<症例>急性心筋梗塞に乳頭筋不全症候群を合併した1例

概要

論文の詳細を見る
This paper deals with a 53-year-old Japanese man with acute myocardial infarction who developed severe acute heart failure and large systolic murmur due to papillary muscle dysfunction. He had old myocardial infarction and systolic murmur probably due to posterior papillary muscle dysfunction 2 months before. He was admitted for acute posterior myocardial infarction complicated with acute lateral wall infarction which caused severe heart failure with a loud pansystolic murmur. Cardiac catheterization was performed to exclude ventricular septal defect. The murmur was considered to be due to augmented mitral regurgitation caused by the old posterior and acute anterior papillary muscle dysfunction. The murmur was decreased several days after the administration of nitroglycerin and diuretics, accompanied by the disappearance of heart failure.
近畿大学の論文
1982-06-25