Diastolic Plateau Wave of Pulmonary Artery Pressure in Severe Congestive Heart Failure
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概要
- 論文の詳細を見る
We describe 3 cases of severe congestive heart failure. The patients exhibited a marked decrease in transmitral flow velocity during atrial contraction and an abnormal diastolic plateau wave of pulmonary artery pressure (PAP). The first patient was a 60-year-old man with acute myocardial infarction and acute renal failure in whom pulmonary capillary wedge pressure (PCWP) was raised to 20 mmHg. Pulsed Doppler echocardiography revealed a marked decrease in transmitral flow velocity during atrial contraction, and the PAP waveform showed a mid to late diastolic plateau wave. Treatment for congestive heart failure reduced PCWP to 10 mmHg and the PAP waveform returned to normal. Doppler examination revealed the normal transmitral flow velocity pattern. The second patient was a 37-year-old woman with subarachnoid hemorrhage and the third patient a 74-year-old man with acute myocardial infarction. In these patients, the PAP waveform also showed a diastolic plateau wave, which was abolished by treatment. We believe that the diastolic plateau wave of PAP indicates left ventricular diastolic dysfunction and marked elevation of left ventricular filling pressure.
- 社団法人日本循環器学会の論文
- 1996-11-20
著者
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SOEJIMA Yoshiyuki
Total Care Unit and Intensive Care Unit, Yamaguchi University, School of Medicine
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TATEISHI Akio
Total Care Unit and Intensive Care Unit, Yamaguchi University, School of Medicine
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Nakashima K
The Intensive Care Unit Yamaguchi University School Medicine
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Tateishi A
Total Care Unit Yamaguchi University School Of Medicine
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Kasaoka Shunji
Critical Care Medical Center, Yamaguchi University Hospital
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Tsuruta Ryosuke
Critical Care Medical Center, Yamaguchi University Hospital
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Nakashima Ken
Critical Care Medical Center, Yamaguchi University Hospital
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Soejima Yoshiyuki
Critical Care Medical Center, Yamaguchi University Hospital
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Tateishi Akio
Critical Care Medical Center, Yamaguchi University Hospital
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Maekawa Tsuyoshi
Department of Emergency Medicine, Yamaguchi University Hospital
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MAEKAWA TSUYOSHI
Advanced Medical Emergency And Critical Care Center, Yamaguchi University Hospital
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Maekawa Tsuyoshi
Advanced Medical Emergency And Critical Care Center Yamaguchi University Hospital
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Maekawa Tsuyoshi
Department Of Critical Care And Emergency Medicine School Of Medicine Yamaguchi University
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Tateishi Aiko
Total Care Unit Yamaguchi University School Of Medicine
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Tsuruta Ryosuke
Advanced Medical Emergency And Critical Care Center Yamaguchi University Hospital
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Soejima Yoshiyuki
Total Care Unit And Intensive Care Unit Yamaguchi University School Of Medicine
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