• Title/Summary/Keyword: Ventricular tachyarrhythmia

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Long Term Management of Congenital Ventricular Tachyarrhythmia in a Dog

  • Lee, Geonyoung;Kang, Jooyeon;Ko, Minho;Cho, Hyunkee;Choi, Sooyoung;Park, In-Chul;Chung, Jin-Young
    • Journal of Veterinary Clinics
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    • v.34 no.5
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    • pp.353-355
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    • 2017
  • A four month old, intact female Jindo dog presented to the Veterinary Teaching Hospital of Kangwon National University with collapse. Physical examination revealed a heart rate of more than 200 beats per minute. Blood tests showed mild anemia and mild neutrophilia, while thoracic radiography and ultrasonography revealed no remarkable findings. Electrocardiography showed ventricular premature complexes (VPCs). The dog was diagnosed with congenital ventricular tachyarrhythmia. The condition was improved by lidocaine infusion. After 10 days, the dog was discharged from the hospital with a prescription of atenolol, pimobendan, diltiazem, furosemide, spironolactone, and L-carnitine. This dog is still alive after 31 months. However, progressive cardiac remodeling was confirmed on radiography and ultrasonography. Congenital ventricular tachyarrhythmia is rare in dogs, and the prognosis of reported cases is poor. This report describes the long-term successful management of a dog with congenital ventricular tachyarrhythmia.

Meta-analysis on risk stratification of malignant ventricular tachyarrhythmic events in arrhythmogenic right ventricular cardiomyopathy

  • Roh, Young-Eun;Jang, Hyun Ji;Cho, Min-Jung
    • Journal of Yeungnam Medical Science
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    • v.34 no.2
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    • pp.208-215
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    • 2017
  • Background: Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a cardiomyopathy characterized by predominant right ventricular fibro-fatty replacement, right ventricular dysfunction and ventricular arrhythmias. It is a rare but important cause of sudden cardiac death in children and young adults. A meta-analysis on risk stratification of major ventricular tachyarrhythmic events indicating the need for implantable cardioverter defibrillator therapy in ARVC was performed. Methods: The pubmed database was searched from its inception to May 2015. Of the 433 citations identified, 12 were included in this meta-analysis. Data regarding major ventricular tachyarrhythmic events were retrieved in 817 subjects from the studies. For the variables, a combined odds ratio (OR) was calculated using a fixed-effects meta-analysis. Results: Extensive right ventricular dysfunction (OR, 2.44), ventricular late potential (OR, 1.66), inducible ventricular tachyarrhythmia during electrophysiology study (OR, 3.67), non-sustained ventricular tachycardia (OR, 3.78), and history of fatal event/sustained VT (OR, 5.66) identified as significant risk factors (p<0.0001). Conclusion: This meta-analysis shows that extensive right ventricular dysfunction, ventricular late potential, inducible ventricular tachyarrhythmia during electrophysiological study, non-sustained ventricular tachycardia, and history of sustained ventricular tachycardia/fibrillation are consistently reported risk factors of major ventricular tachyarrhythmic events indicating implantable cardioverter defibrillator therapy in patients with ARVC.

Extracting Fuzzy Rules for Classifying Ventricular Tachycardia/Ventricular Fibrillation Based on NEWFM (심실빈맥/심실세동 분류를 위한 NEWFM 기반의 퍼지규칙 추출)

  • Shin, Dong-Kun;Lee, Sang-Hong;Lim, Joon-S.
    • Journal of Internet Computing and Services
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    • v.10 no.2
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    • pp.179-186
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    • 2009
  • This paper presents an approach to classify normal and Ventricular Tachycardia/Ventricular Fibrillation(VT/VF) from the Creighton University Ventricular Tachyarrhythmia DataBase(CUDB) using the neural network with weighted fuzzy membership functions(NEWFM). In the first step, wavelet transform is used for producing input values which are used in the next step. In the second step, two numbers of input features are extracted by phase space reconstruction method and peak extraction method using coefficients produced by wavelet transform in the previous step. NEWFM classifies normal and VT/VF beats using two numbers of input features, and then the accuracy rate is 90.13%.

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Inherited Malignant Ventricular Tachyarrhythmia in a German Shepherd (져먼 셰퍼드종 개에서 발생한 유전성 악성 심실성 부정맥증)

  • Lee, Joon-Seok;Lee, Seung-Gon;Park, In-Chul;Hyun, Chang-Baig
    • Journal of Veterinary Clinics
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    • v.23 no.3
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    • pp.329-333
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    • 2006
  • A 9-month-old neutered male German Shepherd dog was referred with the primary complaint of episodic collapse. Apparent abnormal findings were not observed in physical examination, routine biochemistry, and diagnostic imaging studies. In the 12-lead surface ECG after collapse, the dog showed frequent ventricular premature contractions (VPCs) with torsade de pointes. The frequency of VPCs was reduced after lidocaine infusion. Based on the history, findings in event recordings oi the ECG and lidocaine response test, the dog was diagnosed as inherited malignant ventricular tachyarrhythmia. Although the dog was initially responded to oral sotalol therapy, the dog was died suddenly. This report described the first case of malignant ventricular tachyarrhythmia of German Sheperd in Korea.

A Case of Severe Aconitine Intoxication with Ventricular Tachycardia, Successfully Treated by a Combination of Two Anti-arrhythmic Drugs (두 가지 항부정맥 약제를 병용 투여하여 성공적으로 치료한 심실빈맥이 동반된 부자중독 1례 보고)

  • Ryoo, Seung-Mok;Sohn, Chang-Hwan;Oh, Bum-Jin;Kim, Won;Lim, Kyoung-Soo
    • Journal of The Korean Society of Clinical Toxicology
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    • v.9 no.2
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    • pp.105-108
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    • 2011
  • Aconitine is an anti-inflammatory agent with therapeutic uses in oriental medicine as an analgesic and for treatment of stroke. Because of its sodium channel effect, aconitine can promote undesirable, wide complex tachyarrhythmia. If tachycardia develops during use of aconitine, class Ia and class III anti arrhythmic drugs can be utilized for treatment. However there are no single anti-arrhythmia agents which are uniformly effective. We report a case, characterized by wide complex tachyarrhythmia and severe hypotension, which was successfully treated by simultaneous injections of amiodarone and lidocaine. A 59-year-old woman exhibiting clinical signs of drowsiness as a result of ingesting 6 g of aconitine, was admitted to the emergency department. Initially, wide complex tachyarrhythmia (ventricular tachycardia and pulse rate of 180 beats/min) and severe hypotension (blood pressure of 53/26 mmHg) was observed. After simultaneous injection of amiodarone and lidocaine, the patient's rhythm pattern changed to an accelerated junctional rhythm with ventricular premature complex. Two hours later, the patient's heart pattern became a sinus rhythm. As demonstrated by this case, simultaneous injections of amiodarone and lidocaine can be useful in treating ventricular arrhythmia induced by aconitine.

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Nonsustained ventricular tachycardia during outpatient anesthesia: a case report

  • Kim, Keoungah;Kim, Seungoh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.21 no.4
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    • pp.363-367
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    • 2021
  • During the perioperative period, anesthesiologists frequently observe cardiac tachyarrhythmia. Ventricular tachycardia is very rare in non-cardiac surgeries. However, it can be fatal when it occurs. Therefore, anesthesiologists should be watchful so as to not to miss ventricular tachycardia and take the appropriate steps to manage it promptly. We present a case, with a review of related literature, in which a non-sustained ventricular tachycardia was observed in a patient who visited the hospital for dental treatment.

Detecting Ventricular Tachycardia/Fibrillation Using Neural Network with Weighted Fuzzy Membership Functions and Wavelet Transforms (가중 퍼지소속함수 기반 신경망과 웨이블릿 변환을 이용한 심실 빈맥/세동 검출)

  • Shin, Dong-Kun;Zhang, Zhen-Xing;Lee, Sang-Hong;Lim, Joon-S.;Lee, Jung-Hyun
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.19-26
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    • 2009
  • This paper presents an approach to classify normal and ventricular tachycardia/fibrillation(VT/VF) from the Creighton University Ventricular Tachyarrhythmia Database(CUDB) using the neural network with weighted fuzzy membership functions(NEWFM) and wavelet transforms. In the first step, wavelet transforms are used to obtain the detail coefficients at levels 3 and 4. In the second step, all of detail coefficients d3 and d4 are classified into four intervals, respectively, and then the standard deviations of the specific intervals are used as eight numbers of input features of NEWFM. NEWFM classifies normal and VT/VF beats using eight numbers of input features, and then the accuracy rate is 90.1%.

A Study on the Detection of the Ventricular Fibrillation based on Wavelet Transform and Artificial Neural Network (웨이브렛과 신경망 기반의 심실 세동 검출 알고리즘에 관한 연구)

  • Song Mi-Hye;Park Ho-Dong;Lee Kyoung-Joung;Park Kwang-Li
    • The Transactions of the Korean Institute of Electrical Engineers D
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    • v.53 no.11
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    • pp.780-785
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    • 2004
  • In this paper, we proposed a ventricular fibrillation detection algorithm based on wavelet transform and artificial neural network. we selected RR intervals, the 6th and 7th wavelet coefficients(D6, D7) as features for classifying ventricular fibrillation. To evaluate the performance of the proposed algorithm, we compared the result of the proposed algorithm with that of fuzzy inference and fuzzy-neural network. MIT-BIH Arrhythmia database, Creighton University Ventricular Tachyarrhythmia database and MIH-BIH Malignant Ventricular Arrhythmia database were used as test and learning data. Among the algorithms, the proposed algorithm showed that the classification rate of normal and abnormal beat was sensitivity(%) of 96.10 and predictive positive value(%) of 99.07, and that of ventricular fibrillation was sensitivity(%) of 99.45. Finally. the proposed algorithm showed good performance compared to two other methods.

Clinical Experience for a Patient with Long QT Syndrome -A case report- (QT간격연장증후군(Long QT Syndrome) 환자의 치료경험 -증례 보고-)

  • Park, Tae-Kyu;Lee, Jung-Koo
    • The Korean Journal of Pain
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    • v.13 no.1
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    • pp.115-118
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    • 2000
  • Stellate ganglion block is most commonly used in pain clinic because it is an easy procedure and it has broad indications reported that Angina pectoris, tachyarrhythmia and long QT syndrome (LQTS) are indicated. LQTS is a disorder of the abnormalities of cardiac sympathetic innervation and of myocardial repolarization. LQTS is characterized by marked prolongation of the QT interval, often manifestating as syncope, seizures, or sudden death due to polymorphic ventricular tachyarrhythmia known as torsades de pointes. Treatment of symptomatic patients usually begin with beta blocker. The elective treatment of LQTS patients unresponsive to beta blocker is the left cardiac sympathetic denervation. We report a case of LQTS patient who had received stellate ganglion block.

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