篇名 | Asystole Induced by Dipyridamole Stress for Thallium-20l Myocardial Perfusion Imaging |
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卷期 | 15:3 |
並列篇名 | Dipyridamole負荷式鉈-201心肌灌注掃描引致暫時性心跳停止 |
作者 | 潘玫秀 、 陳志勇Chin, James, Chee-yung) 、 顏若芳 、 黃博昭 |
頁次 | 157-160 |
關鍵字 | thallium-201 、 myocardial perfusion imaging 、 asystole 、 鉈-201 、 心肌灌注掃描 、 心跳停止 |
出刊日期 | 200209 |
一位86歲沒有冠狀動脈疾病或心律不整病史的男性病息,在做靜脈注射dipyridamoleIi令負荷式鉈-201心肌灌注掃描檢查時,引發了暫時性心律不整。注射aminophylline後,心律不整消失。我們回顧有關這項檢查的文獻,並強調在執行此項檢查時,須仔細觀察各項生命徵候與心電圖變化,尤其當患者有服用β-型阻斷劑或心跳緩減劑藥時,更應小心。
An 86-year-old man without documented coronary artery disease or conduction abnormalities at rest developed an episode of asystole following intravenous infusion of dipyridamole for 201TI myocardial perfusion imaging and was reversed promptly after aminophylline injection. We reviewed the literature regarding the safety of this procedure and stressed the importance of close monitoring during the study, especially in patients receiving beta blockers, negative chronotropic or dromotropic agents.