一名老年男性的腺苷敏感性室性心动过速病例。

A case of adenosine-sensitive ventricular tachycardia in a very elderly male.

作者信息

Betsuyaku T, Takano H, Hirao N, Nakano N, Yoshida I, Yotsukura A, Sakurai M, Kitabatake A

机构信息

Department of Cardiovascular Medicine, School of Medicine, Hokkaido University, Japan.

出版信息

Jpn Circ J. 1996 Nov;60(11):901-7. doi: 10.1253/jcj.60.901.

DOI:10.1253/jcj.60.901

PMID:8958200

Abstract

The best-known type of adenosine-sensitive ventricular tachycardia is idiopathic and of right ventricular outflow origin; however, there is little information about other types of adenosine-sensitive ventricular tachycardia. Idiopathic adenosine-sensitive ventricular tachycardia is common in the young. An 87-year-old man with ventricular tachycardia was admitted to our hospital. His ventricular tachycardia was sensitive to adenosine triphosphate, edrophonium, verapamil, and Valsalva's maneuver. He had experienced no anginal episodes. His ventricular tachycardia was thought to be idiopathic. We report this very rare case of adenosine-sensitive ventricular tachycardia, which was not derived from the right ventricular outflow tract, in a very elderly male.

摘要

最著名的腺苷敏感性室性心动过速类型是特发性的，起源于右心室流出道；然而，关于其他类型的腺苷敏感性室性心动过速的信息很少。特发性腺苷敏感性室性心动过速在年轻人中很常见。一名患有室性心动过速的87岁男性入住我院。他的室性心动过速对三磷酸腺苷、依酚氯铵、维拉帕米和瓦尔萨尔瓦动作敏感。他没有经历过心绞痛发作。他的室性心动过速被认为是特发性的。我们报告了这例非常罕见的腺苷敏感性室性心动过速病例，该病例并非起源于右心室流出道，患者为一名高龄男性。