Ventricular fibrillation in a 13 years boy with vasospastic angina
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- Hasegawa Maki
- Department of Pediatrics, Nihon University School of Medicine
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- Taniguchi Kazuo
- Department of Pediatrics, Nihon University School of Medicine
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- Sumitomo Naokata
- Department of Pediatrics, Nihon University School of Medicine
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- Hirano Mikihito
- Department of Pediatrics, Nihon University School of Medicine
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- Abe Osamu
- Department of Pediatrics, Nihon University School of Medicine
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- Miyashita Michio
- Department of Pediatrics, Nihon University School of Medicine
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- Ayusawa Mamoru
- Department of Pediatrics, Nihon University School of Medicine
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- Karasawa Kensuke
- Department of Pediatrics, Nihon University School of Medicine
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- Okada Tomoo
- Department of Pediatrics, Nihon University School of Medicine
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- Harada Kensuke
- Department of Pediatrics, Nihon University School of Medicine
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- Enomoto Mitsunobu
- Department of Pediatrics, Nihon University School of Medicine
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- Oba Tomiya
- Department of Cardiology, Kawaguchi Municipal Medical Center
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- Sasaki Ryou
- Critical Care Center, Kawaguchi Municipal Medical Center
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- Oseki Kazuhide
- Critical Care Center, Kawaguchi Municipal Medical Center
Bibliographic Information
- Other Title
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- 第17回臨床不整脈研究会 Vasospastic anginaに伴う心室細動と考えられた1小児例
Abstract
13歳,男児.マラソン中に意識を消失し,救急車内で心室細動を認めたため除細動後,前医に搬送された.低体温療法を行い神経学的後遺症を残さず回復した.運動負荷試験でSTの低下を認めたため,冠動脈造影を行ったが,有意狭窄は認めなかった.Ach負荷で両側の冠動脈攣縮が誘発された.当院転院後の心エコーでは心尖部心筋の軽度肥大,左室乳頭筋の肥大,組織ドプラ法で心尖部の穿通枝内の乱流パターンなど心筋症を疑わせる所見を認めた.99mTc-Tetrofosmin心筋SPECTでは明らかな虚血所見は認めなかった.Ca拮抗薬の投与下で電気生理学的検査を施行し,右室心尖部と流出路から3発までの期外刺激を加えたが心室細動は誘発されなかった.Brugada症候群を疑いpilsicainide負荷を行ったが,ST変化はみられなかった.心室細動は運動などによる虚血性変化によって引き起こされたことが考えられ,小児では極めてまれな病態であると考えられた.
Journal
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- Shinzo
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Shinzo 37 (Supplement4), 170-174, 2005
Japan Heart Foundation
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Details 詳細情報について
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- CRID
- 1390001205489678848
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- NII Article ID
- 130004136557
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- ISSN
- 05864488
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed