Abnormal Myocardial Blood Flow Distribution in Patients With Angina Pectoris and Normal Coronary Arteriograms
スポンサーリンク
概要
- 論文の詳細を見る
To evaluate coronary microvascular function and its relation to the genesis of chest pain and ST-segment depression during exercise in patients with sindrome X, pacing-induced changes in transmural myocardial blood flow distribution were quantitatively assessed by 2-dimensional myocardial contrast echocardiography. Of 25 patients with a history of chest pain and normal coronary arteries with the negative ergonovine test, 11 had exercise-induced chest pain and ST-segment depression (syndrome X), and 14 did not (controls). Myocardial blood flow distribution before and after pacing stress was assessed by measuring the ratio of the endocardial to epicardial gray level (ie, endo/epi gray level ratio) in the territory of the left anterior descending coronary artery. Pacing-induced chest pain and ST-segment depression were observed in syndrome X, but not in controls. The endo/epi gray level ratio in syndrome X significantly decreased after pacing (from 0.98±0.10 to 0.76±0.17, p<0.01), but not in controls (from 0.97±0.08 to 0.99±0.08, NS). Abnormal myocardial blood flow distribution may play an important role in exercise-induced chest pain and ST-segment depression in these patients.
- 社団法人日本循環器学会の論文
- 2000-07-20
著者
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MUROHARA Toyoaki
Department of Cardiology, Nagoya University Graduate School of Medicine
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MUROHARA Toyoaki
Nagoya University
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Ikeda Hisao
Department of Cardiology, Kurume University Medical Center
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Ikeda Hisao
Division Of Cardiology Kurume University Medical Center
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Imaizumi Tsutomu
Department Of Internal Medicine Division Of Cardio-vascular Medicine Kurume University School Of Med
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Ikeda Hisao
Kurume University Medical Center
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Ikeda Hisao
The Cardiovascular Research Institute And Department Of Internal Medicine Iii Kurume University Scho
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UENO Takafumi
Department of The Third Department of Medicine, Kurume University School of Medicine
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Murohara Toyoaki
Department Of Cardiology Nagoya University Graduate School Of Medicaine
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Ueno Takafumi
Department Of Internal Medicine Iii Kurume University School Of Medicine
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Ueno Takafumi
Department Of Cardiology Fukuoka City Medical Association Hospital
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Ueno Takafumi
The 3rd Dept. Of Int Med. Kurume Univ.
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Ueno Takafumi
Division Of Cardio-vascular Medicine Department Of Internal Medicine Kurume University School Of Med
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Matsumoto Takahiro
Department of Cardiovascular Medicine, National Kyushu Medical Center
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Haramaki Nobuya
Kurume university of medicine, Internal medicine III
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Haramaki Nobuya
Department of Internal Medicine III, Kurume University School of Medcine
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Imaizumi Tsutomu
Deparment Of Medicine Division Of Cardiovascular Medicine Kurume University School Of Medicine
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Ikeda Hisao
Department Of Internal Medicine Iii Kurume University School Of Medicine
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Ikeda Hisao
Department Of Cardiology Kurume University Medical Center
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Shiraishi Akihiko
Department of Internal Medicine III, Kurume University School of Medicine
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Togawa Masaki
The Third Department Of Medicine Shiga University Of Medical Science
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Ikeda Hideo
Cardiovascular Research Institute Kurume Univ. School Of Med.
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Matsumoto Takahiro
Department Of Cardiovascular Medicine Course Of Medical And Dental Sciences Graduate School Of Biome
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Ikeda Hisao
The Third Department Of Internal Medicine Kurume University
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Shiraishi Akihiko
Department Of Internal Medicine Iii Kurume University School Of Medicine
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Terada Masahiko
Third Department Of Medicine Shiga University Of Medical Science
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Haramaki Nobuya
Kurume University Of Medicine Internal Medicine Iii
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Shiraishi Akihiko
The Third Department Of Medicine Kurume University School Of Medicine
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Imaizumi Tsutomu
Department Of Internal Medicine Division Of Cardiovascular Medicine And The Cardiovascular Research
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Imaizumi Tsutomu
Department Of Internal Medicine Division Of Cardiovascular Medicine And The Cardiovascular Research
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Murohara Toyoaki
Department Of Cardiology Nagoya Graduate School Of Medicine
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Ueno Takafumi
Division Of Cardio-vascular Medicine Department Of Internal Medicine Kurume University School Of Med
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Matsumoto Takahiro
Department Of Cardiology National Kyushu Medical Center
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Matsumoto Takahiro
Department Of Internal Medicine Iii Kurume University School Of Medicine
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Ueno Takafumi
Division Of Cardio-vascular Medicine Department Of Internal Medicine Kurume University School Of Med
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