胺碘酮治疗心脏血色素沉着症所致的持续性室性心动过速

Sustained ventricular tachycardia in cardiac hemochromatosis treated with amiodarone.

作者信息

Yalçinkaya S, Kumbasar S D, Semiz E, Tosun Z, Paksoy N

机构信息

Cardiology Department, Akdeniz University Medical School, Kepez Antalya, Turkey.

出版信息

J Electrocardiol. 1997 Apr;30(2):147-9. doi: 10.1016/s0022-0736(97)80024-6.

DOI:10.1016/s0022-0736(97)80024-6

PMID:9141611

Abstract

Cardiac hemochromatosis can cause heart failure and cardiac arrhythmias. Among these arrhythmias, ventricular tachycardia may be resistant to treatment. A case of cardiac hemochromatosis complicated with ventricular tachycardia that did not respond to intravenous lidocaine, procainamide or propafenone, nor to DC cardioversion, was successfully treated with amiodarone. Amiodarone, a class III antiarrhythmic drug, may be highly effective in similar cases.

摘要

心脏血色素沉着症可导致心力衰竭和心律失常。在这些心律失常中，室性心动过速可能对治疗有抵抗性。一例心脏血色素沉着症合并室性心动过速患者，对静脉注射利多卡因、普鲁卡因胺或普罗帕酮均无反应，对直流电复律也无反应，但使用胺碘酮成功治愈。胺碘酮是一种III类抗心律失常药物，在类似病例中可能非常有效。