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A case of dilated cardiomyopathy with benefical effect of oral β-adrnergic blockade

山口医学 Volume 40 Issue 3 Page 427-434
published_at 1991-06
Title
β遮断剤が有効であった拡張型心筋症の1例
A case of dilated cardiomyopathy with benefical effect of oral β-adrnergic blockade
Creators Naito Hidetoshi
Creators Yorozu Tadao
Creators Maeda Toshiaki
Creators Shiomi Kohtaro
Creators Seki Kohzaburo
Creators Tada Tishihiko
Creators Mitsuyama Tetsuo
Creators Nakashima Hiroya
Creators Fujii Hideo
Source Identifiers
A 68-year-old women was admitted to our hospital because of the frewuent attacks of fainting. The electrocardiogram showed atrial fibrillation and left ventricular hypertrophy. Observation with telemetry and tape recording of electrocardiogram revealed episordes on ventricular tachycerdia. Intravenous lidocain (2mg/min) and mexiletine (0.04mg/kg/min) prevented the occurrence of ventricular tachycardia. Then she was controlled by therapy of oral mexiletine and disopyramide. She was diagnosed as having dilated carciomyopathy on the basis of cardiac catheterization and cardiac muscle biopsy. Treatment with metprolol was started because these antiarrythmic drug could not terminate the ventricular tachycardia. After seven weeks, the electrocardiogram showed sinus rhythm. Observation with telemetry and recording of electrocardiogram failed to reveal episordes of ventricular tachycardia. Thus, administration of β-blocker agent was effective and well tolerated adjunct therapy in patient with a history of ventricular arrhythmia in dilated cardiomypathy.
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers 山口大学医学会
Date Issued 1991-06
File Version Not Applicable (or Unknown)
Access Rights metadata only access
Relations
[ISSN]0513-1731
[NCID]AN00243156
Schools 医学部