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Kokyu to junkan. Respiration & circulation最新文献

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[Effect of pilsicainide hydrochloride on atrial fibrillation threshold]. 盐酸匹西卡因对房颤阈值的影响。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-08-01
K Ishibashi, D Inoue, I Omori, T Shirayama, M Inoue, R Sakai, Y Yamahara, J Asayama, M Nakagawa
{"title":"[Effect of pilsicainide hydrochloride on atrial fibrillation threshold].","authors":"K Ishibashi,&nbsp;D Inoue,&nbsp;I Omori,&nbsp;T Shirayama,&nbsp;M Inoue,&nbsp;R Sakai,&nbsp;Y Yamahara,&nbsp;J Asayama,&nbsp;M Nakagawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To inventigate the electrophysiologic effects of pilsicainide hydrochloride on atrial fibrillation, we compared atrial fibrillation threshold (AFT), right atrial effective refractory period (RAERP), and inter-atrial conduction time (Inter-ACT) before and after the administration of pilsicainide in 12 patients with lone paroxysmal atrial fibrillation. The following electrophysiologic study was performed before and after the administration of the drug as the paced cycle length of 500msec. First, RAERP was measured. Secondly, Inter-ACT from the stimulating artifact to the initial deflection in the elecrocardiograms of the coronary sinus was measured. Thirdly, high-frequency (50Hz) stimulation was given at right atrial appendage continuously for one second just after the eighth basic paced beat. The stimulation current was increased by 1mA in a stepwise fashion from 2mA until atrial fibrillation ensued. AFT was defined as the lowest intensity of the current that induced atrial fibrillation or flutter of more than 30 seconds. Pilsicanide significantly increased AFT and Inter-ACT, but did not change RAERP. In conclusion, it is suggested that pilsicainide might decrease atrial vulnerability mainly by its effect on inter-atrial conduction delay and by the resulting increase in AFT.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 8","pages":"763-7"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19336874","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 infective endocarditis in which a new vegetation appeared on a different site during chemotherapy]. 【化疗期间在不同部位出现新植物的感染性心内膜炎1例】。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-08-01
T Inomata, M Takahashi, K Watanabe, A Shibata
{"title":"[A case of infective endocarditis in which a new vegetation appeared on a different site during chemotherapy].","authors":"T Inomata,&nbsp;M Takahashi,&nbsp;K Watanabe,&nbsp;A Shibata","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>42-year-old man, who had been febrile for about a month, was admitted to our hospital. Laboratory testing showed leukocytosis and high titer of CRP. Streptococcus sanguis II was detected in his blood culture. According to the echocardiogram, he had a vegetation on the anterior mitral leaflet, so he was diagnosed as having infective endocarditis. Antibiotic susceptibility test using the disc method showed (3+) response to penicillin G. After intravenous administration of 20 million units of penicillin G for 3 weeks, a new vegetation appeared on the posterior mitral leaflet although the one on the anterior mitral leaflet had disappeared. Imipenem/cilastatin was administered until the acute phase reactants became negative. But the vegetation did not disappear, so he had vegetectomy. This is the first case report of infective endocarditis in which a new vegetation appeared on a different site despite the disappearance of the first lesion during chemotherapy.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 8","pages":"797-800"},"PeriodicalIF":0.0,"publicationDate":"1993-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19338200","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
[Peripheral circulation and microcirculation in lower extremities]. [下肢外周循环和微循环]。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
T Ohhashi
{"title":"[Peripheral circulation and microcirculation in lower extremities].","authors":"T Ohhashi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"605-10"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322902","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 sudden death three months after successful PTCA]. 【PTCA成功后3个月猝死一例】。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
K Ebe, T Nagai, Y Wakiya
{"title":"[A case of sudden death three months after successful PTCA].","authors":"K Ebe,&nbsp;T Nagai,&nbsp;Y Wakiya","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A case report of the sudden death of a 64-year-old man, three months after successful percutaneous transluminal coronary angioplasty (PTCA). He was admitted because of non-Q-wave acute myocardial infarction. Coronary angiography showed 90% stenosis in the anterior descending artery (No. 6). PTCA was successful, but the proximal portion of anterior descending artery was dissected because the balloon slipped from the dilated site during inflation. Acute coronary occlusion was not observed. However, he died suddenly shortly after he complained of severe chest pain three months after PTCA. Histologically, the site of the dissecting artery showed that the intima and media of the arterial wall was disrupted and the lumen was severely stenotic with cellular proliferation. This dissection of the coronary artery is also important because rapid and severe stenosis was induced by the artery's being badly injured.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"663-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322912","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
[Transient "moyamoya" echo in a markedly enlarged pulmonary artery after Waterston operation is an expression of decreased pulmonary blood flow]. 【Waterston手术后明显扩大的肺动脉出现短暂的烟雾回声是肺血流减少的表现】。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
K Iga, C Izumi, M Yamashita, S Takahashi, S Yoshimura, K Hori, T Matsumura, H Gen
{"title":"[Transient \"moyamoya\" echo in a markedly enlarged pulmonary artery after Waterston operation is an expression of decreased pulmonary blood flow].","authors":"K Iga,&nbsp;C Izumi,&nbsp;M Yamashita,&nbsp;S Takahashi,&nbsp;S Yoshimura,&nbsp;K Hori,&nbsp;T Matsumura,&nbsp;H Gen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 32-year-old-female with single ventricle, 20 years after the Waterston operation is described. The right pulmonary artery was markedly enlarged and the blood flow across the Waterston shunt was 2 m/sec in systole and 1.5 m/sec in diastole. \"Moyamoya\" echo developed transiently in the markedly enlarged pulmonary artery when she suffered from bacterial bronchitis and PaO2 decreased. Continuous wave Doppler echocardiography showed decreased blood flow across the Waterston shunt. After the bronchitis was resolved and PaO2 returned to the basal level, \"Moyamoya\" echo was barely seen. This \"Moyamoya\" echo can be a reflection of decreased pulmonary blood flow, and was a useful marker in the follow-up of this patient.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"673-6"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19324919","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 caused by venous disease]. 【静脉疾病引起的水肿】。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
S Ishimaru
{"title":"[Edema caused by venous disease].","authors":"S Ishimaru","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"627-31"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322906","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 dual origin of the left anterior descending coronary artery from the left and right coronary arteries with variant angina]. [左、右冠状动脉左前降支双源性变异性心绞痛1例]。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
M Ohshima, A Takizawa, K Watanabe, Y Tamura, M Yamazoe, T Izumi, A Shibata
{"title":"[A case of dual origin of the left anterior descending coronary artery from the left and right coronary arteries with variant angina].","authors":"M Ohshima,&nbsp;A Takizawa,&nbsp;K Watanabe,&nbsp;Y Tamura,&nbsp;M Yamazoe,&nbsp;T Izumi,&nbsp;A Shibata","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present a case of a 68-year-old male inflicted with a rare anomaly of the coronary artery. He had been suspected to have worsening effort angina and underwent urgent cardiac catheterization. The coronary angiography revealed 75% stenosis in the first diagonal branch. The left anterior descending artery was terminated in the mid portion and did not reach the apex. Instead, an anomalous coronary artery from the portion just proximal to the right coronary artery reached the apex. After cardiac catheterization, nocturnal chest pain at rest started to occur frequently. We suspected that vasospasm may have occurred because ST segment elevations in leads II, III, aVF were recorded on the electrocardiogram. Administration of diltiazem (120 mg per day) suppressed angina. Exercise stress electrocardiogram and thallium-201 myocardial scintigram did not show apparent ischemia. This case suggests that we must consider the presence of coronary vasospasm even in patients with clinically-supposed effort angina, to be possibly due to vasospasm occurring in anomalous coronary arteries.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"667-71"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322913","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
[Two cases of anomalous origin of coronary artery from non-coronary sinus of valsalva identified by transesophageal echocardiography]. [经食管超声心动图鉴别冠状动脉非冠状窦异常起源2例]。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
K Itho, T Shudo, J Moriguchi, S Sato, H Tomioka, S Kinehara, Y Hosomi, S Hirano, J Asayama, M Nakagawa
{"title":"[Two cases of anomalous origin of coronary artery from non-coronary sinus of valsalva identified by transesophageal echocardiography].","authors":"K Itho,&nbsp;T Shudo,&nbsp;J Moriguchi,&nbsp;S Sato,&nbsp;H Tomioka,&nbsp;S Kinehara,&nbsp;Y Hosomi,&nbsp;S Hirano,&nbsp;J Asayama,&nbsp;M Nakagawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 36-year-old male (case-1) and a 54-year-old female (case-2) were admitted to our hospital because of chest oppression on effort. Exercise electrocardiograms of both patients revealed significant ST segment depression in leads II, III, aVF and V5-6. Coronary angiograms demonstrated an anomalous origin of the left circumflex coronary artery in case-1 and an anomalous origin of the right coronary artery in case-2. Furthermore transesophageal echocardiography (TEE) revealed that both anomalous coronary arteries were running from the non-coronary sinus of Valsalva. The anatomical relation between the anomalous coronaries running from non-coronary sinus of valsalva and the great vessels was directly detectable by TEE. Although these cases are very rare, TEE is useful for the assessment of this type of coronary anomaly.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"677-81"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19324920","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 lower extremities caused by cardiac failure (beriberi heart disease)]. 【心力衰竭引起的下肢水肿(脚气心脏病)】。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
N Sato, Y Inagaki
{"title":"[Edema of lower extremities caused by cardiac failure (beriberi heart disease)].","authors":"N Sato,&nbsp;Y Inagaki","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"617-21"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322904","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 aorta-coronary bypass operation by free internal thoracic artery]. 经游离胸内动脉行主动脉冠状动脉搭桥术1例。
Kokyu to junkan. Respiration & circulation Pub Date : 1993-07-01
S Hayashi, Y Hamanaka, T Sueda, T Matsushima, H Shikata, K Orihashi, T Nomimura, Y Kurisu, Y Matsuura
{"title":"[A case of aorta-coronary bypass operation by free internal thoracic artery].","authors":"S Hayashi,&nbsp;Y Hamanaka,&nbsp;T Sueda,&nbsp;T Matsushima,&nbsp;H Shikata,&nbsp;K Orihashi,&nbsp;T Nomimura,&nbsp;Y Kurisu,&nbsp;Y Matsuura","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 73-year-old woman received an aorta-coronary bypass operation using the free internal thoracic artery, and good patency was obtained. The free internal thoracic artery is usefull in case of short graft length and in case of multiple vessel disease.</p>","PeriodicalId":76077,"journal":{"name":"Kokyu to junkan. Respiration & circulation","volume":"41 7","pages":"659-61"},"PeriodicalIF":0.0,"publicationDate":"1993-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19322911","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
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