T Shioto, K Takenaka, T Sakamoto, K Amano, J Suzuki, W Amano, H Takahashi, T Sugimoto
{"title":"[Antiarrhythmic action of beta-blocking agent in patients with mitral valve prolapse having premature ventricular contractions].","authors":"T Shioto, K Takenaka, T Sakamoto, K Amano, J Suzuki, W Amano, H Takahashi, T Sugimoto","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>To investigate the origin and evaluate the effect of one of the most potent beta blocker, carteolol, on premature ventricular contractions (PVCs) in patients with mitral valve prolapse (MVP), 21 patients (35 +/- 12 years; mean +/- SD) including 10 with PVCs were studied by simultaneous electrocardiography and echocardiography before and after intravenous injection of carteolol. In all 21 MVP patients including 10 MVP patients with PVCs, carteolol (6 micrograms/kg/2 min, i.v.) caused significant decrease in systolic and diastolic blood pressures and in heart rate. Carteolol markedly (25% or more) reduced frequency of PVCs in four of the 10 patients, but no significant changes in five, and PVCs were increased in frequency in the remaining one. However, in all 21 MVP patients, carteolol did not change left ventricular end-diastolic and end-systolic dimensions, and the degree of MVP nor mitral regurgitant areas evaluated by color Doppler echocardiography. These results were exactly the same as those of the patients with PVCs. In conclusion, intravenous injection of beta-blocker, carteolol, reduced PVCs in 40% of the MVP patients with PVCs, but this antiarrhythmic action is not related to the degree of mitral valve prolapse, or mitral regurgitation evaluated by Doppler method.</p>","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"21 ","pages":"65-72, discussion 73-4"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13622511","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":"[Surgical indications for mitral valve disease in the aged].","authors":"H Fukumasu","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"22 ","pages":"50"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13783905","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}
A Iuchi, S Oki, T Uchida, T Kawano, M Hayashi, K Kawano, T Okumoto, S Emi, T Tominaga, N Fukuda
{"title":"[Developmental changes in a case of cardiac amyloidosis: diagnostic value of serious echocardiographic methods].","authors":"A Iuchi, S Oki, T Uchida, T Kawano, M Hayashi, K Kawano, T Okumoto, S Emi, T Tominaga, N Fukuda","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"22 ","pages":"71-4"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13783912","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}
D Chikamori, N Hamashige, H Odawara, O Kusume, T Furuno, Y Doi, T Ozawa
{"title":"[A case of severe cardiac failure due to myocardial stunning].","authors":"D Chikamori, N Hamashige, H Odawara, O Kusume, T Furuno, Y Doi, T Ozawa","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"22 ","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13783914","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}
K Suzuki, Y Aizawa, M Tamura, T Funazaki, S Miyajima, S Niwano, M Chinushi, M Sato, K Ebe, A Shibata
{"title":"[Association of sustained ventricular tachycardia and a mid-systolic click: a case report].","authors":"K Suzuki, Y Aizawa, M Tamura, T Funazaki, S Miyajima, S Niwano, M Chinushi, M Sato, K Ebe, A Shibata","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A 27-year-old woman had a history of palpitation at the age of nine. Ventricular tachycardia (VT) was detected four years ago and treatment with procainamide was started. Physical examination disclosed nothing abnormal other than an apical mid-systolic click. Electrocardiogram and chest radiograph were normal, and echocardiogram disclosed borderline mitral valve prolapse (MVP). VT was not provoked by exercise, and Holter monitorings of electrocardiogram were always within a normal limit. Angiography was normal. Electrophysiological study disclosed VT by left ventricular stimulation and the earliest activation was at the apex, VT was abolished by early stimulation from the right ventricular apex. The association of a mid-systolic click and VT was interesting in this case. When the patient had a systolic click at the outpatient clinic, VT frequently occurred within a month (six of seven times), while VT did not occur without an audible systolic click (three of four times). Although it is uncertain whether VT of this patient has any relationship to MVP or to the click, these problems remain to be solved in the future.</p>","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"21 ","pages":"119-25, discussion 126-7"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13917007","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}
Y Joh, J Yoshikawa, K Yoshida, T Akasaka, M Shakudo, T Hozumi, H Kato
{"title":"[Transesophageal echocardiographic findings of mitral valve prolapse].","authors":"Y Joh, J Yoshikawa, K Yoshida, T Akasaka, M Shakudo, T Hozumi, H Kato","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Transesophageal echocardiography (TEE) is a new approach to the investigation of the heart, at a closer range without interference from lung tissue or ribs. In this study, we evaluated 15 patients with mitral valve prolapse by TEE. All patients had a pansystolic murmur and severe mitral regurgitation by left ventriculography. Seven patients underwent cardiac surgery. The presence of ruptured chordae tendineae was confirmed in all these patients at the time of operation. The transesophageal echocardiographic finding of mitral valve prolapse was a circular or coiled cusp or whip-like protrusion of a scallop into the left atrium in systole. TEE disclosed ruptured chordae tendineae in all of the seven patients with ruptured chordae tendineae confirmed by surgery, whereas transthoracic echocardiography disclosed only one. In the remaining patients, TEE disclosed chordal rupture in six. The prolapsed sites by TEE were coincident with those by cardiac surgery in each patient. By three-dimensional construction of the mitral valve using TEE, the direction of mitral regurgitant jet was correctly visualized. In conclusion, TEE is useful in evaluating patients with mitral valve prolapse and is a sensitive method for detecting ruptured chordae tendineae.</p>","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"21 ","pages":"85-91, discussion 92-5"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13917011","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":"[Panel discussion: Evaluation of cardiac function for valve replacement].","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77193,"journal":{"name":"Journal of cardiology. Supplement","volume":"20 ","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"1989-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13747088","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}