An Early Systolic Sound Associated With Midventricular Obstruction in a Patient With Hypertrophic Cardiomyopathy
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概要
- 論文の詳細を見る
A 57-year-old womon was admitted for examination because of chest discomfort.Transthoracic echocardiography was performed and she was diagnosed as having hypertrophic cardiomyopathy.An echocardiogram also revealed that she had midventricular obstruction with a pressure gradient of 125 mmHg determined by Doppler echocardiography.A phonocardiogram showed an early systolic sound and the beginning of the sound coincided with the time of septal-posterior wall contact.In addition, the timing also corresponded to the sudden obstruction of blood flow in the region of the midventricular narrowing.Furthermore, this sound markedly decreased with the reduction in pressure gradient caused by cibenzoline treatment.Thus, it was concluded that the early systolic sound was associated with midventricular obstruction and produced by a rapid deceleration of the interventricular flow caused by midventricular obstruction.
- 社団法人日本循環器学会の論文
- 1998-04-20
著者
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Ohkubo T
Department Of Planning For Drug Development And Clinical Evaluation Tohoku University
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Ohtsuka Tomoaki
Second Department of Internal Medicine, Ehime University School of Medicine
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Shigematsu Yuji
Second Department of Internal Medicine, Ehime University School of Medicine
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Hara Yuji
The Second Department of Internal Medicine, Ehime University School of Medicine
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Kodama Koji
The Second Department Of Internal Medicine Ehime University School Of Medicine
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Iwata Takeru
Internal Medicine Yawatahama City Hospital
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Hara Yuji
Second Department of Internal Medicine, Ehime University School of Medicine
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Hamada Mareomi
Second Department of Internal Medicine, Ehime University School of Medicine
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Hiwada Kunio
Second Department of Internal Medicine, Ehime University School of Medicine
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Kuwahara Taishi
The Second Department Of Internal Medicine Ehime University School Of Medicine
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KUWAHARA Taishi
Second Department of Internal Medicine, Ehime University School of Medicine
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KODAMA Koji
Second Department of Internal Medicine, Ehime University School of Medicine
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Hiwada Kunio
Second Department Of Internal Medicine Ehime University School Of Medicine
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Kodama Koji
2nd Department Of Internal Medicine Ehime University School Of Medicine
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Kodama Koji
Department Of Internal Medicine Kinki Central Hospital
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Hayashi Makoto
Division Of Cardiology Uwajima City Hospital
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Iwata Takeru
The Second Department Of Internal Medicine Ehime University School Of Medicine
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Kawachi Kanji
The Second Department Of Internal Medicine Ehime University School Of Medicine
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Iwata Takeru
2nd Department Of Internal Medicine Ehime University School Of Medicine
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