長い質問商品 The Heart Rhythm Charity Promoting better understanding, diagnosis, treatment and quality of life for individuals with cardiac arrhythmias 長い質問商品 www.heartrhythmcharity.org.uk Registered Charity No. 1107496 ©2010 㧨⚕㧪 QT ᑧ㐳∝⟲ ࠕࠬࡒࠕࠕࠗࠕࡦࠬ The Heart Rhythm Charity 㧔ᔃᜉ࠴ࡖ࠹ࠖ㧕 ⑳ߚߜߪޔᔃਇᢛ⣂ߩࠃࠅ⦟ℂ⸃ߣޔㆡಾߥᴦ≮߿⸻ᢿߩଦㅴޔᖚ⠪ߐࠎߩ㧽㧻㧸㧔↢ᵴߩ⾰㧕ߩะࠍ ߑߒߡ߹ߔޕ 㧨㧝ࡍࠫ⋡એ㒠㧪 QT ᑧ㐳∝⟲ߦߟߡ ߎߩౠሶߦߪޔQT ᑧ㐳∝⟲ߦ㑐ߔࠆᖱႎ߇ឝタߐࠇߡ߹ߔࠆߦߎߎޕᖱႎߪ⺞ޔᩏ⎇ⓥ߿ᖚ⠪ߐࠎ ߩ⚻㛎߆ࠄᓧࠄࠇߚ߽ߩߢߔߊߒߣߞ߽ޕ⍮ࠅߚᣇߪޔౠሶߢ⚫ߐࠇߡࠆ࠙ࠚࡉࠨࠗ࠻߽ߏⷩߊߛߐޕ ࠕࠬࡒࠕࠕࠗࠕࡦࠬ㧔A-A㧕ߪޔੱޔᖚ⠪ળޔᘏༀ࿅ޔක≮࿅ߣක≮⠪ࠣ࡞ࡊߩㅪ៤߆ࠄߥࠆ ⚵❱ߢߔޕ ࿅ߪߘࠇߙࠇ⁛┙ߒߡ߹ߔ߇ޔߢߣ߽ߩࠬࡦࠕࠗࠕࠕࡒࠬࠕޔㆡಾߢലᨐ⊛ߥ⸻ᢿߣᴦ≮ߩ᥉ ଦㅴߩߚߦߦ߽ߣޔᵴേࠍⴕߞߡ߹ߔޕ A-A ߪߩࠄࠇߎޔ࿅ߩ⋡ᮡߣ⋡⊛ࠍᡰᜬߒߡ߹ߔޕ ⋡ᰴ z ߪߓߦ z QT ᑧ㐳∝⟲ߣߪ㧫 z QT 㑆㓒ߣߪ㧫 z QT ᑧ㐳∝⟲ߩ∝⁁ߣߪ㧫 z QT ᑧ㐳∝⟲ߩේ࿃ߪ㧫 z QT ᑧ㐳∝⟲ߩෂ㒾ᕈߣߪ㧫 z ᬌᩏߣ⸻ᢿߦߟߡ z ∛ᱧߣ⹏ଔߦߟߡ z ㆮવሶᬌᩏߦߟߡ z ᴦ≮ᴺߦߟߡ z ↢ᵴࠬ࠲ࠗ࡞ߣᴦ≮ᓟߦߟߡ z ⼊๔ z ଢߥ࠙ࠚࡉࠨࠗ࠻ z ߽ߞߣ⍮ࠅߚᣇ߳ ↪⺆⸃⺑ ਇᢛ⣂ ᔃᜉߩ࠭ࡓߩ㓚ኂ ᔃ⤳⑼ක ᔃ∔ᖚߩኾ㐷ኅޕᔃ∔ᖚߩ⸻ᢿ߿ᴦ≮ߦߚࠆ ᔃ㔚࿑㧔ECG㧕 12 ᧄߩ࠼ߣ߫ࠇࠆࡢࠗࡗࠍ↪ߡޔᔃ⤳ߩ㔚᳇⊛ᵴേࠍ⸥㍳ߔࠆⵝ⟎ ICD ᬀ߃ㄟߺဳ㒰⚦േེޕᔃᜉࠍࡕ࠾࠲ߔࠆ ࡍࠬࡔࠞ ⊹ਅߦᬀ߃ㄟ߹ࠇࠆዊߐߥ㊄ዻᕈߩᯏེߢޔ㔚᳇ೝỗࠍ⊒↢ߐߖߡਇᢛ⣂ࠍᴦ≮ߔࠆߩߦ↪ࠆ ᄬ㧔syncope㧕 ⣖߳ߩ㉄⚛ߩଏ⛎߇ᕆߦᱛ߹ࠆߎߣߦࠃߞߡߎࠆ᳇⛘ QT ᑧ㐳∝⟲ߣߪ㧫 QT ᑧ㐳∝⟲ߣߪޔᔃ⤳ߩᯏ᪾⊛ᯏ⢻ߦ㗴߇ߥߩߦ߽߆߆ࠊࠄߕޔ㔚᳇ೝỗવ㆐ࠪࠬ࠹ࡓ߇㓚ኂߐࠇࠆ ∛᳇ߢߔ⚿ޕᨐߣߒߡߣޠࡦࡢࡐ࠼ࠨ࡞࠻ޟ߫ࠇࠆ㗫⣂ᕈਇᢛ⣂߇ߎࠆߎߣ߇ࠅ߹ߔߩߎޕਇᢛ⣂߇ ߎߞߚ႐วޔᔃ⤳߆ࠄⴊᶧ߇ᜉߐࠇߥߊߥࠅޔ⣖߇ή㉄⚛⁁ᘒߦߥࠅޔᄬߥߤࠍᒁ߈ߎߒ߹ߔޕ⒘ߦߢ ߔ߇⓭ޔὼᱫߩේ࿃ߦ߽ߥࠅ߹ߔޕ QT ᑧ㐳∝⟲ߦࠃࠆਇᢛ⣂ߪޔㆇേ߿ࠬ࠻ࠬߦࠃߞߡᒁ߈ߎߐࠇࠆߎߣ߇ࠅ߹ߔޕQT ᑧ㐳∝⟲ߦ ߆߆ߞߡࠆੱ߇⊝ޔਇᢛ⣂ࠍᒁ߈ߎߔࠊߌߢߪࠅ߹ߖࠎ߇ߚߞߎޔߒ߽ޔ㓙ߦߪޔ㕖Ᏹߦෂ㒾ߥ⁁ᘒߦ ߥࠅ߹ߔޕ QT 㑆㓒ߣߪ㧫 ᔃ⤳߇ᜉേߔࠆߩߪޔ㔚᳇ೝỗ߇ᔃ╭ోߦᐢ߇ߞߡᔃ╭ࠍ❗ߐߖࠆߚߢߔޕQT 㑆㓒ߪޔᔃ⤳ߩ㔚᳇ೝ ỗᵴേࠍ⸥㍳ߔࠆ ECG㧔ᔃ㔚࿑㧕ߩ 12 ᧄߩ࠼ߢ⸘᷹ߐࠇ߹ߔޕ೨ᓟߒ߹ߒߚ߇ޔQT 㑆㓒ߣߪޔᔃ⤳ ߇㔚᳇ೝỗࠍ⊒ߒߡ߆ࠄޔᰴߩೝỗࠍ⊒ߔࠆḰ߇ߢ߈ࠆ߹ߢߩᤨ㑆ࠍᜰߒ߹ߔޕQT 㑆㓒ߪޔᔃ㔚࿑ߦ߅ߌ ࠆ․ቯߩ㧞ὐ㑆ߩ㑆㓒㧔QRS complex ߩ㐿ᆎὐ߆ࠄ T ᵄߩ⚳ᧃㇱ㧕ࠍᜰߒ⇣߇ࠇߘޔᏱߦ㐳ߊߥࠆߎߣࠍޟQT 㑆㓒ߩᑧ㐳ߣޠ߮߹ߔޕ QT ᑧ㐳∝⟲ߩ∝⁁ QT ᑧ㐳∝⟲ߩᦨೋߩ∝⁁ߪޔᄙߊߩ႐วޔᐜዋᦼߦࠇ߹ߔߪߡߒߣ⁁∝ޕએਅߩࠃ߁ߥ߽ߩ߇ࠅ߹ߔޕ z ⓭ὼߩේ࿃ਇߩᄬ㧔․ߦࠍࠬ࠻ࠬޔᗵߓࠆ⁁ᴫߦ⟎߆ࠇߚ႐วߦࠇࠆ㧕 ࠹ࠬࡅޟޔߊࠃޕᔕޠ ߣ⺋⸻ߐࠇࠆߎߣ߇ࠅ߹ߔ z ේ࿃ਇߩ∨ᡨ⊒⓭ޕὼߩᗧ⼂ᶖᄬߪ⊒ࠎ߆ࠎߡޔߣ⺋⸻ߐࠇࠆߎߣ߇ࠅ߹ߔ z ᔃ⤳ߦ᭴ㅧ⊛ߥᰳ㒱߽ޔ㓚ኂ߽ߟ߆ࠄߥߩߦߎࠆ⓭ὼߩᔃᱛ߿⓭ὼᱫ⓭ޕὼߩᔃᱛ߿⓭ὼᱫߩ߅ ࠃߘ 10%ߪޔQT ᑧ㐳∝⟲ߩೋ⊒∝⁁߇ේ࿃ߢߔ QT ᑧ㐳∝⟲ߩේ࿃ QT ᑧ㐳∝⟲ߪޔవᄤᕈߩ߽ߩ߽ࠇ߫ޔᓟᄤᕈߩ߽ߩ߽ࠅ߹ߔޕ ᓟᄤᕈ QT ᑧ㐳∝⟲ߪߩ‛⮎ޔߡߚޔᛩਈ߇ේ࿃ߢߔޕ వᄤᕈ QT ᑧ㐳∝⟲ߪࠆޔㆮવሶߩᄌ⇣ߦࠃࠆ߽ߩߢޔኅᣖ߆ࠄฃߌ⛮߇ࠇࠆ႐ว߽ࠅ߹ߔޕవᄤᕈ QT ᑧ㐳∝⟲ߩ⊒↢㗫ᐲߪޕࠎߖ߹ߡߞ߆ࠊߛ߹ޔ వᄤᕈ QT ᑧ㐳∝⟲ߦߪߐ߹ߑ߹ߥ࠲ࠗࡊ߇ࠅޔᜂᒰߩᔃ⤳ኾ㐷ක߇ߥߚߩ࠲ࠗࡊࠍ⺑ߒߡߊࠇ߹ߔޕ ߽ߞߣ߽৻⥸⊛ߥవᄤᕈ QT ᑧ㐳∝⟲ߦޔLQTS(long-QT syndrome)1,2,3 ߩ㧟⒳߇ࠅ߹ߔޕㆮવሶ࠹ࠬ ࠻ࠍฃߌࠆߎߣߢޔLQTS ߩ⒳㘃ࠍ․ቯߢ߈߹ߔޕ LQTS ࠲ࠗࡊ 1 ߮ 2 ߩ႐วޔᔃ⤳ౝߩࠞ࠙ࡓ࠴ࡖࡦࡀ࡞߇㗴ࠍᒁ߈ߎߒ߹ߔޔߪߢࡊࠗ࠲ߩࠄࠇߎޕ ㆇേ߿♖⊛ࠬ࠻ࠬߦࠃߞߡਇᢛ⣂߇ߎࠆߎߣ߇ࠅ߹ߔ ࡊࠗ࠲ޕ3 ߢߪ߇࡞ࡀࡦࡖ࠴ࡓ࠙࠻࠽ޔේ࿃ߣ ߥࠅ߿ᤨ⌁⌧ޔ㕒ᤨߩㆃᜉേ߇ᔃਇᢛ⣂ࠍᒁ߈ߎߔ႐ว߇ࠅ߹ߔޕ QT ᑧ㐳∝⟲ߩෂ㒾ᕈ QT ᑧ㐳∝⟲ߪ㕖Ᏹߦ⒘ߥ∛᳇ߢߔޕኾ㐷ኅߦࠃࠇ߫ޔ7000 ੱߦ㧝ੱ⒟ᐲߣߐࠇߡ߹ߔ߇ߥࠇߐ⊒ޔ ႐ว߽ᄙߩߢߩߎޔᢙሼߪᧂ⏕ቯߢߔޕ ߽ߒኅᣖߩਛߦޔේ࿃ਇߩᔃ⤳⊒ߢᱫߒߚࠅޔේ࿃ਇߩᄬ⊒߿∨ᡨ⊒ࠍߎߒߚߎߣ߇ࠆੱ ߇ࠆ႐วߦߪޔQT ᑧ㐳∝⟲ߦߥࠆෂ㒾ᕈ߇ࠆ߆߽ߒࠇ߹ߖࠎޕ ߹ߚޔQT 㑆㓒ࠍᑧ㐳ߐߖࠆࠃ߁ߥ⮎ࠍ↪ߒߡࠆ႐วߦ߽ෂ㒾ᕈ߇ࠅ߹ߔޕකᏧߦ⋧⺣ߒޔ↪ߒ ߡࠆ⮎ߦ QT ᑧ㐳∝⟲ࠍ⺃⊒ߔࠆෂ㒾ᕈ߇ߥ߆ࠍ⏕ߒߡߊߛߐޕ ᬌᩏߣ⸻ᢿ ᔃ㔚࿑ ᔃ㔚࿑ߦࠃࠅޔᔃ⤳ߩ㔚᳇ᵴേߩ࠴ࠚ࠶ࠢ߇ߢ߈߹ߔޕ12 ᧄߩ࠼ࠍ⢷ㇱߣᚻ⿷ߦߟߌޔᔃ⤳ߩ㔚᳇ᵴേ ࠍ⸥㍳ߒ߹ߔޔߡߞࠃߦࠇߎޕQT ᑧ㐳∝⟲ߩน⢻ᕈࠍ␜ߔޔQT 㑆㓒ߩᑧ㐳ࠍ⊒ߢ߈ࠆ႐ว߇ࠅ߹ߔޕ ᥉ㅢޔᮮߦߥߞߚ⁁ᘒߢᔃ㔚࿑ࠍขࠅ߹ߔ߇ޔQT ᑧ㐳∝⟲ߩᖚ⠪ߐࠎߢ߽ޔᔅߕ QT 㑆㓒ߩᑧ㐳߇⏕ߢ߈ ࠆߣߪ㒢ࠄߥߩߢޔᐲ߆ᔃ㔚࿑ᬌᩏࠍ➅ࠅߔ߆ޔ៤Ꮺဳߩᔃ⤳ࡕ࠾࠲ࠍߞߡ⛮⛯⊛ߦᔃ⤳ߩᵴേࠍࡕ ࠾࠲ߔࠆᔅⷐ߇ࠆ႐ว߽ࠅ߹ߔޕ ੱߦࠃߞߡߪޔㆇേਛߩߺߦ QT 㑆㓒ߩᑧ㐳߇ࠇࠆ႐ว߽ࠅ߹ߔߩߘޕ႐วߦߪߥࡦࠪࡑࠣࡦ࠾ࡦޔ ߤߢㆇേࠍߒߥ߇ࠄޔᔃ㔚࿑ᬌᩏࠍⴕ߁ᔅⷐ߇ࠅ߹ߔޕ ∛ᱧߣ⹏ଔ ᔃ⤳ኾ㐷ක߆ࠄߪ߿⁁∝ޔኅᣖߩ∛ᱧߦߟߡߐ߹ߑ߹ߥ⾰ࠍฃߌ߹ߔޕߩ⮎ࠆߡߒ↪ޔ⒳㘃߽ᔅ ⷐߥᖱႎߢߔޔߚ߹ޕਇᢛ⣂ߩෂ㒾ᕈ߇߇ࠆⴊߪࠆޔᶧਛߩࠞ࠙ࡓࡌ࡞ࠍਅߍࠆࠃ߁ߥ⁁ᴫ㧔ㆊߥ ཌྷฯޔਅ∯⚻ޔᕈή㘩᰼⁁↲ߪߚ߹ޔ⣼∔ᖚ㧕߇ߥ߆߽⡞߆ࠇࠆߢߒࠂ߁ⴊޕਛߩࠞ࠙ࡓỚᐲࠍ⺞ߴࠆߚ ߦⴊᶧᬌᩏ߇ⴕࠊࠇࠆߎߣ߽ࠅ߹ߔޕ ㆮવሶᬌᩏ ߽ߒޔᜂᒰߩකᏧ߇ QT ᑧ㐳∝⟲ߩน⢻ᕈ߇ࠆߣ⸻ᢿߒߚ႐วޔㆮવሶᬌᩏߩኾ㐷ኅࠍ⚫ߐࠇࠆߎߣ߇ ࠅ߹ߔޕㆮવሶᬌᩏߩኾ㐷ኅߪ⥄ߚߥޔり߿ߥߚߩኅᣖߦኻߒߡᬌᩏࠍⴕޔQT ᑧ㐳∝⟲߆ߤ߁߆ࠍ ⸻ᢿߒ߹ߔޕQT ᑧ㐳∝⟲ߪޔ႐วߦࠃߞߡߪޔᬌᩏߢ․ቯߢ߈ߥߎߣ߽ࠅޔᬌᩏ⚿ᨐ߇㒶ᕈߛߞߚߣߒ ߡ߽ޔQT ᑧ㐳∝⟲ߩน⢻ᕈ߇ߥߣߪ⸒ಾࠇ߹ߖࠎޕ ᴦ≮ᴺ ߐ߹ߑ߹ߥᴦ≮ᴺ߇ࠅ߹ߔߩߢޔකᏧߣࠃߊ⋧⺣ߔࠆࠃ߁ߦߒߡߊߛߐޕQT ᑧ㐳∝⟲ࠍቢోߦᴦߔᣇ ᴺߪࠅ߹ߖࠎߩߢޔᴦ≮ߩਥ⋡⊛ߪޔᗧ⼂ᶖᄬ߿ߩෂ㒾ᕈ߇ࠆਇᢛ⣂ߩ㒐ᱛߦߥࠅ߹ߔޕᴦ≮ᴺߪޔQT ᑧ㐳∝⟲ߩ⒳㘃߿ߥߚߩ␠ળ⊛⢛᥊⁁ᴫߦࠃߞߡ⇣ߥࠅ߹ߔޕਇᢛ⣂ߩ੍㒐ߦߪߊࠃޔ᛫ਇᢛ⣂⮎߇↪ ࠄࠇ߹ߔޕQT ᑧ㐳∝⟲ߩ⒳㘃ߦࠃߞߡߪޔᔃᜉ߇㕖Ᏹߦㆃߊߥࠆߎߣ߇ਇᢛ⣂ߩᒁ߈㊄ߣߥࠆ႐ว߽ࠆߩ ߢޔߡߞࠍࠞࡔࠬࡍޔᔃᜉ߇ㆃߊߥࠄߥࠃ߁ߦߔࠆߎߣ߇ࠅ߹ߔޔߚ߹ޕߩෂ㒾ߦ߆߆ࠊࠆࠃ߁ ߥਇᢛ⣂ࠍᬌ⍮ߒߡ⥄േ⊛ߦ㔚᳇ᴦ≮ࠍᣉߔ ICD㧔ᬀ߃ㄟߺဳ㒰⚦േེ㧕ࠍ↪ࠆߣߞߚㆬᛯ⢇߽ࠅ߹ߔޕ QT ᑧ㐳∝⟲ߩ⒳㘃ߦࠃߞߡߪࠍ↪ߩ⸘ᤨߒ߹ⷡ⋡ޔᱛߐࠇߚࠅޔዞኢਛߦ៤Ꮺ㔚߇㡆ࠄߥࠃ߁ޔ 㔚Ḯࠍಾߞߡ߅ߊࠃ߁ߦᜰ␜ߐࠇࠆߎߣ߽ࠅ߹ߔޕ ㆇേߦࠃߞߡᄬ߇ᒁ߈ߎߐࠇࠆ႐วߦߪޔỗߒㆇേߪㆱߌ߹ߒࠂ߁⼾߇ࡓ࠙ࠞޔߚ߹ޕንߥ㘩ຠࠍ㘩 ߴࠆࠃ߁ߦߒࠍ࡞ࡌࡓ࠙ࠞޔਅߍߥࠃ߁ߦකᏧߦ㘩ߦ㑐ߒߡࠃߊ⋧⺣ߒ߹ߒࠂ߁ޕ QT ᑧ㐳∝⟲ࠍᖚߞߡࠆߎߣࠍ࿐ߩੱߦવ߃ޔᄬߒߚ㓙ߦߪߦߋߔޔᢇᕆゞࠍࠎߢ߽ࠄ߃ࠆࠃ߁߅ 㗿ߒߡ߅ߊߣ⦟ߢߒࠂ߁ࠖ࠹ࡖ࠴ޕᵴേߩਛߦߪޔᖚ⠪ᖱႎࠍ៤Ꮺߢ߈ࠆ ID ࡉࠬ࠶࠻ࠍ㈩Ꮣߒߡ ࠆ߽ߩ߽ࠅ߹ߔ⼔⋴ޕᏧ߿ਇᢛ⣂ߩኾ㐷ක߇ߦࠄࠇߎޔ㑐ߔࠆᖱႎࠍឭଏߒߡߊࠇ߹ߔޕ QT ᑧ㐳∝⟲ߩᖚ⠪ߐࠎߩᔃᜉ࠭ࡓߦᓇ㗀ࠍਈ߃ࠆ⮎ߪߚߊߐࠎࠅ߹ߔ⮎ޕዪߢ⾈߃ࠆߖ߈ᱛ߿㘑㇎ ⮎ޔ᛫↢‛⾰ޔ᛫㝠߿ޔ᛫⌀⩶⮎ޔਇᢛ⣂ߩᴦ≮⮎ߥߤ߇ QT 㑆㓒ߦᓇ㗀ࠍਈ߃߹ߔ∛ޕ㒮ߢ߆⮎ࠍಣᣇߐ ࠇߚࠄޔᔅߕකᏧ߿⮎Ꮷߦ⋧⺣ߒޔQT ᑧ㐳∝⟲ߩᖚ⠪߇㘶ࠎߢ߽ᄢਂᄦ߆ࠍ⏕߆߹ߒࠂ߁ޕQT ᑧ㐳∝ ⟲ߦᓇ㗀ߔࠆ⮎ߦ㑐ߒߡߪ࠻ࠗࠨߩࠄߜߎޔ㧔http://www.qtdrugs.org㧕߆ࠄ⏕ߢ߈߹ߔࡉࠚ࠙ޔߒ߆ߒޕ ࠨࠗ࠻ߦឝタߐࠇߡߥᣂ⮎߽ࠅ߹ߔߩߢࠍ⮎ޔಣᣇߒߡ߽ࠄ߁㓙ߦߪᔅߕޔQT ᑧ㐳∝⟲ߦ⟕ߞߡࠆ ߎߣࠍ↳ߒ߹ߒࠂ߁ޕ ↢ᵴࠬ࠲ࠗ࡞ߣᴦ≮ᓟߦߟߡ QT ᑧ㐳∝⟲ߩ⒳㘃ߦࠃߞߡߪ৻ޔቯߩㆇേ㒢ࠍฃߌࠆ႐ว߇ࠅ߹ߔޕㆇേ㒢ߩࡌ࡞ߪ⇣ߢੱޘ ߥࠅ߹ߔߩߢޔකᏧ߿⋴⼔Ꮷߦߦ⋧⺣ߒ߹ߒࠂ߁⼊߿࠷ࡐࠬޔߦࠄߐޕኤ㑐ଥޔᶖ㒐㑐ଥߩߦዞߎ߁ ߣߔࠆ႐วߦߪ৻ቯߩ㒢ࠍฃߌࠆߎߣ߇ࠅ߹ߔޕ⡯ᬺㆬᛯߦߟߡ߽කᏧߦ⋧⺣ߒ߹ߒࠂ߁ޕ ⼊๔ ߩߤߥޠࡦࠗࠞࠦޟ߿ޠࠪ࠲ࠬࠢࠛޟᇅᭉ⊛ߥ㤗⮎ߪ QT ᑧ㐳∝⟲ߩᖚ⠪ߦߪ․ߦෂ㒾ߢ⥌ޔ⊛ߦߥࠆ ႐ว߽ࠅ߹ߔ߇⁁∝ޕシᣇߢ߽ߚߒ߁ߎޔ㤗⮎ߪ⛘ኻߦࠊߥࠃ߁ߦߒ߹ߒࠂ߁ޕ ଢߥ࠙ࠚࡉࠨࠗ࠻ ࠕࠬࡒࠕࠕࠗࠕࡦࠬ UK ߩࠨࠗ࠻߆ࠄޔଢߥ࠙ࠚࡉࠨࠗ࠻ߩࠬ࠻ࠍߟߌࠄࠇ߹ߔߪ࠻ࠬߩߎޕ ᓢᦝߦޘᣂߐࠇߡ߹ߔߦ࠻ࠬޔߒ߽ޕタߞߡߥ࠙ࠚࡉࠨࠗ࠻߇ࠅ߹ߒߚࠄࡦࠕࠗࠕࠕࡒࠬࠕޔ ࠬ UK ߹ߢߏㅪ⛊ߊߛߐ߹ߔࠃ߁߅ޔ㗿↳ߒߍ߹ߔޕ 㔚⇟ภ㧦+44 (0)1789-450-787ޔemail㧦[email protected] ߆⇼ὐ߿ਇߥὐ߇ࠇ߫ޔකᏧ߿ᔃ⤳↢ℂ჻ߥߤߦ⋧⺣ߔࠆࠃ߁ߦߒ߹ߒࠂ߁ޕ ߽ߞߣ⍮ࠅߚᣇߪ̖̖ એਅߦࠬࡦࠕࠗࠕࠕࡒࠬࠕޔᖚ⠪ࡉ࠶ࠢ࠶࠻ߩ৻ⷩࠍឝタߚߒ߹ߔޕ ࠬ࠻ Executive Committee President Prof A John Camm Mr Pierre Chauvineau Dr Mathew Fay Dr Gerry Kaye Dr Francis Murgatroyd Dr Derek Connelly Dr Adam Fitzpatrick Dr Nick Linker Dr Kim Rajappan Dr Campbell Cowan Dr Michael Gammage Mrs Trudie Lobban Dr Richard Schilling Dr Wyn Davies Mrs Angela Griffiths Ms Nicola Meldrum Dr Graham Stuart Dr Sabine Ernst Dr Guy Haywood Prof John Morgan Mrs Jenny Tagney Mr Nigel Farrell Mrs Sue Jones Mrs Jayne Mudd Mr Paul Turner Dr Derek Connelly W B Beaumont, OBE Mr Nigel Farrell Trustees Dr Adam Fitzpatrick Patrons Rt. Hon Tony Blair Prof Silvia G Priori endorsed by Arrhythmia Alliance PO Box 3697 Stratford upon Avon Warwickshire CV37 8YL Tel: +44 (0) 1789 450 787 e-mail: [email protected] www.heartrhythmcharity.org.uk Please remember these are general guidelines and individuals should always discuss their condition with their own doctor. Published 2008 revised April 2010 Mrs Trudie Lobban Prof Hein J J Wellens
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