「心房細動：私はこう治療する」 - jcc.gr.jp

1 Vol. 5 No. 1 2010 J Cardiol Jpn Ed21 Takanori IKEDA, MD, FJCC 69 10 / 64 5 40mg/ 50mg/ 2 3mg/ 100mg/ VVI 3 110 130/ 169cm 61kg C 136/70mmHg 120/

2 4 Levine 3 Killip II J Cardiol Jpn Ed 2010; 5: 21 25 1. X 1 62% VVI 2. 12 2 118/ QRS ST T 3. 3 62 mm 54 mm 35% 46 mm 4. 4 120/ 130 140/ 5. 50/ Ca mg/ 181-8611 6-20-2E-mail: Cardiol Jpn Ed Vol.

3 5 No. 1 2010 22 100/ mg/ mg/ 70 100/ 1 X 2 12 3 Vol. 5 No. 1 2010 J Cardiol Jpn Ed23 1 AFFIRM RACE J-RHYTHM AF-CHF Ca 1,2 2.

4 3 2,4 35% 5

5 Na K 5 6 4 24 130 140/ J Cardiol Jpn Ed Vol. 5 No. 1 2010 24 5 6 APD 6 1 ISA < 9-11 6-7 3-4 8-10K 3-4 12-24 8-10 3-4 4-5 3-4 4-6 4-6 7-9 8-10 Vol.

6 5 No. 1 2010 J Cardiol Jpn Ed25 1 intrinsic sympathomimetic activity ISA 6 Na K membrane stabilizing activity MSA 1 ISA 1

7 1 2 7 8 1 Ogawa S, Yamashita T, Yamazaki T, Aizawa Y, Atarashi H, Inoue H, Ohe T, Ohtsu H, Okumura K, Katoh T, Kamakura S, Kumagai K, Kurachi Y, Kodama I, Koret-sune Y, Saikawa T, Sakurai M, Sugi K, Tabuchi T, Na-kaya H, Nakayama T, Hirai M, Fukatani M, Mitamura H; J-RHYTHM Investigators.

8 Optimal treatment strate-gy for patients with paroxysmal atrial fibrillation: J-RHYTHM Study. Circ J 2009; 73: 242 Fuster V, Ryd n LE, Cannom DS, Crijns HJ, Curtis AB, Ellenbogen KA, Halperin JL, Le Heuzey JY, Kay GN, Lowe JE, Olsson SB, Prystowsky EN, Tamargo JL, Wann S, Smith SC Jr, Jacobs AK, Adams CD, Ander-son JL, Antman EM, Halperin JL, Hunt SA, Nishimura R, Ornato JP, Page RL, Riegel B, Priori SG, Blanc JJ, Budaj A, Camm AJ, Dean V, Deckers JW, Despres C, Dickstein K, Lekakis J, McGregor K, Metra M, Morais J, Osterspey A, Tamargo JL, Zamorano JL.

9 American College of Cardiology/American Heart Association Task Force on Practice Guidelines; European Society of Cardiology Committee for Practice Guidelines; Europe-an Heart Rhythm Association; Heart Rhythm Society. ACC/AHA/ESC 2006 Guidelines for the Management of Patients with Atrial Fibrillation: a report of the American College of Cardiology/American Heart Asso-ciation Task Force on Practice Guidelines and the Euro-pean Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation): developed in collaboration with the Euro-pean Heart Rhythm Association and the Heart Rhythm Society.

10 Circulation 2006; 114: e257 Benjamin EJ, Chen PS, Bild DE, Mascette AM, Albert CM, Alonso A, Calkins H, Connolly SJ, Curtis AB, Darbar D, Ellinor PT, Go AS, Goldschlager NF, Heck-bert SR, Jalife J, Kerr CR, Levy D, Lloyd-Jones DM, Massie BM, Nattel S, Olgin JE, Packer DL, Po SS, Tsang TS, Van Wagoner DR, Waldo AL, Wyse DG. Pre-vention of atrial fibrillation: Report from a national heart, lung, and blood institute workshop. Circulation 2009; 119: 606 . 2008 . Circ J 2009; 72 (Suppl. IV): 1581 Fauchier L, Grimard C, Pierre B, Nonin E, Gorin L, Rauzy B, Cosnay P, Babuty D, Charbonnier B.