Journal of Okayama Medical Association
Published by Okayama Medical Association

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Full-text articles are available 3 years after publication.

高度房室ブロックおよび心室性頻拍を合併した結節性動脈周囲炎の1例

橋本 訓招 岡山大学医学部第一内科学教室
斉藤 大治 岡山大学医学部第一内科学教室
上枝 正幸 岡山大学医学部第一内科学教室
辻 孝夫 岡山大学医学部第一内科学教室
国司 研介 井原市民病院内科
岩野 郁造 井原市民病院内科
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抄録
A case of periarteritis nodosa with advanced A-V block and ventricular tachycardia is reported. The patient was a 62-year-old man who was admitted to Ibara City Hospital because of leg pain and fever. Laboratory examinations and microscopic examination of biopsy sections of the soleus muscle revealed that he had periarteritis nodosa. His electro cardiogram (ECG) and chest X-ray films on admission were normal. Treatment with prednisolone resulted in relief of his complaints, and improved laboratory data. One year later the parient complained of fainting attacks, and an ECG indicated non-sustained ventricular tachycardia. Two months later, a I° A-V block with LBBB appeared, which progressed to complete A-V block within a month. Good results were achieved with ventricular pacing (VVI) in this patient.
キーワード
結節性動脈周囲炎
心室性頻拍
房室プロック
三束ブロック
ISSN
0030-1558
NCID
AN00032489