循環器ジャーナル65巻3号

2017年07月発行

特集 不整脈診療—ずっと疑問・まだ疑問 Ⅲ．心室性不整脈

べラパミル感受性心室頻拍は奥深い

著者： 野上昭彦¹

所属機関： ¹筑波大学医学医療系循環器不整脈学講座

ページ範囲：P.481 - P.493

Point
・右脚ブロック型・上方軸VTの左脚後枝領域型が最も多い．
・プログラム刺激で誘発できないことも少なくないが，非リエントリー性脚枝VTと鑑別するには，発作時のべラパミル静注の効果が重要となる．
・乳頭筋近傍の脚枝起源頻拍も存在することがわかってきた．

参考文献

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