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Vol.51 No.3 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/605

Title: 心室頻拍にメチルプレドニゾロン・パルス療法が奏功した心サルコイドーシスの1例
Other Titles: A CASE OF CARDIAC SARCOIDOSIS WITH SUSTAINED VENTRICULAR TACHYCARDIA SUCCESSFULLY TREATED BY METHYLPREDONISOLONE PULSE THERAPY
Authors: 木田, 順富
中嶋, 民夫
山本, 広光
坂口, 泰弘
椎木, 英夫
橋本, 俊雄
土肥, 和紘
藤本, 眞一
Keywords: cardiac sarcoidosis
methylpredonisolone pulse therapy
sustained vntricular tachycardia
Issue Date: 30-Jun-2000
Publisher: 奈良医学会
Citation: Journal of Nara Medical Association Vol.51 No.3 p.191-198
Abstract: A 63-year old woman was admitted because of ventricular tachycardia and congestive heart failure. A chest radiograph showed cardiomegaly and bilateral hilar lymphadenopathy. Echocardiogram showed diffuse left ventricular hypokinesis, dilated left ventricle and thinning of the interventricular septum. On gallium scintigram gallium was accumulated in the heart, especially in the left ventricle. Although endomyocardial biopsy revealed non-specific fibrosis, cardiac sarcoidosis was clinically suspected. On the 10th day of the addmission, multiple episodes of sustained ventricular tachycardia appeared. As it was refractory to lidocaine infusion, methylpredonisolone pulse therapy was initiated, which abated ventricular tachycardia. Corticosteroid was gradually tapered off and ventricular tachycardia never recurred. Methylpredonisolone pulse therapy could be a therapeutic option for cardiac sarcoidosis with fatal arrhythmia even if histological evi- dence of cardiac sarcoidosis is absent.
URI: http://hdl.handle.net/10564/605
ISSN: 13450069
Appears in Collections:Vol.51 No.3

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