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虚血性心臓病患者におけるアセチルコリン負荷とエルゴノビン負荷による冠動脈攣縮反応の解離現象に関する研究
http://hdl.handle.net/10191/38173
http://hdl.handle.net/10191/38173213d3207-5c3e-44f9-a69e-7a1cb2542f09
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
108(4)_293-300.pdf (2.3 MB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2016-02-10 | |||||
| タイトル | ||||||
| タイトル | 虚血性心臓病患者におけるアセチルコリン負荷とエルゴノビン負荷による冠動脈攣縮反応の解離現象に関する研究 | |||||
| タイトル | ||||||
| タイトル | 虚血性心臓病患者におけるアセチルコリン負荷とエルゴノビン負荷による冠動脈攣縮反応の解離現象に関する研究 | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | jpn | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | spasm provocation test | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | acetylcholine | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | ergonovine | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | discrepant response | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 冠攣縮誘発試験 | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | アセチルコリン | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | エルゴノビン | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | 解離現象 | |||||
| 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 | Discrepancy Between Effect of Acetylcholine and Ergonovine on Coronary Arterial Vasoconstriction in Patients With Ischemic Heart Disease | |||||
| 著者 |
藤田, 俊夫
× 藤田, 俊夫 |
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| 著者別名 | ||||||
| 識別子Scheme | WEKO | |||||
| 識別子 | 120730 | |||||
| 姓名 | Fujita, Toshio | |||||
| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | The present study was aimed to elucidate the discrepancy of coronary vasoconstrictor effect between acetylcholine and ergonovine. The subjects consisted of 78 patients with ischemic heart disease; 15 out of them had variant angina, 16 typical rest angina, 24 effort angina, 13 old myocardial infarction, and 10 unexplained syncope. In the spasm provocation, the acetylcholine was intracoronaryly injected and followed by the ergonovine in the same way, as the acetylcholine-induced coronary spasm can be resolved spontaneously without nitrate administration. When total or subtotal occlusion occurred in the coronary arteriogram, the provocation test was defined as a positive finding. The coronary artery spasm was provoked in 35 (45%) patients either by acetylcholine or ergonovine. In 22 out of them, the spasm occurred by both agents. In 13 out of those 35 patients, a discrepancy between the effect of acetylcholine and that of ergonovine was observed; in 5 patients the spasm was provoked only by ergonovine and not by acetylcholine, and in the other 8 patients the spasm was provoked only by acetylcholine. In patients with variant angina, 10 cases showed a similar response, two showed the discrepant response: the provocation only by ergonovine was positive in these cases. In the other groups of patients, 13 showed a similar response, and 11 showed the discrepant response. In 8 out of those 11 patients the provocation only by acetylcholine was positive. These results indicate that coronary artery can react to acetylcholine and ergonovine in a different way even if the patients belong to the variant angina group. In conclusion, it will be recommended that when the coronary spasm can not be provoked by the acetylcholine, the ergonovine test is requested to exclude the false-negative response. | |||||
| 書誌情報 |
新潟医学会雑誌 en : 新潟医学会雑誌 巻 108, 号 4, p. 293-300, 発行日 1994-04 |
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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 | |||||
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Cite as
藤田, 俊夫, 1994, 虚血性心臓病患者におけるアセチルコリン負荷とエルゴノビン負荷による冠動脈攣縮反応の解離現象に関する研究: 新潟医学会, 293–300 p.
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