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Vol.48 No.4 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/376

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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