Exercise-Induced ST-Segment Elevation : Role of Left Ventricular Wall Motion Abnormalities and Coronary Artery Narrowing
スポンサーリンク
概要
- 論文の詳細を見る
We studied the causes of exercise-induced ST-segment elevation. Group I consisted of 15 patients with anterior myocardial infarction in the absence of a coronary artery luminal narrowing of 75% or more. Group II consisted of 36 patients with predominantly exertional angina and a luminal narrowing of 90% or more in the left anterior descending coronary artery in the absence of previous myocardial infarction. In group I, exercise-induced ST-segment elevation occurred frequently during treadmill exercise (15/15, 100%). None of the patients showed ^<201>Tl redistribution. The standard deviation of the phase in radionuclide ventriculography increased during bicycle exercise. Of group II patients, only those with 99% narrowing and poor collaterals showed exercise-induced ST-segment elevation (13/14, 93%), whereas none of those with complete occlusion or 99% narrowing and good collaterals, or 90% narrowing showed ST-segment elevation. In group II, patients with exercise-induced ST-segment elevation showed lower ^<201>Tl uptake during exercise and washout in the territory of the diseased vessel than those without exercise-induced ST-segment elevation. In conclusion, wall motion abnormalities may cause exercise-induced ST-segment elevation independently of myocardial ischemia. In patients with predominantly exertinal angina, exercise-induced ST-segment elevation may be a marker for 99% narrowing with poor collaterals and severe myocardial ischemia.
- 社団法人日本循環器学会の論文
- 1995-10-20
著者
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Muratani H
Department Of Clinical Pharmacology And Therapeutics Tohoku University
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Miyakoda Hiroyuki
Department Of Bioscience National Cardiovascular Center
-
Kato Masahiko
Department Of Cardiovascular Medicine Faculty Of Medicine Tottori University
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MATSUMOTO Tatsuhiko
The First Department of Internal Medicine, Gunma University School of Medicine
-
Osaki Shuichi
Department Of Cardiology San-in Rosai Hospital
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Kinugawa Toru
Kitano Hospital
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Mashiba Hiroto
Kure Kyosai Hospital
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Miyakoda Hiroyuki
The First Department of Internal Medicine, Tottori University School of Medicine
-
Kato Masahiko
The First Department of Internal Medicine, Tottori University School of Medicine
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Noguchi Noriyasu
The First Department of Internal Medicine, Tottori University School of Medicine
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Omodani Hiroki
The First Department of Internal Medicine, Tottori University School of Medicine
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Osaki Shuichi
The First Department of Internal Medicine, Tottori University School of Medicine
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Kinugawa Toru
The First Department of Internal Medicine, Tottori University School of Medicine
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Hoshio Akira
The First Department of Internal Medicine, Tottori University School of Medicine
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Kotake Hiroshi
The First Department of Internal Medicine, Tottori University School of Medicine
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Mashiba Hiroto
The First Department of Internal Medicine, Tottori University School of Medicine
-
Matsuura Takashi
Division Of Regenerative Medicine And Therapeutics Tottori University Graduate School Of Medical Sci
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Kinugawa Tooru
Kitano Hospital The Tazuke Kofukai Medical Research Institute
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Matsumoto Tatsuhiko
Division Of Regenerative Medicine And Therapeutics Tottori University Graduate School Of Medical Sci
-
Hoshio Akira
First Department Of Internal Medicine Tottori University
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Miyakoda Hiroyuki
The First Department Of Internal Medicine Tottori University School Of Medicine
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Hiroe Koh
First Department Of Internal Medicine Tottori University Faculty Of Medicine
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Kinugawa Toru
Dept. Of Internal Medicine Tottori Univ.
-
Hoshio Akira
The First Department Of Internal Medicine Tottori University School Of Medicine
-
Hoshio Akira
First Department Of Internal Medicine Tottori University School Of Medicine
-
Kotake Hiroshi
The First Department Of Internal Medicine Tottori University School Of Medicine
-
Mashiba Hiroto
The First Department Of Internal Medicine Tottori University School Of Medicine
-
Omodani Hiroki
First Department Of Internal Medicine Tottori University
-
Mashiba Hiroto
The First Department Of Internal Medicine Tottori University
-
Matsumoto Tatsuhiko
The First Department Of Internal Medicine Gunma University Faculty Of Medicine
-
Noguchi Noriyasu
The First Department Of Internal Medicine Tottori University School Of Medicine
-
Mashiba Hiroto
The First Department Of Internal Medicine Facullty Of Medicine Tottori University
-
Kotake Hiroshi
1st Department Of Internal Medicine Tottori University School Of Medicine
-
Mashiba Hiroto
1st Department Of Internal Medicine Tottori University School Of Medicine
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Matsuura Takashi
Division Of Regenerative Medicine And Therapeutics Department Of Genetic Medicine And Regenerative T
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