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地尔硫卓终止和抑制特发性左心室心动过速

Termination and suppression of idiopathic left ventricular tachycardia by diltiazem.

作者信息

Lin L, Conti J B, Curtis A B

机构信息

Department of Medicine, University of Florida, Gainesville 32610, USA.

出版信息

Clin Cardiol. 1997 Oct;20(10):890-3. doi: 10.1002/clc.4960201019.

Abstract

Idiopathic left ventricular tachycardia is known to be responsive to verapamil in many cases. However, the role of other calcium-channel blockers, such as diltiazem, in treating this specific type of ventricular tachycardia is unknown. We report a case of idiopathic left ventricular tachycardia in a patient with a structurally normal heart, which was terminated and suppressed in the electrophysiology laboratory by a single dose of diltiazem intravenously, and was subsequently suppressed long-term with sustained-release diltiazem. Our finding suggests that idiopathic left ventricular tachycardia may be managed effectively with diltiazem in both the acute and chronic settings.

摘要

已知特发性左心室心动过速在许多情况下对维拉帕米有反应。然而,其他钙通道阻滞剂,如地尔硫䓬,在治疗这种特定类型的室性心动过速中的作用尚不清楚。我们报告一例心脏结构正常的特发性左心室心动过速患者,在电生理实验室中静脉注射单剂量地尔硫䓬可终止并抑制该心动过速,随后使用缓释地尔硫䓬进行长期抑制。我们的发现表明,在急性和慢性情况下,地尔硫䓬均可有效治疗特发性左心室心动过速。

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Mechanisms of idiopathic left ventricular tachycardia.
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本文引用的文献

5
Efficacy of verapamil in chronic, recurrent ventricular tachycardia.
Am J Cardiol. 1983 Jun;51(10):1614-7. doi: 10.1016/0002-9149(83)90196-0.
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7
Recurrent ventricular tachycardia responsive to verapamil.
Pacing Clin Electrophysiol. 1984 Nov;7(6 Pt 1):938-48. doi: 10.1111/j.1540-8159.1984.tb05641.x.
8
Simultaneous AV nodal reentrant and ventricular tachycardias.
Pacing Clin Electrophysiol. 1984 May;7(3 Pt 1):325-31. doi: 10.1111/j.1540-8159.1984.tb04913.x.

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