Serial Assessment of Left and Right Ventricular Filling in Patients With Congestive Heart Failure
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概要
- 論文の詳細を見る
Serial changes in the diastolic filling of both ventricles were studied using Doppler echocardiography in 19 patients with congestive heart failure from the acute to the convalescent stage. During the acute stage, left ventricular early filling velocity(E)was high(88±17cm/s)and atrial filling velocity(A)was low(44±23cm/s), whereas the right ventricular E was depressed(17±8cm/s)and A was enhanced(40±9cm/s). As the condition improved, left ventricular E decreased(43±11cm/s, p<0.01)and A increased(59±24cm/s, p<0.01)along with a decrease in the left ventricular and atrial dimensions. In contrast to the changes in left ventricular filling, right ventricular E increased(31±10cm/s, p<0.01)and A decreased(32±5cm/s, p<0.05). There are opposite directional changes in left and right ventricular filling with clinical improvement from the acute to the convalescent stage of congestive heart failure, which suggest that the changes are related to improvement of the hemodynamic conditions of both ventricles. The changes in the right ventricular filling pattern was likely to be related to changes in right ventricular afterload, ventricular interaction and external constraint rather than a change in right rentricular filling pressure.
- 社団法人日本循環器学会の論文
- 2001-08-20
著者
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Miyatake Kunio
Department Of Cardiovascular Surgery National Cardiovascular Center
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NAGATA Seiki
National Cardiovascular Center
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Nagata Seiki
関西ろうさい病院 内科･循環器科
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Nagata Seiki
Department Of Cardiology National Cardiovascular Center
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Nagata S
Cardiology National Cardiovascular Center
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Nagata Seiki
国立循環器病センター
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Miyatake Kunio
Department Of Internal Medicine National Cardiovascular Center
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MINATOYA Kenji
National Cardiovascular Center
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Nakatani Satoshi
Cardiology Division Of Medicine National Cardiovascular Center
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Nagata Seiki
Cardiology National Cardiovascular Center
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Nagata Seiki
Departments Of Cardiology National Cardiovascular Center
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Beppu Shintaro
Department of Research Institute, National Cardiovascular Center
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Nakatani Satoshi
Department Of Health Sciences Osaka University Graduate School Of Medicine
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Nakatani Satoshi
Department Of Cardiology National Cardiovascular Center
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Ohta Tetsuro
Department Of Cardiology Matsue City Hospital
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Izumi Shiro
Department Of Cardiology Matsue City Hospital
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Izumi Siro
National Cardiovascular Center Hospital And Research Institute Suita Osaka
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Nagata Seiki
Division Of Hypertension And Cardiology(f.i.and S.n.) National Cardiovascular Center
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Miyatake Kunio
Department Of Cardiology National Cardiovascular Center
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Nagata Seiki
From The Department Of Medicine
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Kusumoto Miyako
Cardiac Division National Cardiovascular Center
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Nagata Seiki
Department Of Advanced Cardiovascular Therapeutics Osaka University Graduate School Of Medicine
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Nagata Seiki
Department Of Cardiovascular Surgery National Cardiovascular Center
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Beppu Shintaro
Department Of Health Sciences Division Of Functional Diagnostics Osaka University Graduate School Of
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Nakatani Satoshi
Division Of Functional Diagnostics Department Of Health Sciences Osaka University Graduate School Of
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Beppu Shintaro
Department Of Health Sciences Division Of Functional Diagnostics Osaka University Graduate School Of
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