| 1. |
A case of morbid obesity associated with various lethal complications
Obesity is becoming a global epidemic problem in both children and adults of industrialized countries because of alterations of life style including high-calorie food intake and lack of aerobic exercise. Here, we present a case of Judo wrestler with morbid obesity associated with various lethal complications such as juvenile hypertension, renal dysfunction, deep vein thrombophlebitis, pulmonary infarction, polycythemia and bronchial bleeding. All of these obesity-associated complications were treated intensively under hospitalization. This case is now under careful follow-up in outpatient clinic. In this article, we address the importance of weight reduction after retiring the vigorous sport such as Judo by calorie restriction and habitual aerobic exercise.. |
| 2. |
A Case of Brugada Syndrome Associated with Inferolateral Early Repolarization Presenting Idiopathic Ventricular Fibrillation
The relationship between Brugada syndrome and early repolarization syndrome remains controversial. Here, we report a case of a 34-year-old male who had visited the hospital due to nocturnal atrial fibrillation (AF). Sinus rhythm was restored after the administration of pilsicainide at the first episode of AF, but AF was converted to ventricular fibrillation (VF) after the same treatment during the second episode. Immediately prior to the onset of VF, ST elevation in inferior leads and J waves in lateral leads were observed. No organic heart diseases were suspected. Diagnosis of Brugada syndrome associated with inferolateral early repolarization was made based on the positive pilsicainide infusion test (1 mg/kg). VF was not detected after the implantation of implantable cardioverter-defibrillator and coadministration of cilostazol (200 mg) and bepridil (100 mg). This case provides additional information on the complicated relationship between Brugada syndrome and early repolarization syndrome.. |
| 3. |
Influence of proton pump inhibitors on anticoagulation by warfarin: Comparison of rabeprazole and lansoprazole. |
| 4. |
Clinical morphological and rheological investigation of erythrocytes in patients undergoing prosthetic heart valve replacement. |
| 5. |
Report of Three Cases with Complications which Required Psychosomatic Approaches during Device Therapies for Arrhythmias
We present herein three cases with complications which required psychosomatic approaches during device therapies for arrhythmias. The first case is a 55-year-old female patient with sick sinus syndrome, who underwent permanent pacemaker implantation. She complained of dysphagia, dysphonia, and severe left arm pain and paralysis, and was diagnosed as having reflex sympathetic dystrophy. She lost her job and became depressed. Some sessions with physical and occupational therapists helped her recover from the depression. The second case is a 62-year-old female patient who was implanted with an implantable cardioverter-defibrillator (ICD). ICD was infected. However, local infection was controlled by intensive chemotherapy without reoperation. Her reactive depression was improved by peer-support from ICD support group. The third case is a 48-year-old female patient with hereditary long QT syndrome. She repeatedly complained of left arm phantom swelling after implantation with ICD. She was diagnosed as having transient hypochondriasis upon psychiatric consultation. Her psychiatric condition improved after explaining the result of thoracic computed tomography (CT), which was performed in the presence of a cardiac device representative (CDR). Although CT was not an ideal resolution of her hypochondriasis, this promoted her own awareness of the psychosomatic linkage. These three cases were didactic for cardiac device complications, which often require multidisciplinary psychosomatic approaches.. |
| 6. |
The effects of lactic acid bacteria-fermented soymilk extract on patients with colonic polyps: a randomized, double-blind, placebo-controlled pilot trial. |
| 7. |
Mitsuhiro Fukata, Motoki Takaoka, et al., Evaluation of contact force of radiofrequency hot balloon by using a substantial heart model and computer aided engineering., 第83回日本循環器学会学術集会, 2019.09. |
| 8. |
深田 光敬, Synchronized left ventricular only pacing in relatively narrow QRS patients, Heart Rhythm 2016, 2016.05. |
