Serum Atrial Natriuretic Peptide Concentration is a Useful Predictor of Atrial Standstill in Patients With Heart Failure
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概要
- 論文の詳細を見る
Two cases of atrial standstill are presented, one with cardiac amyloidosis, the other with idiopathic dilated cardiomyopathy. The plasma atrial natriuretic peptide (ANP) concentration was normal to slightly elevated in both patients, despite a marked elevation of the plasma brain natriuretic peptide (BNP) concentration. In the patient with amyloidosis (ANP: 170pg/ml, BNP: 1220pg/ml), a dual chamber pacemaker was successfully implanted for the treaemtne of sinus arrest. However, loss of atrial capture occured 1 month later. In the patient with dilated cardiomyopathy (ANP: 47pg/ml, BNP: 422pg/ml), an electrophysiologic study confirmed persistent atrial standstill and failure to pace from either the right atrium or the coronary sinus. The hypothesis is that the attenuated increase in plasma ANP concentration relative to the increase in the BNP concentration may be a sensitive and useful marker to confirm atrial standstill in the setting of congestive heart failure.
- 社団法人日本循環器学会の論文
- 2000-06-20
著者
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HASEGAWA Akira
The Second Department of Internal Medicine,Gunma University School of Medicine
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KURABAYASHI Masahiko
The Second Department of Internal Medicine, Gunma University School of Medicine
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Nakano Akihiko
Department Of Medicine And Biological Science Gunma University Graduate School Of Medicine
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Hasegawa Akira
群馬大学 医学系研究科臓器病態内科学
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Hasegawa Akira
Department Of Medicine And Biological Science Gunma University Graduate School Of Medicine
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Hara Kenichiro
The Second Department Of Internal Medicine Gunma University School Of Medicine
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Suguta Masahiko
Department Of Dermatology Gunma University Graduate School Of Medicine
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Suguta Masahiko
Department Of Cardiovasucular Medicine Fukui University Hospital
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Suguta Masahiko
The Second Department of Internal Medicine, Gunma University School of Medicine
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Nakano Akihiko
The Second Department of Internal Medicine, Gunma University School of Medicine
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Amano Akio
The Second Department of Internal Medicine, Gunma University School of Medicine
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Amano Akio
The Second Department Of Internal Medicine Gunma University School Of Medicine
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Kurabayashi Masahiko
Department Of Medicine And Biological Science Graduate School Of Medicine University Of Gunma
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Nakano Akihiko
Department Of Cardiovascular Medicine Gunma University Graduate School Of Medicine
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Motegi Sei-ichiro
Department Of Dermatology Gunma University Graduate School Of Medicine
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Kobayashi Mitsuru
Department Of Medicine And Biological Science Gunma University Graduate School Of Medicine
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Nakano Akihiko
The Department Of Cardiology Prefectural Maebashi Hospital
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Nakano Akihiko
Department Of Medicine And Biological Science Graduate School Of Medicine University Of Gunma
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Hasegawa Akira
The Second Department Of Internal Medicine And The Department Of Hygiene Gunma University School Of
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