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Japanese

A case of mitral valve prolapse associated with pacing-induced bidirectional tachycardia Koji Kubota 1 , Takayuki Ikeda 1 , Satoshi Nakamura 1 , Daijyu Morishita 1 , Shinzi Yagi 1 , Shigeo Takata 1 , Nobu Hattori 1 , Kichiei Hiraba 2 1The First Department of Internal Medicine, School of Medicine, Kanazawa University 2Hiraba Hospital pp.335-340
Published Date 1988/3/15
DOI https://doi.org/10.11477/mf.1404205226
  • Abstract
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Electrophysiological and angiographic studies were performed on an 19-year-old man with symptomatic recurrent ventricular tachycardia. The patient had never received digitalis. Cine left ventriculogram showed marked prolapse of the mitral leaflets with pronounced scalloping. Bidirectional tachycardia with two sets of fairly constant and alternating coupling intervals could be reproduced by ventri-cular extrastimulus testing and His bundle electro-graphy showed that the arrhythmia was ventricu-lar in origin. This fact is consistent with two ven-tricular foci.


Copyright © 1988, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1200 印刷版ISSN 0452-3458 医学書院

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