Arrhythmias in Cardiac Sarcoidosis

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  • Kusano Kengo
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Banba Kimikazu
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Takaya Yoichi
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Nishii Nobuhiro
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Nagase Satoshi
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Nakamura Kazufumi
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Morita Hiroshi
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Ito Hiroshi
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
  • Ohe Tohru
    Department of Cardiovascular Medicine, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences

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Other Title
  • 心臓サルコイドーシスにおける不整脈の検討
  • シンゾウ サルコイドーシス ニ オケル フセイミャク ノ ケントウ

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Abstract

心臓サルコイドーシスに合併する不整脈について35例をレトロスペクティブに検討したところ，心室頻拍例に比べ新規房室ブロック例ではGaシンチ取込み陽性例が多く，副腎皮質ステロイドホルモン薬（ステロイド）治療にてブロック改善例を多く認めた．一方心室頻拍例ではGaシンチ取込み陰性例が多く，左室駆出率が低下している症例を多く認めた．これらの結果から，房室ブロックは活動期に多く発生しステロイド治療に比較的反応するが，心室頻拍は非活動期が多く，ステロイドはあまり効かないことが示唆された．

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