Effects of Smoking on Myocardial Injury in Patients With Conservatively Treated Acute Myocardial Infarction : A Study With Resting ^<123>I-13-Iodophenyl 3-Methyl Pentadecanoic Acid/^<201>Tl Myocardial Single Photon Emission Computed Tomography
スポンサーリンク
概要
- 論文の詳細を見る
Many reports have demonstrated that smokers who have suffered an acute myocardial infarction(AMI)have a better prognosis than nonsmokers. The present study investigated the effects of current smoking on myocardial better prognosis than nonsmokers. The present study investigated the effects of current smoking on myocardial injury with resting ^<123>I-15-iodophenyl 3-methyl pentadecanoic acid(BMIPP)/^<201>Tl myocardial single photon emission computed tomography in 103 patients with conservatively treated AMI. The left ventricular myocardium was divided into 9 segments and BMIPP and ^<201>Tl defects were scored using a 5-point grading system(0=normal and 4=no uptake). The sum of the defect scores was defined as the total defect score. There was no significant difference in either the baseline severity of the coronary artery disease or the total defect scores for BMIPP and ^<201>Tl between the current smoker and nonsmoker groups. The difference between the total defect scores for BMIPP and ^<201>Tl tended to be larger in the current smoker group than in the nonsmoker group(2.0±1.9 vs 1.3±1.6, p=0.056). Forty-one(53%)of 77 patients in the current smoker group exhibited a BMIPP/^<201>Tl mismatch, whereas only 8(31%)of 26 patients in the nonsmoker group did(p=0.047). In conclusion, current smokers had more likelihood of salvageable myocardium in areas at risk, as demonstrated by BMIPP/^<201>Tl mismatch, in AMI than nonsmokers.
- 社団法人日本循環器学会の論文
- 2001-08-20
著者
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Yamaguchi Junichi
Division Of Cardiology Saitama Prefecture Cardiovascular And Respiratory Center
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Yoshiyama Minoru
Department Of Internal Medicine And Cardiology Graduate School Of Medicine Osaka City University
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Akioka Kaname
Department Of Internal Medicine National Cardiovascular Center
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Takeuchi Kazuhide
大阪市立大学 医学研究科循環器病態内科学
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Takeuchi Kazuhide
The First Department Of Internal Medicine Osaka City University Medical School
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Takeuchi Kazuhide
Department Of Internal Medicine And Cardiology Osaka City University Medical School
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Teragaki Masakazu
Department Of Cardiology Division Of Medical Technologies Wakakusa Daiichi Hospital
-
Yoshikawa Junichi
Department Of Cardiology Osaka City University Medical School
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Ochi Hironobu
Departments Of Nuclear Medicine Osaka City University Graduate School Of Medicine
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Ochi Hironobu
Radiology Osaka City University Medical School
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Yamashita Hajime
Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
-
Shirai Naoya
Department Of Cardiology Osaka City General Hospital
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Yamagishi H
Keio Univ. School Of Medicine Tokyo Jpn
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Ochi Hironobu
Department Of Gastroenterology Osaka City University Graduate School Of Medicine
-
Yamagishi Hiroyuki
Department Of Cardiology Osaka City General Hospital
-
Yoshiyama Minoru
Department Of Cardiology And Internal Medicine Medical School Osaka City University
-
Teragaki Masakazu
Department Of Cardiology And Internal Medicine Medical School Osaka City University
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Akioka Kaname
Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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