R. Omoto, S. Kyo, H. Adachi, M. Matsumura, T. Nagao, M. Maruyama
{"title":"[Transesophageal echocardiography].","authors":"R. Omoto, S. Kyo, H. Adachi, M. Matsumura, T. Nagao, M. Maruyama","doi":"10.1213/00000539-199306000-00049","DOIUrl":"https://doi.org/10.1213/00000539-199306000-00049","url":null,"abstract":"Atrial septal aneurysm (ASA) is a rare, localized deformity of the atrial septum that is usually identified as an incidental finding by twodimensional echocardiography .' Because the lesion is located far from the transducer on the chest wall, it is apparent that transesophageal echocardiography (TEE) is superior to transthoracic echocardiography (TTE) in visualizing the morphology of ASA.' However, misdiagnosis may at times occur because of the polymorphous presentation of ASA.3 In this report, we present two patients with large ASAs appearing as right atrial masses by TEE. atrial septum. The mass exhibited phasic motion and variable morphology with the oscillation of cardiac motion (Figure 1). As the transducer was rotated upward, the aneurysm of the atrial septum was demonstrated (Figure 2). The atrial septum appeared free of any defect. To obtain a histological diagnosis for this mass and correct the potential source of embolization, the patient underwent open-heart surgery. A large aneurysm involving the fossa ovalis was noted to be protruding into the right atrium; no mass, thrombus, or defect was detected within the aneurysm. The aneurysm was resected, and the patient subsequently had an uneventful recovery.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"37 10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2005-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1213/00000539-199306000-00049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66403583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alcohol and heart disease","authors":"Ronald R. Watson, Adam K. Myers","doi":"10.3109/9780203218853","DOIUrl":"https://doi.org/10.3109/9780203218853","url":null,"abstract":"1. Alcohol and Cardiovascular Disease: Large Population Studies 2. The Alcoholic Cardiomyopathies: Genuine and Pseudo 3. Wine and Lifestyle: Role in Cardiovascular Disease and Premature Death 4. Effects of Gender on Alcohol's Heart Dysfunction 5. Alcohol and Cardiac Interactions: Medications 6. Alcohol Abuse and Hemorrhagic Stroke 7. Alcohol Abuse and Ischemic Stroke 8. Alcohol Consumption and the Risk of Stroke: The Role of Tobacco 9. Alcohol, Vascular Cells, and Hemodynamic Forces 10. Moderate Alcohol Exposure Protects Cardiac Myocytes from Ischemia-Reperfusion Injury 11. Alcohol and Smoking: Synergism in Heart Disease 12. Oxidative Stress, Cell Damage and its Possible Prevention by Alpha-tocopherol: Cardiovascular and Other Cells 13. Alcohol and Platelet Function 14. Fatty Acid Ethyl Esters: Role in Alcohol Cardiotoxicity 15. Alcohol and Apolipoproteins 16. Alcohol and Polyunsaturated Fatty Acid Metabolism in the Cardiovascular System 17. Alcohol and Heart Muscle Proteins: with Special Reference to Measurement of Protein Synthesis in vivo 18. Cocaethylene: Immunologic, Hepatic and Cardiac Effects 19. Cardiotoxicity of Cocaine use by Humans and Rodents: Synergisms of Concomitant Cocaine Plus Alcohol Exposure 20. Mechanisms of Cocaine Cardiotoxicity 21. Alcohol and Reflex Regulation of the Cardiovascular System 22. Alcohol's Accentuation of AIDS' Nutritional and Immune Damage, a Cofactor in Heart Disease University of South Carolina Jules Constant, NY S. Goya Wannamethee and A. Gerald Shaper, Royal Free and University College Medical School Mariann R. Piano, University of Illinois Timothy J. Regan and Simon Cheung, UMDNJ, USA Seppo Juvela, Helsinki University Central Hospital Matti E. Hillborn, University Hospital of Oulu Jaana M. Leppala, University of Helsinki Eileen M. Redmond and Paul A. Cahill, University of Rochester Medical Center Mary O. Gray and Daria Mochly-Rosen, San Francisco Veterans Affairs Medical Center Jin Zhang and Ronald Watson, University of Arizona Victor R. Preedy and Helmut Seitz, King's College London ^Adam Myers, Kabita Das and Qing-Hui Zhang, Georgetown University Medical Center","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"1 1","pages":"261"},"PeriodicalIF":0.0,"publicationDate":"2002-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69462258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[Management for deep venous thrombosis].","authors":"S Ishimaru","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 12","pages":"1155-8"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19272713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
I Sakuma, K Sakuma, M Fukao, Y Akaishi, H Asajima, M Sato, H Shudo, K Numazawa, S Kakinoki, A Kitabatake
{"title":"[Effects of intravenous injection of ioversol, a nonionic contrast medium, on circulating blood volume: comparison among different combinations of its dose and volume injected].","authors":"I Sakuma, K Sakuma, M Fukao, Y Akaishi, H Asajima, M Sato, H Shudo, K Numazawa, S Kakinoki, A Kitabatake","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Effects on circulating blood volume (CBV) of the intravenous injection of a nonionic contrast medium, ioversol, with various doses were assessed in order to find a way of injection with less effects on systemic circulation. Ioversol was injected as a bolus to 20 mongrel dogs at doses of A: 3.75 ml/kg (n = 8) or B: 2 ml/kg (n = 6) of a solution containing 320 mg iodine per ml, or C: 2 ml/kg (n = 6) of a 240 mgI/ml solution. Colloid oncotic pressure (COP) of the bloods drawn before and 1, 2, 3, 5 min after the injection of ioversol was measured by a needle type osmometer, and changes in CBV were calculated using the COP values. Upon injection of ioversol CBV increased rapidly and then gradually returned to the preinjection levels. The change in CBV induced by ioversol was significantly less than those reportedly induced by an ionic contrant medium, iothalamate, and a nonionic medium, iopamidol, and comparable to that by another nonionic medium, iohexol. The degree of increase in CBV and the blood concentration of ioversol were related to the amount, but not the volume, of ioversol injected. Thus, ioversol proved to be one of the low osmotic nonionic contrast media with less effects on CBV. Furthermore, it is suggested that the amount, rather than volume, of contrast medium should be taken into consideration when the angiography of the patients with reduced cardiac function, children or aged patients is performed in whom the contrast medium-induced CBV expansion needs to be as less as possible.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 12","pages":"1191-5"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19272634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O Ono, K Yoneya, Y Makita, H Asajima, T Anzai, S Muramoto, T Kaji, T Ono, A Kitabatake
{"title":"[A case of long-standing isolated traumatic tricuspid regurgitation with remarkably dilated right cardiac chambers and pancytopenia].","authors":"O Ono, K Yoneya, Y Makita, H Asajima, T Anzai, S Muramoto, T Kaji, T Ono, A Kitabatake","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We report a rare case of tricuspid regurgitation due to nonpenetrating chest trauma 33 years previously. A 79-year-old man suffered a blunt trauma due to a piece of wood at work in 1958. He suffered multiple rib fractures on the right side and was admitted. Since then, he began having shortness of breath on exertion and was treated with medication. The patient was transferred to the Division of Cardiology, Hakodate National Hospital in 1984. A chest x-ray film revealed a marked cardiomegaly. Cardiac catheterization showed severe tricuspid regurgitation. Hepatomegaly and pancytopenia was observed. He was readmitted because of general fatigue in July 1991. Two-dimensional echocardiography demonstrated systolic excursion of septal and posterior tricuspid leaflets with ruptured chordae tendineae into the right atrium, and a remarkably enlarged right ventricule, right atrium and vena cava interior. Cardiac catheterization was performed. The right atrial pressure-wave form resembled the right ventricular pressure recording (ventricularization of the atrial pressure). Right ventricular cineangiography revealed severe tricuspid regurgitation, grade 4. Laboratory data showed pancytopenia. Thrombocytopenia progressed (3 x 10(4)/mm3), and a hemorrhagic tendency developed. The liver edge was palpable 4 finger breadths below the right costal margin. Pancytopenia due to congestive hepatomegaly and hypersplenism would have complicated this case.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 12","pages":"1213-7"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19272639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R Oosaki, Y Mizushima, A Kawasaki, K Hoshino, K Nakagawa, M Kobayashi
{"title":"[A clinical study on asthmatic patients who were readmitted after a short period of discharge].","authors":"R Oosaki, Y Mizushima, A Kawasaki, K Hoshino, K Nakagawa, M Kobayashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We conducted a clinical study on asthmatic patients who were readmitted within three months of discharge. During twelve years (1979-1991), the number of patients who were readmitted within three months was 139 cases (209 episodes) in our department. Patients with respiratory diseases made up 53% of the subjects. Among patients with pulmonary disease who were readmitted within three months, the number of patients with lung cancer was 25 cases and that with bronchial asthma 24 cases. Within a month period, the number of readmitted patients with bronchial asthma was the largest 59% (19 cases) and the number of patients with lung cancer came second (4 cases). As for the characteristics of these asthmatic patients, the intrinsic type (15 cases), those with a history of over one year of the disease (20 cases), and those with steroid dependency (10 cases) were most commonly observed. Readmission occurred frequently between October and April. Readmission occurred frequently because of asthmatic attacks due to infection of reduction of steroid. Among asthmatic patients who were readmitted within one month, the disease severity was mild to moderate in 11 out of 19 patients, but there was a tendency for this to become intractable thereafter. It is impossible to prevent all patients from seeling readmission within a short period of discharge. However, we think the doctor's careful education of the patients is an important factor to reduce the early readmission rate of asthmatic patients.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 12","pages":"1173-6"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19272716","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Kakinoki, S Takechi, M Hashimoto, I Sakuma, A Nomura, A Kitabatake, H Yasuda
{"title":"[Effect of enalapril on left ventricular hypertrophy and left ventricular function in patients with hypertension].","authors":"S Kakinoki, S Takechi, M Hashimoto, I Sakuma, A Nomura, A Kitabatake, H Yasuda","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The aim of this study was to study the effect of enalapril (E) on left ventricular (LV) mass, LV function and blood renin-angiotensin (RA) in patients with hypertension. Sixteen hypertensives were included in this study (WHO I 8, WHO II 8, 49.5 +/- 10.5 yrs). They were examined for blood pressure and heart rate. Chest X-ray film, echocardiography (echo), X-ray computed tomography (CT) and RA before and after about 6 months of E administration were studied. The LV mass was calculated by CT. The LV function was measured by echo. RAS was unchanged during this study. LV mass was significantly reduced after E (121.4 +/- 25.6 vs 104.6 +/- 13.7 g/cm2). The LV systolic function was unchanged after E, but LV diastolic function improved. It was shown that the long-term administration of E improves LV hypertrophy and LV diastolic function without any change of RAS.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 12","pages":"1185-9"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19272633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}