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いわゆる「たこつぼ型心筋障害」10例の臨床橡
http://hdl.handle.net/10191/2842
http://hdl.handle.net/10191/2842f207dedb-d99c-4503-92f0-da431e68c596
名前 / ファイル | ライセンス | アクション |
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2007-05-10 | |||||
タイトル | ||||||
タイトル | いわゆる「たこつぼ型心筋障害」10例の臨床橡 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | いわゆる「たこつぼ型心筋障害」10例の臨床橡 | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Tako-tsubo like left ventricular dysfunction | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | transient left ventricular apical ballooning | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | coronary spasm | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | stunned myocardium | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
その他のタイトル | ||||||
その他のタイトル | The Clinical Characteristics of Tako - Tsubo Like Left Ventiricular Dysfunction | |||||
著者 |
三間, 渉
× 三間, 渉× 小玉, 誠× 伊藤, 正洋× 畑田, 勝治× 土田, 圭一× 広野, 暁× 大倉, 裕二× 相澤, 義房 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The ampulla cardiomyopathy or Tako-tsubo like left ventricular (LV) dysfunction, is recently characterized as a reversible left ventricular apical wall motion abnormality which mimics acute myocardial infarction without no significant coronary artery occlusion. However, the clinical features and the precise mechanism of this syndrome are still unclear. We reported the clinical characteristics of 10 consecutive patients who were diagnosed as Tako-tsubo like left ventricular dysfunction. The frequency was 0.8% among the patients who underwent coronary angiography (CAG) at the Niigata University Hospital from January, 1999 to December, 2003. The age ranged from 66 to 83 years old (mean age 73.3 years old, and 8 were female). Emotional or physical stress preceded the attack in 8 patients. All patients had ST-T segment elevation and subsequent giant negative T wave in several leads, which mimicked acute coronary syndrome. QT interval was prolonged in 8 patients without lethal arrhythmia. Serum creatine phosphokinase level was normal or slightly elevated. CAG showed no significant stenosis or occulusion in all 5 patients who were investigated in the acute phase, while their electrocardiogram showed ST segment elevation. The LV dysfunction was improved. In the chronic phase coronary spasm was provocated in 3 of 8 patients studied. Myocardial stunning might be involved as the underlying mechanism of this disease but to be studied. In summary so-called Tako-tsubo like left ventricular dysfunction seemed not to be rare and should be considered in the differential diagnosis of acute coronary syndrome. Although clinical course was benign, the etiology is to be studied. | |||||
書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 119, 号 4, p. 242-250, 発行日 2005-04 |
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出版者 | ||||||
出版者 | 新潟医学会 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00290440 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00182415 | |||||
著者版フラグ | ||||||
値 | publisher |