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01121 Journal of Nara Medical Association >
Vol.45 No.4 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/1641

Title: QT延長症候群を合併した肝硬変の2例
Authors: 勝山, 慶之
籠島, 忠
中嶋, 民夫
橋本, 俊雄
土肥, 和紘
松本, 真
辻井, 正
Keywords: liver cirrhosis
QT prolongation syndrome
Torsades de Pointes
Issue Date: 31-Aug-1994
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.45 No.4 p.360-364
Abstract: Two cases of liver cirrhosis complicated with QT interval prolongation syndrome are reported. The first case was a 64-year-old female. She was admitted to our hospital because of pleural effusion and hypoalbuminemia, and diagnosed as having decompensated liver cirrhosis. DB-cAMP was administered for liver cirrhosis. Eighteen days later, QT interval prolonged and ventricular tachycardia occurred. Laboratory tests revealed hypopotassemia and hypocalcemia. The second case was a 76-year-old female. She had been treated with glycyrrhizin for liver cirrhosis since ten years before. She was admitted because of QT interval prolongation and ventricular tachycardia. Laboratory tests revealed hypopotassemia, hypocalcemia and hypomagnesemia. In both of these cases, electrocardiogram showed Torsades de Pointes and cardioversion were not effective. Torsades de Pointes returned to sinus rhythm by right ventricular pacing and correction of both hypopotassemia and hypocalcemia. Based on the study of these cases, it is concluded that electrocardiogram is sometimes necessary for the management of liver cirrhosis.
URI: http://hdl.handle.net/10564/1641
ISSN: 04695550
Appears in Collections:Vol.45 No.4

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