Improved Hypertrophic Obstructive Cardiomyopathy by Left Ventricular Apex Epicardial Pacing
スポンサーリンク
概要
- 論文の詳細を見る
We report a case of severe hypertrophic obstructive cardiomyopahy (HOCM) that was markedly improved by left ventricular (LV) apex epicardial pacing. A 55-year-old woman with HOCM had suffered from dyspnea. Cardiac catheter examination showed a resting pressure gradient across the LV outflow tract of 198 mmHg despite combined medication. During the examination, right dual-chamber pacing could not sufficiently reduce the pressure gradient. Therefore, we treated the patient with LV apex epicardial pacing. The procedure decreased the pressure gradient to 10 mmHg. Clinical symptoms were markedly improved. LV apex epicardial pacing may be an alternative therapy for patients with HOCM who are refractory to other medical treatment.
- 社団法人 日本内科学会の論文
- 2004-04-01
著者
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Takahashi Naohiko
Department of Laboratory Examination and Diagnostics, Faculty of Medicine, Oita University
-
Yufu Kunio
Department of Laboratory Examination and Diagnostics, Faculty of Medicine, Oita University
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Hara Masahide
Department of Internal Medicine 1, Faculty of Medicine, Oita University
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Saikawa Tetsunori
Department of Laboratory Examination and Diagnostics, Faculty of Medicine, Oita University
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Sakata Toshiie
大分医科大学 臨床検査医
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TSUCHIYA Takeshi
Department of Hematology and Molecular Medicine Unit, Atomic Bomb Disease Institute, Nagasaki Univer
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Honda Toshihiro
Cardiovascular Center Saiseikai Kumamoto Hospital
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Hozumi Takeshi
Departments Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Hozumi Takeshi
Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Hozumi Takeshi
Division Of Cardiology Department Of Medicine Columbia University
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Yoshimatsu Hironobu
Department Of Internal Medicine 1 Oita University
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MIYAMOTO Shinji
Department of Laboratory Medicine, National Defense Medical College
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Miyamoto Shinji
Department Of Cardiovascular Surgery Oita University Faculty Of Medicine
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HADAMA Tetsuo
Department of Cardiovascular Surgery, Faculty of Medicine, Oita University
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SAKO HIDENORI
Department of Cardiovascular Surgery, Oita University, School of Medicine
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Saikawa Tetsunori
Department Of Cardiovascular Science Faculty Of Medicine Oita University
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OOIE Tatsuhiko
Department of Internal Medicine I, School of Medicine, Oita Medical University
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SHIGEMATSU Sakuji
Department of Internal Medicine I, School of Medicine, Oita Medical University
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YOSHIMATSU Hironobu
Cardiovascular Center, Saiseikai Kumamoto Hospital
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Hadama Tetsuo
Department Of Cardiovascular Surgery Oita University School Of Medicine
-
Hadama Tetsuo
Department Of Cardiovascular Surgery Oita Medical University
-
Sako Hidenori
Department Of Cardiovascular Surgery Oita University School Of Medicine
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Ooie Tatsuhiko
Department Of Cardiology Oita Medical Center
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Honda Toshihiro
Cardiology Division Of Cardiovascular Center Saiseikai Kumamoto Hospital
-
Takakura Takeshi
Department Of Cardiology Health Insurance Nankai Hospital
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Tsuchiya Takeshi
Division Of Cardiology Hakuaikai Hospital
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Takahashi Naohiko
Department Of Cardiology Tenshindo-hetsugi Hospital
-
Shigematsu Sakuji
Department Of Cardiology Beppu Medical Center
-
Tsuchiya Takeshi
Department Of Aeronautics And Astronautics The University Of Tokyo
-
Takahashi Naohiko
Departments Of Internal Medicine I Oita University School Of Medicine
-
Yufu Kunio
Department Of Cardiovascular Science Faculty Of Medicine
-
Takahashi Naohiko
Department Of Clinical Examination And Diagnosis Oita University School Of Medicine
-
Ohie Tatsuhiko
Cardiovascular Center Saiseikai Kumamoto Hospital
-
Hara Masahide
Department Of Internal Medicine I School Of Medicine Oita Medical University
-
Takahashi Naohiko
Department Of Internal Medicinel Oita Medical University
-
Takakura Takeshi
1st Department Of Medicine Medical College Of Oita
-
Hozumi Takeshi
The Department Of Internal Medicine And Cardiology Osaka City University School Of Medicine
-
Takahashi Naohiko
Department Of Cardiovascular Science Faculty Of Medicine Oita University
-
Hara Masahide
Department Of Internal Medicine 1 Faculty Of Medicine Oita University
-
Miyamoto Shinji
Department Of Cardiovascular Surgery Faculty Of Medicine Oita University
-
Takahashi Naohiko
Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University
-
Saikawa Tetsunori
Department of Cardiology and Clinical Examination, Faculty of Medicine, Oita University
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