Frequency, Significance, and Mechanism of Myocardial Ischemia During Daily Activities Detected by Holter Dynamic Electrocardiogram
スポンサーリンク
概要
- 論文の詳細を見る
Exercise testing (EX) and Holter ECG (DCG) were performed consecutively in 52 pataients with ischemic heart disease. A total of 100 episodes of myocardial ischemia (IE) were recorded during DCG in 30 patients, who constituted 94% of the patients with myocardial ischemia under 6 metabolic equivalents (METs) during EX. A significant increase in heart rate (HR) was observed before the development of IE. The duration of this increase in HR was longer in IE than in periods in which the HR increased obove the ischemic threshold, but without ischemia. The incidence of IE showed two peaks at 8-10 am and 4-6 pm. The frequency of IE among all of the periods with increased HR was highest at 8-10 am (51%). IE in the morning was associated with a lower HR than that in the afternoon, and LF/HF, which reflects sympathetic activity, evaluated using power spectral analysis, increased before IE in the morning. The early appearance of myocardial ischemia in EX can predict its appearance in daily life. The increase in HR and its duration appear to be associated with the development of IE. The increase in sympathetic activity in the morning and the increase in myocardial oxygen demand accompanied by physical activity in the afternoon most likely contributed to the circadian variation in the incidence of ischemic episodes.
- 社団法人日本循環器学会の論文
- 1996-09-20
著者
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Sato Hiroshi
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Goseki Yoshinari
2nd Dept. Of Tokyo Medical College Hospital
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Takeuchi Toru
The second division of internal medicine, Tokyo medical college
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Matsubara Tetsu
2nd Dept. Of Tokyo Medical College Hospital
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Ibukiyama Chiharu
Second Department Of Internal Medicine Tokyo Medical University
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Ibukiyama Chiharu
The Second Department Of Internal Medicine Tokyo Medical University
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Ibukiyama Chiharu
The Second Department Of Internal Medicine Tokyo Medical College
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Miura Takeshi
The Second Department of Internal Medicine, Hirosaki University School of Medicine
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Nishioka Naoko
The Second Department of Internal Medicine, Tokyo Medical College
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Goseki Yoshinari
The Second Department of Internal Medicine, Tokyo Medical College
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Matsubara Tetsu
The Second Department of Internal Medicine, Tokyo Medical College
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Terakado Setsuo
The Second Department of Internal Medicine, Tokyo Medical College
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Uchiyama Takashi
The Second Department of Internal Medicine, Tokyo Medical College
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Toyoda Tetsu
The Second Department of Internal Medicine, Tokyo Medical College
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Sato Hiroshi
The Second Department Of Internal Medicine Tokyo Medical University
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Toyoda Tetsu
The Second Department Of Internal Medicine Tokyo Medical College
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Toyoda Tetsu
Division Of Cardiology Hachioji Medical Center
-
Takeuchi Toru
The Second Department Of Internal Medicine Tokyo Medical University
-
Miura Takeshi
The Second Department Of Internal Medicine Tokyo Medical University
-
Nishioka Naoko
The Second Department Of Internal Medicine Tokyo Medical University
-
Ibukiyama Chiharu
The 2nd Department Of Internal Medicine Tokyo Medical College
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Ibukiyama Chiharu
2nd Department Of Internal Medicine Tokyo Medical College Tokyo
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Utiyama Takasi
Division of Cardiology Hatiouji Medical Center
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Uchiyama Takashi
The Second Department Of Internal Medicine Tokyo Medical College
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Terakado Setsuo
The Second Department Of Internal Medicine Tokyo Medical University
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Ibukiyama Chiharu
Tokyo Madical College
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Uchiyama Takashi
Division Of Cardiology Hatiouji Medical Center
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Sato Hiroshi
The Second Department Of Internal Medicine
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Takeuchi Toru
Department Of Internal Medicine Tokyo Medical College
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Satoh Hisashi
Department Of Internal Medicine Tokyo Medical College
-
Takeuchi Toru
The Second Department Of Internal Medicine Tokyo Medical College
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Ibukiyama Chiharu
The 2nd Dept. Of Intern.med. Tokyo Medical College
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