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Vol.47 No.5 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/750

Title: AHブロックから完全房室ブロックに移行した血液透析患者の1例
Other Titles: A CASE ON MAINTENANCE HEMODIALYSIS WHO PROGRESSED FROM AH BLOCK TO COMPLETE HEART BLOCK
Authors: 高井, 英子
山野, 繁
中嶋, 民夫
橋本, 俊雄
籠島, 忠
土肥, 和紘
Keywords: AH block
complete heart block
maintenance hemodialysis
Issue Date: 31-Oct-1996
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.47 No.5 p.271-276
Abstract: We report a 71-year-old woman on maintenance hemodialysis who progres- sed from AH block to complete heart block. She had been dialyzed for chronic renal failure due to diabetic nephropathy during the preceding 17months. She was admitted to our hospital because of 2 : 1 AV (atrioventricular) block, but had neither syncope nor dizziness. On admission, ECG showed second-degree AV block (Wenckebach type), cardiac electro- physiological studies showed first-degree AH block (AH interval was 280 msec), and echocardiogram showed mitral annular calcification. On the 20 th hospital day, the patient suffered an Adams-Stokes attack, and ECG showed complete heart block. A permanent pacemaker was implanted. This was a rare case in which a patient on maintenance hemodialysis progressed from AH block to complete heart block in 20 days, probably due to mitral annular calcification.
URI: http://hdl.handle.net/10564/750
ISSN: 04695550
13450069
Appears in Collections:Vol.47 No.5

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