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1. 成人における急性オピオイド中毒acute opioid intoxication in adults [show details]
… In extreme overdose, loperamide causes ventricular conduction disturbances including QRS and QT interval prolongations, idioventricular rhythm, and ventricular tachycardia (monomorphic and polymorphic) …
2. 小児や青年のオピオイド中毒opioid intoxication in children and adolescents [show details]
… lethal ventricular tachyarrhythmia . Methadone, in particular, can block the inwardly rectifying potassium current with subsequent prolongation of the QT interval . According to case reports, heroin contaminated …
3. ヘロイン吸入による白質脳症（chasing the dragon）leukoencephalopathy due to heroin inhalation chasing the dragon [show details]
… and management of heroin leukoencephalopathy from chasing the dragon. "Chasing the dragon" is a method of heroin vapor inhalation that is distinct from smoking or sniffing heroin . Other names for this …
4. 小児二次救命処置法（PALS）pediatric advanced life support pals [show details]
… and are unresponsive. The arrest rhythms consist of: Shockable rhythms: Ventricular fibrillation – Ventricular fibrillation is characterized by no organized rhythm and no coordinated contractions Electrical …
5. オピオイド鎮痛薬（乱用防止製剤）abuse deterrent opioids [show details]
…increased by approximately 50 percent, and heroin use nearly doubled . A survey from Purdue Pharma, maker of OxyContin, reported a 42 percent increase in heroin abuse after OxyContin was redesigned as an …

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心房細動除細動後の抗不整脈薬

★リンクテーブル★

国試過去問	「097D017」
関連記事	「奔馬調律」「心室」「調律」「心室性」

「097D017」

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74歳の男性。労作時の息切れを生じるようになり来院した。20年前に高血圧を指摘されたが治療は受けていない。下肺野にcoarse crackles(水泡音)、心尖部に心室性奔馬調律を聴取する。脈拍76/分、整。血圧162/92mmHg。心電図を以下に示す。心臓カテーテル検査で左室拡張末期圧22mmHg(基準12以下)、心係数3.2l/分/m2(基準2.3～3.6)。心血管造影で左室駆出率56％、冠動脈に狭窄病変はない。適切な薬物はどれか。