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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
|
pubmed:dateCreated |
1986-2-17
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pubmed:abstractText |
The role played by catecholamines in the initiation of certain forms of ventricular tachycardia is now recognised. On the other hand, a similar predominant or exclusive mechanism has not been demonstrated in supraventricular tachycardia. We observed a rate case of reproducible attacks of junctional tachycardia on effort in a 45 year old man. This patient had experienced attacks of tachycardia on effort for a number of years, stopping about 10 minutes after the end of effort. An exercise stress test performed for an anginal attack, induced a narrow complex tachycardia at 270/min at the first minute of the recovery period which terminated spontaneously 18 minutes later after a brief episode of atrial fibrillation. During a second exercise stress test, an episode of tachycardia at 250/min was recorded at the second minute of recovery, lasting 11 minutes. Investigations showed a retrograde concealed septal bundle of Kent activated retrogradely during reciprocating tachycardia. A similar form of tachycardia was induced by an injection of isoproterenol. The adrenergic mechanism of the arrhythmia led to the prescription of a beta-blocker (propranolol 120 mg/day), which effectively prevented clinical tachycardia and the forms of tachycardia induced by ergometric tests 15 days and 3 months after the initiation of treatment.
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pubmed:language |
fre
|
pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
|
pubmed:month |
Sep
|
pubmed:issn |
0003-9683
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
78
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
1431-6
|
pubmed:dateRevised |
2009-2-13
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pubmed:meshHeading |
pubmed-meshheading:3936447-Catecholamines,
pubmed-meshheading:3936447-Exercise Test,
pubmed-meshheading:3936447-Heart Catheterization,
pubmed-meshheading:3936447-Humans,
pubmed-meshheading:3936447-Isoproterenol,
pubmed-meshheading:3936447-Male,
pubmed-meshheading:3936447-Middle Aged,
pubmed-meshheading:3936447-Physical Exertion,
pubmed-meshheading:3936447-Propranolol,
pubmed-meshheading:3936447-Tachycardia
|
pubmed:year |
1985
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pubmed:articleTitle |
[Supraventricular tachycardia induced by effort and by catecholamines].
|
pubmed:publicationType |
Journal Article,
English Abstract,
Case Reports
|