Journal of cardiology. Supplement最新文献_第2页

[Congenital bicuspid aortic valve: stenotic type and insufficient type]. [先天性二尖瓣主动脉瓣:狭窄型和不充分型]。

Journal of cardiology. Supplement Pub Date : 1992-01-01

M Takeshita, M Mathison, K Yagyu, Y Kotsuka, H Matsunaga, A Furuse

引用次数: 0

[A clinicopathologic study of morphologic tricuspid valve prolapse in the aged: comparison with color Doppler evaluation]. 老年人三尖瓣脱垂的临床病理研究:与彩色多普勒评价的比较。

Journal of cardiology. Supplement Pub Date : 1992-01-01

T Imai, S Ohkawa, C Watanabe, K Chida, S Maeda, K Kuboki, M Sugiura

{"title":"[A clinicopathologic study of morphologic tricuspid valve prolapse in the aged: comparison with color Doppler evaluation].","authors":"T Imai, S Ohkawa, C Watanabe, K Chida, S Maeda, K Kuboki, M Sugiura","doi":"","DOIUrl":"","url":null,"abstract":"Similar morphologic abnormalities have often been observed in the leaflets of tricuspid valve in patients with mitral valve prolapse. In the present study, morphologic tricuspid valve prolapse was analyzed in 500 consecutive autopsies of the aged over 60 years (mean 78.5 yrs, 266 men, 234 women). Additionally, the sensitivity and specificity of the color Doppler technique applied before death were assessed in 61 autopsy cases. The results were as follows: 1. The incidence of morphologic tricuspid valve prolapse was 22.2% at autopsy in 500 cases of the aged, however, tricuspid regurgitation had not clinically been detected in any of them. 2. The prolapse of 2- or 3-leaflets was common (78.5%). Among the 3 leaflets, the prolapse was more frequently observed in the anterior or posterior leaflet than in the septal leaflet. Combined tricuspid and mitral valve prolapses were observed in 22 cases (19.8%). 3. Among 61 cases examined by color Doppler echocardiography, autopsy showed that 16 cases had tricuspid valve prolapse and 14 cases tricuspid regurgitant flow signals (87.5%). 4. Regurgitant flow signals were also detected in 4 of 12 morphologically normal cases (33.3%). 5. In autopsy cases of the aged, generally, the incidence of morphologic tricuspid valve prolapse and tricuspid regurgitant flow signal were high, however, hemodynamically significant regurgitation due to prolapse was very rare.","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"28 ","pages":"55-62; discussion 63-5"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12590111","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

[Long-term effect of medical treatment in patients with chronic aortic regurgitation]. [慢性主动脉瓣反流患者药物治疗的长期效果]。

Journal of cardiology. Supplement Pub Date : 1992-01-01

H Kawai, Y Yokota, Y Takeuchi, J Shite, Y Honda, M Shimizu, M Yokoyama

{"title":"[Long-term effect of medical treatment in patients with chronic aortic regurgitation].","authors":"H Kawai, Y Yokota, Y Takeuchi, J Shite, Y Honda, M Shimizu, M Yokoyama","doi":"","DOIUrl":"","url":null,"abstract":"We often experience patients with chronic severe aortic regurgitation (AR) whose cardiac function significantly improves by medications, especially by vasodilator therapy. To find the factors determining the response to pharmacologic treatment, we studied 20 patients with chronic AR with dilated left ventricle (end-diastolic dimension > or = 55 mm) using echocardiography; 9 patients with significant improvement (delta Ds < or = -3 mm: improved group) and 11 without improvement (unchanged group). In the initial evaluation, systolic blood pressure and left ventricular relative wall thickness (Thd/Dd) were greater and left ventricular end-diastolic dimension was smaller in the improved group than in the unchanged group. During the follow-up period, systolic blood pressure and end-systolic wall stress decreased significantly and absolute and relative wall thickness increased significantly in the improved group, however, they remained nearly the same in the unchanged group. Significant negative correlation was observed between Thd/Dd and delta Ds. In conclusion, cardiac function in some patients with chronic AR can be improved by pharmacologic treatment, and in such cases, the Thd/Dd ratio could be a parameter of the response to pharmacologic treatment.","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"28 ","pages":"77-83; discussion 84"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12589917","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

[Prosthetic valve function evaluated by ultrafast computed tomography (Imatron C-100)]. [超快速计算机断层扫描(Imatron C-100)评估人工瓣膜功能]。

Journal of cardiology. Supplement Pub Date : 1992-01-01

T Sakamoto, T Sekiya, T Takamoto, M Oshiro, M Karikomi, M Iwakami

引用次数: 0

[A family of Marchesani syndrome with mitral valve prolapse and anuloaortic ectasia]. [伴有二尖瓣脱垂和主动脉环扩张的Marchesani综合征一家]。

Journal of cardiology. Supplement Pub Date : 1992-01-01

T Takamoto, I Sakuma, A Koike, A Nogami, H Ito, M Hiroe, Y Doi, T Sakamoto

引用次数: 0

[Effects of administration of three kinds of catecholamine on mitral complex]. 三种儿茶酚胺对二尖瓣复合体的影响。

Journal of cardiology. Supplement Pub Date : 1992-01-01

K Imataka, H Sakamoto, E Okamoto, K Ieki, J Fujii

引用次数: 0

[Usefulness of transesophageal echocardiography in thoracic aortic disease: comparison with computed tomography and angiography]. [经食管超声心动图在胸主动脉疾病中的应用:与计算机断层扫描和血管造影的比较]。

Journal of cardiology. Supplement Pub Date : 1991-01-01

W Amano, K Takenaka, T Sakamoto, J Suzuki, T Shiota, T Igarashi, T Sugimoto

{"title":"[Usefulness of transesophageal echocardiography in thoracic aortic disease: comparison with computed tomography and angiography].","authors":"W Amano, K Takenaka, T Sakamoto, J Suzuki, T Shiota, T Igarashi, T Sugimoto","doi":"","DOIUrl":"","url":null,"abstract":"To evaluate the usefulness of transesophageal echocardiography in thoracic aortic disease, transesophageal echocardiography was performed in 11 patients with thoracic aortic disease (true aortic aneurysm in two patients, aortic dissection in nine patients). Findings obtained by transesophageal echocardiography were compared with those obtained by computed tomography (nine patients) and angiography (six patients). Results were as follows: 1. True aortic aneurysm: Although transesophageal echocardiography and computed tomography could evaluate the size of the aorta and detect mural thrombus, angiography underestimated degree of aortic dilatation because of the presence of mural thrombus. 2. Aortic dissection: Although computed tomography could not differentiate thrombus in the false lumen from mural thrombus in two patients, transesophageal echocardiography could discriminate those two easily in one patient from properties and motion of the intimal flap, and flow information in the false lumen. Angiography could not evaluate the range of dissection in any patients with thrombus in the false lumen. With transesophageal echocardiography we could detect the entry in all six patients with aortic dissection of DeBakey type III except 1 patient with aortic dissection of DeBakey type I. Transesophageal echocardiography could obtain real-time image of most of the aorta except for a part of the ascending aorta. Therefore, transesophageal echocardiography was useful for diagnosing thoracic aortic disease and distinguishing between true aortic aneurysm and aortic dissection.","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"26 ","pages":"45-56"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13090725","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

[Mitral valve disease with pulmonary hypertension: two surgical cases]. [二尖瓣病合并肺动脉高压2例]。

Journal of cardiology. Supplement Pub Date : 1991-01-01

H Oiwa, H Matsunaga, H Makuuchi, K Yagyu, M Matison, H Igarashi, T Ohtsuka, A Furuse

{"title":"[Mitral valve disease with pulmonary hypertension: two surgical cases].","authors":"H Oiwa, H Matsunaga, H Makuuchi, K Yagyu, M Matison, H Igarashi, T Ohtsuka, A Furuse","doi":"","DOIUrl":"","url":null,"abstract":"Two surgical cases of mitral valve disease with severe pulmonary hypertension were reported, in which pulmonary hypertensive crisis (PHC) was a really serious problem to be treated. The first case (60-year-old woman) had atrial fibrillation and her pulmonary artery pressure was 68/32 mmHg (Pp/Ps = 0.63) and mean pulmonary wedge pressure was 26 mmHg with a high v wave (46 mmHg). PHC developed immediately after the cessation of artificial cardiopulmonary bypass, and intraaortic balloon pumping was performed. However, it was difficult to wean from the assist circulation, and then PGE1 and isoproterenol were given into the pulmonary artery and epinephrine and norepinephrine were given into the left atrium, and we succeeded in weaning from the assist circulation. The second case (58-year-old woman) had high pulmonary artery pressure (86/37 mmHg) and the Pp/Ps was 0.73. According to the experience of the first case, prevention of PHC started during cardiopulmonary bypass, giving PGE1, nitroglycerin and torazoline into the pulmonary artery. This led to the easy weaning from cardiopulmonary bypass. PHC may be seen even in cases of acquired valvular disease, and the prevention is mandatory for uneventful surgery.","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"25 ","pages":"175-84; discussion 185-6"},"PeriodicalIF":0.0,"publicationDate":"1991-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13049098","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

Aspects of mitral and tricuspid regurgitation. 二尖瓣和三尖瓣反流的各个方面。

Journal of cardiology. Supplement Pub Date : 1991-01-01

J B Barlow

引用次数: 0

[Clinical survey of 126 cases with mitral valve prolapse detected at the annual health check-up]. 【年度体检发现二尖瓣脱垂126例临床分析】。

Journal of cardiology. Supplement Pub Date : 1991-01-01

H Takahashi

引用次数: 0