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Successful Induction of β-blocker Therapy for a Patient with Peripartum Cardiomyopathy Complicated with Significant Aortic Stenosis
http://hdl.handle.net/10191/1884
http://hdl.handle.net/10191/18847eba2626-7621-4c08-b9aa-9776eed62dfa
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 | Successful Induction of β-blocker Therapy for a Patient with Peripartum Cardiomyopathy Complicated with Significant Aortic Stenosis | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Successful Induction of β-blocker Therapy for a Patient with Peripartum Cardiomyopathy Complicated with Significant Aortic Stenosis | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | aortic stenosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | β-blocker | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | left ventricular dysfunction | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | peripartum cardiomyopathy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | heart failure | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
著者 |
KASHIMURA, Takeshi
× KASHIMURA, Takeshi× YANAGAWA, Takao× KODAMA, Makoto× WATANABE, Ritsuo× OKURA, Yuji× KATO, Kiminori× HANAWA, Haruo× AIZAWA, Yoshifusa |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | A 35-year-old female with pre-existing significant aortic stenosis was admitted due to congestive heart failure commencing six months after her fourth delivery, and was diagnosed as peripartum cardiomyopathy. Because of severe contractile dysfunction, the aortic valve pressure gradient had decreased remarkably, indicating low-output, low-gradient aortic stenosis. In addition to the conventional therapies of heart failure, steroid therapy and intravenous immunoglobulin therapy were administered for coexisting myocarditis. While effective, the therapies were incomplete to relieve her symptoms and improve the low output state. For severe left ventricular systolic dysfunction, β-blocker therapy was initiated despite preexisting aortic stenosis. After the successful induction of β-blocker therapy, the patient's symptoms improved gradually. Her left ventricular systolic function has continued to improve with β-blocker therapy over two years of follow-up, and the aortic valve pressure gradient is reaching the level prior to the peripartum cardiomyopathy. β-blocker therapy may constitute one option among the therapeutic strategies for intractable heart failure due to cardiomyopathy even if complicated with significant aortic stenosis. | |||||
書誌情報 |
Acta medica et biologica en : Acta medica et biologica 巻 52, 号 1, p. 37-42, 発行日 2004-03 |
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出版者 | ||||||
出版者 | Niigata University School of Medicine | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 05677734 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508361 | |||||
著者版フラグ | ||||||
値 | publisher |