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10.1111/j.1540-8159.1991.tb04070.x

http://scihub22266oqcxt.onion/10.1111/j.1540-8159.1991.tb04070.x
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1721131!ä!1721131

suck abstract from ncbi


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pmid1721131      Pacing+Clin+Electrophysiol 1991 ; 14 (10): 1485-91
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  • Association of humps on monophasic action potentials and ST-T alternans in a patient with Romano-Ward syndrome #MMPMID1721131
  • Sakurada H; Tejima T; Hiyoshi Y; Motomiya T; Hiraoka M
  • Pacing Clin Electrophysiol 1991[Oct]; 14 (10): 1485-91 PMID1721131show ga
  • A case of Romano-Ward syndrome had episodes of torsade de pointes preceded by ST-T alternans. ST-T alternans was induced by isoproterenol and abolished by verapamil, lidocaine, mexiletine and MgSO4. A monophasic action potential (MAP) showed humps in MAPs at the right ventricular outflow tract but not at the right ventricular apex in alternate beats. Differences in the MAP duration were noted between the two areas and were associated with ST-T alternans. Atrial pacing abolished both humps and ST-T alternans. These results suggest that humps are a possible reflection of early afterdepolarizations and their appearance is limited to localized regions of the ventricles, which produces regional disparity of repolarization and ST-T alternans.
  • |*Cardiac Pacing, Artificial[MESH]
  • |*Electrocardiography[MESH]
  • |Action Potentials/physiology[MESH]
  • |Adult[MESH]
  • |Electrophysiology[MESH]
  • |Female[MESH]
  • |Heart Conduction System/*physiopathology[MESH]
  • |Humans[MESH]
  • |Isoproterenol[MESH]
  • |Long QT Syndrome/diagnosis/*physiopathology[MESH]


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