CAST Na Vaughan Williams Sicilian Gambit 1996 Sicilian Gambit CD-ROM CD-ROM J-GAMBIT 1Sicilian Gambit CD-ROM

Similar documents
C/NC : committed/noncommitted

”RŠœ15-3 #50 ‘¬’X 4“Z+


Y/.{../01-01

1315 (15)

改訂にあたって Sicilian Gambit J-RHYTHM Ⅰ 序文 CAST Na Vaughan Williams Sicilian Gambit Sicilian Gambit CD-ROM ガイドライン作成の基本方針. Sicilian Gambit... 2

GL_小川(聡)班_D.indd

21-07_後藤論文.smd

Effects of Acebutolol, a New Beta-receptor Blockade, on Premature Ventricular Contractions Nobutaka DOBA*1 Yoshiaki INAGAKI*2 and Shigeaki HINOHARA*1

特殊病態下感染症における抗菌薬治験の手引き作成委員会報告書(案)

Symposium 46 I I II II III III / narrow QRS tachycardia 139/ P V1 HIS 5 6 HIS 3 4 HIS 1 2 CS 9 10 CS 7 8 CS 5 6 CS 3 4 CS 1 2 RV 3 4 RV

22...J.e.A.u.Q01-07_.O.t

2009年133巻3号3月号.indb

審査報告書(案)

098青沼班DGfinal修正0506.indd

METs WPW QT LQTS 9Brugada 0 METs 30 Circulation Journal Vol. 67, Suppl. IV,

% % % ml % 500 ml von Willebrand Eisenmenger mmhg 3

本文.indd

老人性不整脈

GL_大江班.indd


1 見出し1,12ポ,日本語ゴシック,英語Arial,段落後は6ポの設定です


JHN Journal Club 手稲渓仁会病院

I PD-I-3 VA ICD 2006 NYHA ~ LVEF 35% a ICD SCD-HeFT ICD MADIT- ICD a CABG-Patch ICD EF b MADITø MADIT- MUSTT EPS EPS 19 EPS 5/19 VA PD-I-4 Holter LP f

untitled


P. 1 P9. Introducer P10. ) ) 2 P11. 1 P12. polytetrafluoroethylene 1 P13. P14. P15. 1 P16. twiddler syndrome 1 P1. h 141

Core Ethics Vol. : - NICU : : - A B C D

PTCA CABG 2PTCA & CABG 3 4 PTCA CABG 1 2 3PTCA & CABG 4 5 PTCA CABG follow-up Japanese Circulation Journal Vol. 64, Suppl. IV, 2000

日医総研ワーキングペーパー

35 40mmHg PaCO2 40mmHg 35mmHg CO2 PETCO2 CO2 CO2 10mmHg CPR CO2 10mmHg ROSC() CO mmHg ROSC return of spontaneous circulation ROSC 17mmHg ROSC 20

日本内科学会雑誌第106巻第2号

JSACHD_Vol5_No2_Jul2016.book


4.4 R q s

好酸球性副鼻腔炎:診断ガイドライン(JESREC Study)


22●24頁●6-16▲救急外来▲.ppt

第61巻5・6号(12月号)/特集1頁目(本刷)

JCAS 対象および方法 prospective registry CEA CAS JCAS RCT 2 JCAS TIA minor stroke major stroke mrs CEA CAS 1 3 SPECT case volume CEA CAS 結果

九州大学学術情報リポジトリ Kyushu University Institutional Repository 高齢心疾患患者における運動機能と身体的フレイル評価の意義 内藤, 紘一九州大学大学院人間環境学府 京都橘大学健康科学部 熊谷, 秋三九州大学大学院人間環境学府 九州大学基幹教育院 九州大

Understanding Stem Cell Transplant 2007



untitled

untitled

32 1 BRONJ BRONJ II BRONJ BRONJ 4 BP BRONJ 6 1 III BP BRONJ

スライド 1

37, 9-14, 2017 : cefcapene piperacillin 3 CT Clostridium difficile CD vancomycin CD 7 Clostridium difficile CD CD associate

小児不整脈の診断 治療ガイドライン 小児循環器学会 小児不整脈の診断 治療に関する検討委員会

A C A0 B C 1250 Circulation Journal Vol. 66, Suppl. IV, 2002

Noninvasive estimation of pulmonary capillary wedge pressure and cardiac output by the analysis of pulmonary venous flow velocity patterns in patients

JPN. J. ELECTROCARDIOLOGY Vol. 25 SUPPL

untitled

.K.C.h...C...ren

Editor Mary Fran Hazinski, RN, MSN Associate Editors Leon Chameides, MD Robin Hemphill, MD, MPH Ricardo A. Samson, MD Stephen M. Schexnayder, MD Eliza

Response of pre-and postoperative Glucose- Insulin-Kalium (GIK) loading in patients with valve replacement. Isao Sakashita*, Takeshi Ando*, Tetsunosuk

EMS EMS W264


orororor oror CINAHL breast cancerhormonal therapyorendocrine therapyortamoxifenorgoserelinside effectorsymptomexperien

胆石症

脈管学55巻11号 pp

untitled


Journal Club 2017/05/30 Tomohiro Matsumoto PGY-2

多目的な障害予防のための「ニコニコ体操」


164 SDD & SOD SDD E100 mg 80 mg B500 mg 2 E 2 B 48 /59 81 SDD SOD 10 /63 16 RCT RCT 1992 Gastinne 15 ICU 445 SDD E100 mg 80 mg B 10

Microsoft Word - 「黄砂とその健康影響について」小冊子180323版

埼玉29.indb

36:378 第 38 回日本脳卒中学会講演シンポジウム 原著 36: , 要旨 TIA 2 t-pa Key words: stroke registry, stroke subtype, onset-visi

食道がん化学放射線療法後のsalvage手術

クローン

慢性膵炎

新規文書1

J Cardiol 2006 Dec; 48 6 : Clinical Report : Survey of Coronary Spasm in Japan Before the Establishment of Spasm Guideline: Analysis of Questi

untitled


説明書82:妊娠と抗てんかん薬★★.PPT

小児感染免疫第27巻第4号


Clinical Study of Effect of Intrathecal Use of Alpha-tocopherol on Chronic Vasospasm Hirotoshi Sano, Motoi Shoda, Youko Kato, Kazuhiro Katada, Youichi


MV X 5 6 Common Terminology Criteria for Adverse Events Grade 1 Grade Gy 16 QOL QOL 5 6 7, 8 9, VOL.3 NO

sick contact1l

‹Àfi¡‚¾”O/…_…C…W…F…X…g/01-01

−}−ÑflÇ-Œ{ŁÒ01-01

untitled


橡

植込みデバイス(ペースメーカ,ICD,CRTなど)


8 The Bulletin of Meiji University of Integrative Medicine API II 61 ASO X 11 7 X-4 6 X m 5 X-2 4 X 3 9 X 11 7 API 0.84 ASO X 1 1 MR-angio

BUN, CRP K mg/ cm, 49.6 kg, BMI /72 mmhg, 92/ Hb 6.7 g/dl PT-INR CT 1 MRI 2a, b T1 T2 T1 MRI



BMI18 1

越智59.qxd

JC38608

Transcription:

20022003 Guidelines for Drug Treatment of Arrhythmias (JCS 2004) a 1Sicilian Gambit 2J-GAMBIT 3 1 2 3 4 5 6 7 8 9 Circulation Journal Vol. 68, Suppl. IV, 2004 1055

20022003 20 CAST Na Vaughan Williams Sicilian Gambit 1996 Sicilian Gambit 2000 3 CD-ROM 1 20022003 2 CD-ROM J-GAMBIT 1Sicilian Gambit CD-ROM 2000 1 2 3 4 1 1 3 4 Sicilian Gambit Cardiac Arrhythmia Suppression TrialCAST 1 Sicilian Gambit 1990 2 1996 3 Sicilian Gambit Sicilian Gambit - Sicilian Gambit 1996 4 2000 3 CD-ROM 1 Sicilian Gambit 1056 Circulation Journal Vol. 68, Suppl. IV, 2004

3 CD-ROM Sicilian Gambit 2 Vaughan Williams Singh 4 1970 1 34 Vaughan Williams 3 Sicilian Gambit 2 PQQRSQT Na Na fastintermediateslow fast drug slow drug Ca K If Vaughan Williams NaK 3 Sicilian Gambit Vaughan Williams K 10 K 4 Sicilian Gambit J-GAMBIT J-RHYTHM Ia Ib Ic 1 Circulation Journal Vol. 68, Suppl. IV, 2004 1057

20022003 ATP 2 1 Na Fast Med Slow A A A I A A A A A Ca K If M 2 A 1 Na-K ATPase PR QRS JT AI 2 CD-ROM CD-ROM 1 Sicilian Gambit CD-ROM2000 1 Japanese Guideline for Arrhythmia Management By Individual TherapyJ-GAMBIT 2 12 PAF PVC 2 3 3 1PAF 274 PVC 214 488 2PAF 274 216 79 % CD-ROM 168 CD-ROM 48 58 42 16 PVC 216 154 71 % 106 48 62 53 9 3PAF PVC 1058 Circulation Journal Vol. 68, Suppl. IV, 2004

4 CD-ROM PAF 79 %PVC 71 % CD-ROM PAF 6 PVC 5 CD-ROM Sicilian Gambit 2 PAF PAF CD-ROM PVC PVC PVC CD-ROM 3 1 slow kinetics Na fast kinetics Na K Na Ca K 5 2 Ccr 50 mlmin Scr 1.3 mgdl Ccr 50 20 mlmin Scr 1.32.0 mgdl 2312 Ccr 20 mlmin Scr 2.0 mgdl 13 67 3 12 mgdl 23 Circulation Journal Vol. 68, Suppl. IV, 2004 1059

20022003 23 mgdl 1213 3 mgdl 67 4 FDA 89 1 1 2 10 3 Na slow drug 1 slow drug Na intermediate drug slow drug intermediate drug intermediate drug slow drug intermediate drug 2 1 2 3 1 1 DC Ca K Na 1060 Circulation Journal Vol. 68, Suppl. IV, 2004

1 Ca Ca AHA 80 115 11 2 1 1 5 cm 2 QOL 12 3 75 INR 2.03.0 1999 2000 13 48 3 4 4 Circulation Journal Vol. 68, Suppl. IV, 2004 1061

20022003 7 Na : 1.52 14 Na Na Na 11 Brugada ST K 1516 5 2 1 Na slow Na intermediate K Na intermediate Na intermediate 1062 Circulation Journal Vol. 68, Suppl. IV, 2004

CTAF AFFIRM Na K 1718 2 Na Na Na K 2 M2 Na Brugada Na 3 20 Type 1 21 Type 2 22 2 21 150 11 300 41 100 60 3 3 20 1 DC R 50 J 2 100 99DC 48 1 3 240440340 Type 1 340 Type 2 19 Type 1 K Circulation Journal Vol. 68, Suppl. IV, 2004 1063

20022003 3 20 DC DC Na intermediateslow drug DC 4 K Na intermediateslow drug 90 % 20 5 WPW 6 1.77.0 % 48 23 4 1 2 150200 1064 Circulation Journal Vol. 68, Suppl. IV, 2004

80 mmhg 5 3 1 1 DC Valsalva 24 Ca 5 mg 10 mg 5 ATP10 mg 12 9095 % 25 Na 4060 % 26 DC 2 Na Ca WPW K 3 6 QRS 2 2729 3 1 4 Ca Ca Ca Ca Circulation Journal Vol. 68, Suppl. IV, 2004 1065

20022003 4 1 RBBB LAD LBBB RAD Ca Na slow Na intermediatefast Ca Na slow Na intermediatefast Na slow Na intermediatefast DAD DAD Na 2 48 Lown Grade 1 Grade 2-5 Na 48 1 5 120200 5 200 3 1066 Circulation Journal Vol. 68, Suppl. IV, 2004

5 1 Na slow Na fastintermediate a aca K Na fastintermediate a Na fastintermediate a Na slow Na fastintermediate Na fast Na intermediate Na ACE A- ICD 3031 slow kinetic Na ICD fastintermediate kinetic Na Fast kinetic drug ACE A- Na 32 MADIT- ICD 29 1 3 ACE A- 6 1 Circulation Journal Vol. 68, Suppl. IV, 2004 1067

20022003 10030 2 200 3 DC 6 1 RBBBLAD Na LBBBRAD ATP Na Na 33 6 1 DC RBBB LAD LBBB RAD ATP Na a DC a 1068 Circulation Journal Vol. 68, Suppl. IV, 2004

2 7 ICD 3435 36 7 ICD fast-intermediate kinetic Na K 37 ICD ICD 37 34 7 1 ACE A- ICD VT CAST slow drugs ACE A- EPS ICD Circulation Journal Vol. 68, Suppl. IV, 2004 1069

20022003 3 ICD 7 38 QRS QRS QT QT torsade de pointestdp QT QT 39 QT 1 3 QT QT 2 1 8 40 DC 3 DC ACLS DC, DC QT QT 8 DC 3 DC ACLS QT DC DC QT Mg QT QT 1070 Circulation Journal Vol. 68, Suppl. IV, 2004

9 QT QT ICD IDC QT QT Brugada QT ICD ICD ICD ICD 40 2 9 ICD 41 QT QT Brugada ICD 42 8 1 23 2 3 43 1 0.020.04 mgkg 2 0.010.03 mgkg 3 A1 4445 Circulation Journal Vol. 68, Suppl. IV, 2004 1071

20022003 4 46 9 47 15 1 1 2 10 ATP 48 Ca 49 Na WPW Na 50 51 WPW Ca Na DC 0.5 2.0 Jkg 10 DC ATP* Na DC 1072 Circulation Journal Vol. 68, Suppl. IV, 2004

Ca 49 2 1 2 Ca ATP Na 51 50 K 52 Ca 3 100120 3 30 5354 QT torsade de pointestdp 1 a b 200 d 2 RBBBLAD Ca Na 51 LBBBRAD 50 Ca Na Na RBBBLAD Ca Na LBBBRAD Na 54 Ca Na 4 100120 30 1 120 c 200 Circulation Journal Vol. 68, Suppl. IV, 2004 1073

20022003. 2 11 DC Na QRS RBBBLAD Ca LBBBRAD ATP Na Na Na DC RBBBLAD Ca Na 51 LBBBRAD Ca Na 51 Ca K 52 55 5 1 T 2 56 11 DC RBBBLAD Na fast LBBBRAD Ca Na intermediateslow ATP Na intermediateslow Na intermediateslow DC 1074 Circulation Journal Vol. 68, Suppl. IV, 2004

QT Tdp QT 3 Ca DC 2 Jkg 4 70 2000 Sicilian Gambit 2003 1 J-RHYTHM Circulation Journal Vol. 68, Suppl. IV, 2004 1075

20022003 1. CD-ROM.,, 2000 2 Task force of the working group on arrhythmias of the European Society of Cardiology: The Sicilian Gambit; A new approach to the classification of antiarrhythmic drugs based on their action on arrhythmogenic mechanisms. Circulation 1991; 84: 1831-1851 3 Vaughan Williams EM. Classification of antiarrhythmic drugs. In: Symposium on Cardiac Arrhythmias. Sweden: Astra 1970; p449-472 4 Singh BN, Hauswirth O. Comparative mechanisms of action of antiarrhythmic drugs. Am Heart J 1974; 86: 367-378 5 Yusuf S, Teo KK. Approaches and prevention of sudden death: Need for fundamental reevaluation. J Cardiovasc Electrophysiol 1991; 2: 5233-5239 6 :. Medical Practice 1992; 9: 1193-1197 7, :. 2, :,,., 2003; p267-275 8 Cox JL, Gardner MJ: Treatment of cardiac arrhythmias during pregnancy. Prog Cardiovasc Disease 1993; 36: 137-178 9 Chow T, Galvin J, McGovern B. Antiarrhythmic drug therapy in pregnancy and lactation. Am J Cardiol 1998; 82: 58 I-62 I 10, :. 2,,,,,, 2003, p129-132 11 The American College of CardiologyAmerican Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines and policy conferences. ACCAHAESC guidelines for the management of patients with atrial fibrillation: executive summary. Circulation 2001; 104: 2118-2150 12 The atrial fibrillation follow-up investigation of rhythm managementaffirminvestigators. A comparison of rate control and rhythm control in patients with atrial fibrillation. N Engl J Med 2002; 347: 1825-1833 13 1999-2000 :. Jpn Circ J 2001; 65(suppl V): 931-978 14 Atarashi H, Inoue H, Hiejima K, et al. Conversion of recentonset atrial fibrillation by a single oral dose of pilsicainide Pilsicainide Suppression Trial on Atrial Fibrillation. Am J Cardiol 1996; 78: 694-697 15 Fujiki A, Tsuneda T, Sugao M, et al. Usefulness and safety of bepridil in converting persistent atrial fibrillation to sinus rhythm. Am J Cardiol 2003; 92: 472-475 16 Shinagawa K, Shiroshita-Takeshita A, Schram G, et al. Effects of antiarrhythmic drugs on fibrillation in the remodeled atrium. Insights into the mechanism of the superior efficacy of amiodarone. Circulation 2003; 107: 1440-1446 17 Roy D, Talajic M, Dorian P, et al. for the Canadian trial of atrial fibrillation investigators. Amiodarone to prevent recurrence of atrial fibrillation. N Engl J Med 2000; 342: 913-920 18 The AFFIRM first antiarrhythmic drug substudy investingators. Maintenance of sinus rhythm in patients with atrial fibrillation. J Am Coll Cardiol 2003; 42: 20-29 19 Wells JL Jr, MacLean WA, James TN, et al. Characterization of atrial flutter. Studies in man after open heart surgery using fixed atrial electrodes. Circulation 1979; 60: 665-673 20 Blomstrom LC, Scheinman MM, Aliot EM, et al. ACC AHAESC guidelines for the management of patients with supraventricular arrhythmias-executive summary: a report of the American College of CardiologyAmerican Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice GuidelinesWriting Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias. Circulation 2003; 108: 1871-1909 21 Kall JG, Rubenstein DS, Kopp DE, et al. Atypical atrial flutter originating in the right atrial free wall. Circulation 2000; 101: 270-279 22 Kalman JM, VanHare GF, Olgin JE, et al. Ablation of 'incisional' reentrant atrial tachycardia complicating surgery for congenital heart disease. Circulation 1996; 93: 502-512 23 Dunn MI. Thrombolism with atrial flutter. Am J Cardiol 1998; 82: 638 24 Mehta D, Wafa S, Ward DE, et al. Relative efficacy of various physical maneuvers in the termination of junctional tachycardia. Lancet 1988; 1: 1181-1185 25 :.,,, 1998; p.127-150 26 DiMarco JP, Miles W, Akhtar M, et al. Adenosine for paroxysmal supraventricular tachycardia: Dose ranging and comparison with verapamil: Assessment in placebo-controlled, multicenter trials. Ann Intern Med 1990; 113: 104-110 27 Moss AJ, Hall WJ, Cannom DS, et al. for the Multicenter Automatic Defibrillator Implantation Trial Investigators. Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. N Engl J Med 1996; 335: 1993-1940 28 Buxton AE, Lee KL, Fisher JD, et al. for the Multicenter Unsustained Tachycardia Trial Investigators. A randomized study of the prevention of sudden cardiac death in patients with coronary artery disease. N Engl J Med 2000; 341: 1882-1890 29 Moss AJ, Zareba W, Hall WJ, et al. Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med 2002; 346: 877-883 30 The CAST Investigators. Effect of encainide and flecainide on mortality in randomized trial of arrhythmia suppression after myocardial infarction. N Engl J Med 1989; 321: 406-412 31 The CAST-II Investigators. Effect of the antiarrhythmic agent moricizine on survival after myocardial infarction. N Engl J Med 1992; 327: 227-233 32 Cairns JA, Connolly SJ, Roberts R, et al. Randomised trial of outcome after myocardial infarction in patients with frequent or repetitive ventricular premature depolarisations: CAMIAT. 1076 Circulation Journal Vol. 68, Suppl. IV, 2004

Lancet 1997; 349: 675-682 33 Gorgels AP, van de Pool A, Hofs A, et al. Comparison of procainamide and lidocaine in terminating sustained monomorphic ventricular tachycardia. Am J Cardiol 1996; 78: 43-46 34 The CASCADE investigators. Randomized antiarrhythmic drug therapy in survivors of cardiac arrestthe CASCADE study. Am J Cardiol 1993; 72: 280-287 35 The Antiarrhythmics versus Implantable Defibrillators AVIDInvestigators. A comparison of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. N Engl J Med 1997; 337: 1576-1583 36 Gregoratos G, Cheitlin MD, Conill A, et al. ACCAHA Guidelines for Implantation of Cardiac Pacemakers and Antiarrhythmic Devices: Executive Summary. A report of the American College of CardiologyAmerican Heart Association Task Force on Practice Guidelines. Circulation 1998; 97: 1325-1335 37 Pacifico A, Hohloser SH, Williams JH, et al. Prevention of implantable-defibrillator shocks by treatment with sotalol. N Engl J Med 1999; 340: 1855-1862 38 :.:, :,., 1996; p.353-373 39 Schwartz PJ, Priori SG, Napolitano C. The long QT syndrome. Cardiac Electrophysiology. From Cell to Bedside. Third edition.editors: ZipesJalife Saunders. 2000. p597-615 40 Guidelines 2000 for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Part 3: adult basic life support. The American Heart Association in collaboration with the International Liaison Committee on Resuscitation. Circulation 2000; 102: I-22-I-59 41,,,.. Jpn Circ J 2001; 65(Suppl V): 1142-1146 42 Priori SG, Aliot E, Blomstrom-Lundqvist C, et al. Task force on sudden cardiac death of the European Society of Cardiology. Eur Heart J 2001; 22: 1374-1450 43,,,.. Jpn Circ J 2001; 65(Suppl V): 1127-1160 44 Benditt DG, Benson DW Jr, Kreitt J, et al. Electrophysiologic effects of theophylline in young patients with recurrent symptomatic bradyarrhythmias. Am J Cardiol 1983; 52: 1223-1229 45 Alboni P, Ratto B, Cappato R, et al. Clinical effects of oral theophylline in sick sinus syndrome. Am Heart J 1991; 122: 1361-1367 46 Atarashi H, Endoh Y, Saitoh H, et al. Chronic effects of cilostazol, a new antithrombotic agent, in patients with bradyarrhythmias. J Cardiovasc Pharmacol 1998; 31: 534-539 47,,,. 2000; 16: 967-972 48 Losek JD, Endom E, Dietrich A, et al. Adenosine and pediatric supraventricular tachycardia in the emergency department: Multicenter study and review. Ann Emerg Med 1999; 33: 185-189 49,,,. verapamil. 1995; 11: 659-666 50 Janousek J. Paul T for the working group on pediatric arrhythmias and electrophysiology of the association of European pediatric cardiologists: Safety of oral propafenone in the treatment of arrhythmias in infants and childreneuropean retrospective multicenter study. Am J Cardiol 1998; 81: 1121-1124 51 Fish FA, Gillette PC, Benson DW Jr for the pediatric electrophysiology group: Proarrhythmia, cardiac arrest and death in young patients receiving encainide and flecainide. J Am Coll Cardiol 1991; 18: 356-365 52 Maagnes P, Tipple M, Fournier A. Effectiveness of oral sotalol for treatment of pediatric arrhythmias. Am J Cardiol 1992; 69: 751-754 53 Leenhardt A, Lucerty V, Denjoy I, et al. Cathecholaminergic polymorphic ventricular tachycardia in children. A 7-year follow-up of 21 patients. Circulation 1995; 91: 1512-1519 54 Sumitomo N, Harada K, Nagashima M, et al. Catecholaminergic polymorphic ventricular tachycardia: Electrocardiographic characteristics and optimal therapeutic strategies to prevent sudden death. Heart 2003; 89: 66-70 55 Guccione P, Paul T, Garson A Jr. Long term follow-up of amiodarone therapy in the young. J Am Coll Cadiol 1990; 15: 1118-1124 56 Moss AJ, Zareba W, Schwartz PJ, et al. Effectiveness and limitation of beta-blocker therapy in congenital long-qt syndrome. Circulation 2000; 101: 616-623 Circulation Journal Vol. 68, Suppl. IV, 2004 1077