Science Links Japan | A Case of Acute Left Side Heart Failure in Hypertensive Heart Disease with Rapid Atrial Fibrillation for Which Milrinone was Effective.

A Case of Acute Left Side Heart Failure in Hypertensive Heart Disease with Rapid Atrial Fibrillation for Which Milrinone was Effective.

Accession number;02A0305827

Title;A Case of Acute Left Side Heart Failure in Hypertensive Heart Disease with Rapid Atrial Fibrillation for Which Milrinone was Effective.

Author;KOGA SEIJI(Nagasakikinenbyoin Junkankika) IKEDA SATOSHI(Nagasaki Univ., Sch. of Med.) SONODA KOICHIRO(Nagasakikinenbyoin Junkankika) YOSHITAKE TAKATOSHI(Nagasakikinenbyoin Junkankika) MIYAHARA YOSHIYUKI(Nagasaki Univ., Sch. of Med.) KONO SHIGERU(Nagasaki Univ., Sch. of Med.)

Journal Title;Prog Med

Journal Code:F0664B

ISSN:0287-3648

VOL.22;NO.2;PAGE.463-468(2002)

Figure&Table&Reference;FIG.4, TBL.2, REF.13

Pub. Country;Japan

Language;Japanese

Abstract;A 53-year-old man was admitted to our hospital with the chief complaint of dyspnea. He developed hypoxemia and hypertension. Chest radiograph showed cardiomegaly with congestion in the bilateral lung fields. An electrocardiogram revealed rapid atrial fibrillation. Echocardiography showed a diffusely severe hypokinesis in the left ventricular wall with hypertrophy and dilatation of left atrium, ventricle, and inferior vena cava. By these findings and further investigation, we diagnosed acute heart failure due to hypertensive heart disease with rapid atrial fibrillation, presenting low cardiac output, pulmonary congestion, and volume overload. Continuous intravenous infusion of milrinone, which is a phosphodiesterase III inhibitor with positive inotrophic and vasodilating activities, was effective for hemodynamic support and symptom reduction without worsening of tachycardia, hypertension, ventricular arrhythmia, and without occurrence of hypotension. (author abst.)