지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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초록· 키워드
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Polymorphic ventricular tachycardia (PVT) is a fatal arrhythmia that can occur during the treadmill test. This report documents an instance of PVT by the R-on-T phenomenon during an exercise stress test in a 61-year-old male with stable angina pectoris. The subject performed the treadmill test for 581 seconds, and stopped after reaching 115% of the target heart rate. Ischemic ST changes were observed in leads II, III, aVF, and V3-V6 from stage 3. Premature ventricular complexes were noted during the recovery period, with an occurrence of pulseless PVT, reflective of the R-on-T phenomenon.
Spontaneous circulation was resumed after unsynchronized cardioversion at 200 J and 2 minutes of cardiopulmonary resuscitation. Emergency coronary angiography revealed 95% stenosis of the proximal right coronary artery, which was fully dilated after percutaneous coronary intervention with a drug-eluting stent. The patient was discharged without any neurologic sequelae.
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등록된 정보가 없습니다.
참고문헌 (7)
참고문헌 신청
Knuuti J / 2020 / 2019 ESC guidelines for the diagnosis and management of chronic coronary syndromes / Eur Heart J 41:407~477
Ko JK / 2000 / Exercise testing / Korean Circ J 30:653~674
De Puy FG / 2018 / Exercise induced polymorphic ventricular tachycardia during treadmill stress test / J Nucl Cardiol 25:698~703
Oksuz F / 2015 / The classical"R-on-T"phenomenon / Indian Heart J 67:392~394
Bayes de Luna A / 1989 / Ambulatory sudden cardiac death : mechanisms of production of fatal arrhythmia on the basis of data from 157 cases / Am Heart J 117:151~159
Ko JK / 2000 / Exercise testing / Korean Circ J 30:653~674
De Puy FG / 2018 / Exercise induced polymorphic ventricular tachycardia during treadmill stress test / J Nucl Cardiol 25:698~703
Oksuz F / 2015 / The classical"R-on-T"phenomenon / Indian Heart J 67:392~394
Bayes de Luna A / 1989 / Ambulatory sudden cardiac death : mechanisms of production of fatal arrhythmia on the basis of data from 157 cases / Am Heart J 117:151~159
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