Kokyu to junkan. Respiration & circulation最新文献_第10页

[A case of isolated coronary ostial stenosis in a middle-aged woman]. 【中年妇女孤立性冠状动脉口狭窄1例】。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

S Sawaki, J Yoshioka, K Akahane, N Totsuka, T Maruyama, N Fujii, S Furuta

{"title":"[A case of isolated coronary ostial stenosis in a middle-aged woman].","authors":"S Sawaki, J Yoshioka, K Akahane, N Totsuka, T Maruyama, N Fujii, S Furuta","doi":"","DOIUrl":"","url":null,"abstract":"Coronary ostial stenosis with otherwise normal coronary vessels occurs in patients with syphilis or Takayasu's aortitis. Iatrogenic ostial stenosis may develop as a complication of coronary angiography or after coronary perfusion at the time of cardiac surgery. Isolated ostial stenosis in the absence of these factors has been reported infrequently and its unique clinical and angiographic profile has been noted recently. Hence, it is proposed that this type of isolated ostial stenosis may represent a clinical entity distinct from the usual atherosclerotic coronary disease. We report the case of a middle-aged woman with this type of isolated coronary ostial stenosis. A 55-year-old female was admitted with the complaint of exertional chest pain, which had appeared 2 months admission and which had gradually become more frequent. The ECG on admission was normal. She had no coronary risk factor. Treadmill exercise test was stopped at stage 2 of Bruce protocol because ischemic S-T segment depression appeared in II, III, aVF, V4-V6 and she complained of a chest pain. Coronary angiography showed a 90% stenosis of the left coronary ostium with normal distal vessels. The right coronary artery was normal. A coronary artery bypass graft to the left anterior descending branch was performed uneventfully and the patient remains asymptomatic.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"693-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19324923","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}

引用次数: 0

[Edema of endocrinological disorder]. [内分泌紊乱的水肿]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

I Akiguchi, S Nagataki

引用次数: 0

[Effects of propafenone on the parameters of body surface electrocardiogram in comparison with those of disopyramide]. [普罗帕酮对体表心电图参数的影响，与二丙酰胺的比较]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

I Omori, M Ochiai, D Inoue, J Asayama, M Nakagawa

{"title":"[Effects of propafenone on the parameters of body surface electrocardiogram in comparison with those of disopyramide].","authors":"I Omori, M Ochiai, D Inoue, J Asayama, M Nakagawa","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study is to investigate the clinical effects of propafenone on the QT(QTc), QRS, PQ and RR interval of body surface electrocardiogram (ECG) in comparison with the effects of disopyramide. In 10 patients (5 with paroxysmal atrial fibrillation and 5 with ventricular premature complex: ages 48-77), after 4 days' observation without any cardioactive drugs, disopyramide (300mg/day) was administered orally for 7 days. After discontinuing the administration of disopyramide, 4 more days were allowed to wash out the drug, and propafenone (450mg/day) was administered orally for 7 days. 12-lead ECG was taken twice before the administration of disopyramide (Pre-1 and -2), on the 1st, 3rd, 5th and 7th days after the administration of disopyramide. Then it was also taken on the day before the beginning of propafenone administration and on the 1st, 3rd, 5th and 7th days after the administration of propafenone. The corrected QT (QTc = QT/square root of RR), QRS, PQ and RR intervals in lead II or V2 of each ECG were measured as the mean value of 5 consecutive sinus beats. The control values of QTc, QRS, PQ and RR intervals were calculated as the mean values of Pre-1 and -2, and the other values were expressed as the % ratio to the control values. Propafenone hardly altered the QTc interval but prolonged QRS interval after the 5th day of administration (110 +/- 12%, p < 0.05), while disopyramide significantly prolonged the QTc interval after the 3rd day of administration (109 +/- 5%, p < 0.001) without affecting the QRS interval.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"647-52"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322909","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}

引用次数: 0

[A case of asymptomatic myocardial infarction with multiple coronary aneurysms]. 无症状心肌梗死合并多发冠状动脉瘤1例。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

M Fujimori, K Fukami, M Murooka, T Koeda, K Hiramori, H Tanaka, H Kimura

{"title":"[A case of asymptomatic myocardial infarction with multiple coronary aneurysms].","authors":"M Fujimori, K Fukami, M Murooka, T Koeda, K Hiramori, H Tanaka, H Kimura","doi":"","DOIUrl":"","url":null,"abstract":"A 36-year-old man was hospitalized in December, 1990 because a small R wave was observed on his ECG in V1-3. The patient had suffered from a cold with fever for a month when he was a child. He had no symptoms or signs of myocardial infarction. The patient underwent selective right and left coronary angiography, which revealed specific coronary aneurysms in the left circumflex coronary artery and left anterior descending coronary artery. The aneurysm in the distal lesion of the left circumflex coronary artery was embolized by a thrombus and filled with many capillary arteries. The proximal lesion of the right coronary artery was slightly dilated. Good collateral flow from the right coronary artery to the left coronary artery was revealed by coronary angiography. Left ventriculograms were performed, and the anterior wall motion of the left ventricle was shown to the hypokinetic. A perfusion defect of the anterior wall of the left ventricle was revealed by Thallium-201 imaging with single photoemission computed tomography. Based on these findings, we diagnosed the patients' illness as old myocardial infarction caused by Kawasaki disease.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"683-7"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19324921","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}

引用次数: 0

[Edema in heart failure]. [心力衰竭引起的水肿]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

K Kageyama, N Mochizuki, T Kohya, A Kitabatake

引用次数: 0

[Frequency domain analysis of signal-averaged electrocardiogram in patients with right bundle branch block following repair of congenital heart disease]. 先天性心脏病修复后右束支传导阻滞患者信号平均心电图频域分析

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

H Akita, S Matsuoka, M Kubo, Y Hayabuchi, Y Kuroda

引用次数: 0

[Lymphedema]. 淋巴水肿。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

I Kato, T Kitagawa

引用次数: 0

[Electrocardiographic study of sinus bradycardia associated with enterohemorrhagic Escherichia coli O157: H7 infection]. [肠出血性大肠杆菌O157: H7感染相关窦性心动过缓的心电图研究]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

M Sanada, H Okano, S Yokota, T Kanikawa, T Itou, T Oh-ishi, K Ogawa

{"title":"[Electrocardiographic study of sinus bradycardia associated with enterohemorrhagic Escherichia coli O157: H7 infection].","authors":"M Sanada, H Okano, S Yokota, T Kanikawa, T Itou, T Oh-ishi, K Ogawa","doi":"","DOIUrl":"","url":null,"abstract":"A severe outbreak of hemorrhagic colitis occurred at a kindergarten in Saitama, Japan in October, 1990. Children who were affected by enterohemorrhagic E. coli O157: H7 infection showed apparent bradycardia as well as severe bloody diarrhea, generalized convulsion, or hemolytic uremic syndrome. Cardiac involvement such as bradycardia observed in the patients of this outbreak has not been described in previous reports about EHEC infection, while bradycardia has been well known in typhoid fever due to salmonella typhosa infection. Electrocardiographic examination was performed to evaluate bardicardia, utilizing electrocardiography at rest and Holter's twenty-four hour electrocardiography. In the report, we demonstrate that the bradicardia was due to reduced frequency of sinus node. Both average heart rate and average minimum heart rate of the patients at night (74.0 +/- 5.6 BPM and 57.0 +/- 5.1 BPM, respectively) decreased significantly, as compared with controls (84.6 +/- 9.3 BPM and 66.3 +/- 8.0 BPM respectively) (p < 0.01). CVRR of the patients (0.120 +/- 0.019, respectively) increased significantly as compared with controls (0.090 +/- 0.010, respectively). These results indicate that an activated parasympathetic nervous system, that is, activation of the vagal nerve, might have induced the sinus bradycardia observed in the patients with EHEC infection.","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"653-7"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322910","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}

引用次数: 0

[An autopsy case developing both marked stenosis of the coronary artery and dilated phase of hypertrophic cardiomyopathy]. [尸检同时出现冠状动脉明显狭窄和肥厚性心肌病扩张期的病例]。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

A Yamada, S Nakamoto, M Sakamoto, T Matsumoto

引用次数: 0

[A case of spontaneous rupture of the ascending aorta]. 【自发性升主动脉破裂一例】。

Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01

K Yamamoto, T Honma, M Kazurayama, K Kuwano, T Sakamoto, N Kaku, T Fujino, K Yamana, N Aoyagi, K Ooishi

{"title":"[A case of spontaneous rupture of the ascending aorta].","authors":"K Yamamoto, T Honma, M Kazurayama, K Kuwano, T Sakamoto, N Kaku, T Fujino, K Yamana, N Aoyagi, K Ooishi","doi":"","DOIUrl":"","url":null,"abstract":"We report a rare case of spontaneous rupture of the ascending aorta without any evidence of aneurysm formation or aortic dissection. A woman aged 64 was admitted to our cardiac care unit as an emergency patient with severe chest pain. Her face was pale and systolic blood pressure was 70 mmHg in spite of intravenous administration of dopamine (10 micrograms/kg/min). She had a history of hypertension for two years under good medical control. No trace of the chest trauma was noted before her admission. Physical examination revealed neck vein engorgement and distant heart sounds. Chest X-ray film showed enlargement of the cardiac silhouette. ECG showed no evidence of acute coronary syndrome. Pericardial effusion with a floating hematoma-like mass was detected by 2-dimensional echocardiogram. Pericardiocentesis revealed bloody pericardial fluid (Ht: 26%). Aortagraphy was performed resulting in a clinical diagnosis of acute aortic dissection, but there were no signs of a false lumen, aneurysm formation or extravasation of the contrast medium. Although continuous pericardial drainage was performed, she suddenly lost consciousness, collapsed and died. A longitudinal intimal laceration 5 cm long was observed in the ascending aorta. Pathological examination revealed cystic medial necrosis and irregularity of the elastic fibers in the media. No atheromatous plaque was noted in the intima. Spontaneous rupture of the aorta is a life-threatening condition that requires urgent surgery.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"697-700"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19324924","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}

引用次数: 0