非虚血性心尖部心室瘤に合併した心室性頻拍症の1例

A case of ventricular tachycardia with non-ischemic apical aneurysm

　発作性頻拍は早期に診断し，治療を開始しなければならない不整脈である。特に心室性頻拍の場合はその大部分が器質的心疾患を有し，頻拍が持続するとAdams—Stokes発作のごとく，血行動態の悪化による死の危険に直面するため，頻拍発作の原因除去と充分な不整脈治療を必要とする。今回，われわれは若年女性の心尖部心室瘤に合併した心室性頻拍症の1例を経験したので報告する。

Angiocardio-graphic study on a woman aged in 31 years with non-ischemic apical aneurysm was reported. She had had episodes of palpitations during the previous 4 months but they had not been of consequence. She had never had fainting attack, exertional dyspnea or angina pectoris.

The electrocardiogram revealed ventricular pre-mature beats and ventricular tachycardia, but after oral treatment with disopyramide and pro-pranolol, this arrhythmia did not appear.

Left ventriculogram showed apical ventricular aneurysm and coronary angiogrom was no coro-nary stenosis.