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KMID : 0378019580010010121
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New Medical Journal
1958 Volume.1 No. 1 p.121 ~ p.125
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Paroxysmal Ventricular Tachycardia
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李河
石世一
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Abstract
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The first patient had his first attack of paroxysmal tachycardia seven years ago and with diagnosis of mitral insnfficiency. He used digitalis intermittently. Before the admission in this department with chief complaints of palpitation and dyspnea, he administered excessive digitalis for a few weeks.
Confirmed as the PVT with ECG on admission, 0.2 gm of quinidine was given orally every 4 hours for a week followed with gradually reduced dosage for 40 days. He is alive and working at the present time.
The second patient, a 25 year old student, was diagnoses as a ventricnlar septal defect in his early life and the first attack of paroxysmal tackycardia and syncope occured three years ago becoming severe and frequent up to admission.
0.2 gm of quinidine six times a day was administered for ten days with good result and he was discharged 60 days later with well improvement. The patient had expired on his third day of readmission with the heart failure 9 months Iater.
In summary we formed a conclusion that two pationts with PVT were well controlled with quinidine therapy, but the prognosis is not always good especially when it had underlying heart diseasos.
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