Resting Ultrasonic Tissue Characterization and Dobutamine Stress Echocardiography for Prediction of Functional Recovery in Chronic Left Ventricular Ischemic Dysfunction

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概要

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• This study was designed to assess the diagnostic accuracy of the percentage of resting systolic wall thickening (WT), dobutamine stress echocardiography (DSE), resting cyclic variation of integrated backscatter (IBS-CV), and low-dose dobutamine stress IBS-CV (DSE-IB) for the prediction of regional function recovery (RFR) in patients with chronic left ventricular (LV) ischemic dysfunction. The study also evaluated whether or not global LV function affected the diagnostic accuracy. All studies were conducted before percutaneous transluminal coronary angioplasty (PTCA) and RFR was assessed after PTCA (mean interval, 10 months) in 30 patients with chronic LV ischemic dysfunction. Patients were divided into 2 groups according to the LV ejection fraction (LVEF): group A, LVEF>40%, n=14; group B, LVEF>__-40%, n=16. Of a total of 480 segments, 37 initially demonstrating akineric wall motion before PTCA were analyzed. The wall motion of 24 of the 37 segments improved on visual analysis after PTCA. In the prediction of RFR, resting WT, DSE, resting IBS-CV and DSE- IB had sensitivities of 79%, 79%, 92% and 62%, and specificities of 54%, 84%, 83% and 69%, respectively. In particular, the resting IBS-CV in group A, as well as DSE, was an excellent predictor of RFR (sensitivity, 100%; specificity, 86%; vs sensitivity, 82%; specificity, 78%; respectively). Therefore, both resting IBS-CV and DSE are useful predictors for RFR in patients with chronic LV ischemic dysfunction.

• 社団法人日本循環器学会の論文
• 2001-04-20

著者

• Kusama Yoshiki

  Department Of Internal Medicine And Cardiology Tama-nagayama Hospital Nippon Medical School

• Kishida Hiroshi

  First Department of Internal Medicine, Nippon Medical School

• Kusama Yoshiki

  First Department of Internal Medicine, Nippon Medical School

• Takano Teruo

  First Department of Internal Medicine, Nippon Medical School

• Munakata Kazuo

  Department Of Cardiology Internal Medicine Nippon Medical School

• Munakata Kazuo

  1st Department Of Internal Medicine Nippon Medical School

• Miura Kazuyo

  日本医科大学 内科学第一

• Kanazawa Hiromi

  日本医科大学 内科学第一

• Kishida H

  Department Of Internal Medicine Division Of Cardiology Nippon Medical School

• Kishida Hiroshi

  日本医科大学 循環器内科

• Ono Takuya

  Ono Heart Clinic

• Ohno Tadaaki

  Department Of Cardiology Nippon Medical School

• Hayakawa Hirokazu

  The First Department Of Medicine Nippon Medical School

• Hayakawa Hirokazu

  Internal Medicine Department Of Cardiology Nippon Medical School

• Hayakawa Hirokazu

  The First Department Of Internal Medicine Nippon Medical School

• Kusama Yoshiki

  Department Of Internal Medicine And Cardiology Nippon Medical School Tama-nagayama Hospital

• Kishida Hiroshi

  Department Of Internal Medicine Division Of Cardiology Nippon Medical School

• Munakata Kazuo

  Nippon Medical School

• Munakata Kazuo

  First Department Of Internal Medicine Nippon Medical School

• Takano Teruo

  First Department Of Internal Medicine Nippon Medical School

• HONMA HIROSHI

  First Department of Internal Medicine, Nippon Medical School

• Ohno Tadaaki

  First Department of Internal Medicine, Nippon Medical School

• Honma Hiroshi

  First Department Of Internal Medicine Nippon Medical School

• Kishida Hiroshi

  Department Of Cardiology Nippon Medical School Tama-nagayama Hospital

• Kusama Yoshiki

  First Department Of Internal Medicine Nippon Medical School

• Matsuzaki Tsuyako

  Department of Physiological Laboratory, Nippon Medical School

• Nishigaki Ryutarou

  First Department of Internal Medicine

• Matsuzaki Tsuyako

  Center For Physiological Function Nippon Medical School Hospital

• Matsuzaki Tsuyako

  Department Of Physiological Laboratory Nippon Medical School

• Ohno Tadaaki

  First Department Of Internal Medicine Nippon Medical School

• Hoshino Kimihiko

  First Department Of Internal Medicine Nippon Medical School

• Hayakawa Hirokazu

  Department Of Internal Medicine Division Of Cardiology Nippon Medical School

• Hayakawa Hirokazu

  The 1st Department Of Internal Medicine Nippon Medical School

• Munakata Kazuo

  The First Department Of Medicine Nippon Medical School

• Kishida Hiroshi

  First Department Of Internal Medicine Nippon Medical School

• Kishida Hiroshi

  日本医科大学 内科学循環器

• Kishida Hioroshi

  1st Department Of Internal Medicine Nippon Medical School

• Kishida Hiroshi

  Division Of Cardiology Hepatology Geriatrics And Integrated Medicine Department Of Internal Medicine

• Onodera Takeo

  Ccu Nippon Medical School

• Ono Takuya

  Intensive And Coronary Care Unit Nippon Medical School Hospital

• Kishida Hiroshi

  First Dept.of Intern. Med. Nippon Medical School

• Ohno Tadaaki

  Department Of Internal Medicine Division Of Cardiology Nippon Medical School

• Honma Hiroshi

  Department Of Physiological Laboratory Nippon Medical School

• Honma Hiroshi

  First Department Of Intemal Medicine Nippon Medical School

• Ono Tadaaki

  First Department Of Internal Medicine Nippon Medical School

• Munakata Kazuo

  Dept. Of Intern. Med. Nippon Medical School Dai-ni Hospital

• Honma Hiroshi

  Department Of Cardiology Internal Medicine Nippon Medical School

• Kishida Hiroshi

  Division Of Cardiology Hepatology Geriatrics And Integrated Medicine Department Of Internal Medicine

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