉注射,之后改为口服。其他药物治疗此类心律失常的成功率较低以及现有的实验数据表明,维拉帕米应进一步评估。