Results of ajmaline testing in patients with arrhythmogenic right ventricular dysplasia-cardiomyopathy

被引:47
作者
Peters, S [1 ]
Trümmel, M [1 ]
Denecke, S [1 ]
Koehler, B [1 ]
机构
[1] Univ Hosp Magdeburg, Acad Teaching Hosp, Dept Cardiol, Klinikum Dorothea Christiane Erxleben gGmbH Quedl, D-06484 Quedlinburg, Germany
关键词
ajmaline testing; Brugada phenomenon; arrhythmogenic right ventricular dysplasia-cardiomyopathy; EP study; ST segment elevation;
D O I
10.1016/j.ijcard.2003.04.032
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
An association between arrhythmogenic right ventricular dysplasia-cardiomyopathy (ARVD/C) and Brugada syndrome can be supposed according to several case reports. In order to examine a possible link between ARVD/C and Brugada syndrome, systematic ajmaline testing with 1 mg/kg body weight intravenously, was done in 55 patients (32 males, mean age 46.7 +/- 12.3 years) with ISFC/ESC criteria of ARVD/C. In nine patients ajmaline testing could demonstrate coved ST segment elevation of at least 2 mm in at least two tight precordial leads. Three of these patients had recurrent syncopes. Electrophysiological study revealed non-sustained ventricular tachycardia with left bundle branch block configuration and inferior axis in only one case. Systematic ajmaline testing could demonstrate a definite link between ARVD/C and Brugada syndrome. (C) 2003 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:207 / 210
页数:4
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