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01121 Journal of Nara Medical Association >
Vol.48 No.4 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/376
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Title: | 心房性二段脈に生理的ペーシングが奏功したALアミロイドーシスの1例 |
Other Titles: | A CASE OF AL AMYLOIDOSIS TREATED WITH PHYSIOLOGICAL PACING TO CONTROL ATRIAL BIGEMINY |
Authors: | 中嶋, 民夫 橋本, 俊雄 坂口, 泰弘 椎木, 英夫 土肥, 和紘 籠島, 忠 |
Keywords: | AL amyloidosis dual chamber pacing pacemaker sick sinus syndrome |
Issue Date: | 31-Aug-1997 |
Publisher: | 奈良医学会 |
Citation: | 奈良医学雑誌 Vol.48 No.4 p.183-189 |
Abstract: | A case of AL amyloidosis with sick sinus syndrome (SSS) is reported. The
patient was a 68-year-old female, who had been treated with a VVI pacemaker for SSS
from the age of 64. When she was 65years old, she suffered from palpitation which
gradually subsided. Electrocardiograms during palpitation showed bigeminal cycles.
Electrophysiological tests suggested that the bigeminy was a right ventricular pacing
rhythm followed by supravetricular premature beats. They did not respond to any antiarr-
hythmic drugs. Her laboratory data revealed anemia, elevated erythrocyte sedimentation
rate, mild renal dysfunction and M-protein. Myocardial biopsy, renal biopsy and bone
marrow aspiration were performed, and she was diagnosed as having AL amyloidosis. We
employed a DDD pacemaker to control the atrial contractions, and she was relieved from
the palpitations. Some considerations of pacemaker treatment with AL amyloidosis are
described herein. |
URI: | http://hdl.handle.net/10564/376 |
ISSN: | 04695550 13450069 |
Appears in Collections: | Vol.48 No.4
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