INTRACORONARY ACETYLCHOLINE-INDUCED PROLONGATION OF THE QT INTERVAL AND TORSADE-DE-POINTES IN LONG QT INTERVAL SYNDROME

被引:0
|
作者
AIZAWA, Y
MATSUBARA, T
HIGUCHI, K
WASHIZUKA, T
TAMURA, Y
UCHIYAMA, H
IGARASHI, Y
SHIBATA, A
机构
来源
JAPANESE HEART JOURNAL | 1994年 / 35卷 / 05期
关键词
LONG QT INTERVAL SYNDROME; QT PROLONGATION; ACETYLCHOLINE; TORSADE-DE-POINTES;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 75-year-old female had syncopal episodes from Torsade des Pointes (TdP). Her electrocardiogram showed a prolonged QT interval which was not associated with electrolyte imbalances or drug therapy. Similar electrocardiographic abnormalities were found in three family members. Electrophysiologic study showed a mildly prolonged effective refractory period of 260-290 msec, but no tachyarrhythmia was induced. Coronary arteriography was normal but intracoronary acetylcholine unexpectedly induced a prolongation of the QT interval and TdP. Direct action of acetylcholine on the ventricular muscle was suggested.
引用
收藏
页码:683 / 688
页数:6
相关论文
共 50 条
  • [1] TORSADE-DE-POINTES INDUCED BY ASTEMIZOLE IN A PATIENT WITH PROLONGATION OF THE QT INTERVAL
    SAKEMI, H
    VANNATTA, B
    AMERICAN HEART JOURNAL, 1993, 125 (05) : 1436 - 1438
  • [2] Effect of atropine on QT prolongation and torsade de pointes induced by intracoronary acetylcholine in the long QT syndrome
    Furushima, H
    Niwano, S
    Chinushi, M
    Yamaura, M
    Taneda, K
    Washizuka, T
    Aizawa, Y
    AMERICAN JOURNAL OF CARDIOLOGY, 1999, 83 (05): : 714 - 718
  • [3] Acetylcholine-induced prolongation of the QT interval in idiopathic long QT syndrome
    Aizawa, Y
    Washizuka, T
    Igarashi, Y
    Kitazawa, H
    Chinushi, M
    Abe, A
    Shibata, A
    AMERICAN JOURNAL OF CARDIOLOGY, 1996, 77 (10): : 879 - &
  • [4] QT interval prolongation and torsade de pointes
    Patane, Salvatore
    Marte, Filippo
    Di Bella, Gianluca
    INTERNATIONAL JOURNAL OF CARDIOLOGY, 2009, 131 (02) : E51 - E53
  • [5] ELECTROPHYSIOLOGIC MECHANISMS OF THE LONG QT INTERVAL SYNDROMES AND TORSADE-DE-POINTES
    TAN, HL
    HOU, CJY
    LAUER, MR
    SUNG, RJ
    ANNALS OF INTERNAL MEDICINE, 1995, 122 (09) : 701 - 714
  • [6] QT Interval Prolongation and Torsade de Pointes Induced by Propofol and Hypoalbuminemia
    Irie, Tadanobu
    Kaneko, Yoshiaki
    Nakajima, Tadashi
    Saito, Akihiro
    Kurabayashi, Masahiko
    INTERNATIONAL HEART JOURNAL, 2010, 51 (05) : 365 - 366
  • [7] QT PROLONGATION WITH TORSADE-DE-POINTES IN PHEOCHROMOCYTOMA
    SHIMIZU, K
    MIURA, Y
    MEGURO, Y
    NOSHIRO, T
    OHZEKI, T
    KUSAKARI, T
    AKAMA, H
    WATANABE, T
    HONMA, H
    IMAI, Y
    YOSHINAGA, K
    TOTSUKA, H
    AMERICAN HEART JOURNAL, 1992, 124 (01) : 235 - 239
  • [8] FAMILIAL INDUCIBLE TORSADE-DE-POINTES WITH NORMAL QT INTERVAL
    STRASBERG, B
    WELCH, W
    PALILEO, E
    SWIRYN, S
    BAUERNFEIND, R
    ROSEN, KM
    EUROPEAN HEART JOURNAL, 1983, 4 (06) : 383 - 390
  • [9] QT interval prolongation and torsades de pointes unmasked by intracoronary acetylcholine administration
    Chinushi, M
    Nakagawa, I
    Hori, T
    Yamashita, F
    Washizuka, T
    Aizawa, Y
    PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 2001, 24 (10): : 1561 - 1562
  • [10] Predicting Torsade de Pointes in Acquired Long QT Syndrome: Optimal Identification of Critical QT Interval Prolongation
    Chiladakis, John
    Kalogeropoulos, Andreas
    Zagkli, Fani
    Koutsogiannis, Nikolaos
    Chouchoulis, Konstantinos
    Alexopoulos, Dimitrios
    CARDIOLOGY, 2012, 122 (01) : 3 - 11