Hypertrophic Cardiomyopathy as a Manifestation of Cardiac Sarcoidosis

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概要

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• The present study aimed to clarify whether cardiac sarcoidosis causes changes that mimic hypertrophic cardio-myopathy. Eighty-two consecutive patients (35 men, 47 women), who were referred to the Department of Cardiovascular Medicine, with a diagnosis of pulmonary and/or ocular sarcoidosis (average age, 49.5 years, range 20-74), underwent detailed clinical, electrocardiographic, and echocardiographic evaluations; in some patients, right and left heart catheterization, selective coronary artery cineangiography, and right and left endomyocardial biopsies were performed. Over a 15-month period of observation, 6 of these 82 patients (7.3%) were found to have echocardiographic abnomalities: increased thickness of the interventricular septum was found in 4 patients, asymmetric septal hypertrophy in 2, localized septal hypertrophy in 1 and apical hypertrophy in 1 patient. One patient had an 'ace-of-spades' deformity of the left ventricle. Cardiac sardoidosis can mimic, and even present as, hypertrophic cardiomyopathy.

• 社団法人日本循環器学会の論文
• 2000-08-20

著者

• IMAIZUMI Tsutomu

  Kurume University

• Hara Masatake

  Department of Cardiology, Otsu Red Cross Hospital

• Matsumori Akira

  同志社大学 生命医科学部

• Matsumori Akira

  Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine

• Sasayama S

  Department Of Life And Medical Science Doshisha University Kyotanabe & Daijukai Hospital

• Sasayama Shigetake

  浜松労災病院

• Matsumori A

  Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine

• Ono Koh

  Dep. Of Cardiovascular Medicine Graduate School Of Medicine Kyoto Univ. 54 Kawahara-cho Shogoin Saky

• Ono Koh

  Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University

• Sasayama Shigetake

  Department of Cardiovascular Medicine, Kyoto University Graduate School of Medicine

• Sasayama Shigetake

  The Department Of Cardiology Hyogo Prefectural Amagasaki Hospital

• Nagai Sonoko

  Respiratory Disease Kyoto University Graduate School Of Medicine

• Hara Masatake

  Department Of Cardiovascular Medicne Kyoto University Graduate School Of Medicine

• Hara Masatake

  Department Of Cardiology Otsu Red Cross Hospital

• OHASHI Naohiro

  Department of Cardiology, Daio Municipal Hospital

• Sawada Shigeo

  Department Of Cardiology Doshisha University

• Sasayama Shigetake

  The Third Division Of Medicine Kyoto University

• Sasayama Shigetake

  Hamamatsu Rosai Hospital

• Ohashi Naohiro

  Department Of Cardiology Daio Municipal Hospital

• Izumi Taketeru

  Department Of Cardio-angiology Kitasato University School Of Medcine

• Izumi Taketeru

  Respiratory Disease, Kyoto University Graduate School of Medicine

• Imaizumi Tsutomu

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• Marui Akira

  Department Of Cardiovascular Surgery Kyoto University Graduate School Of Medicine

• Sasayama Shigetake

  Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University

• Sasayama Shigetake

  Division Of Medicine Hamamatsu Rosai Hospital Shizuoka

• Sasayama Shigetake

  Department Of Cardiology Hyogo Prefectural Amagasaki Hospital

• Sasayama Shigetake

  Department Of Cardiology Doshisha University

• Ono Koh

  Department Of The Cardiovascular Medicine Kyoto University School Hospital

• Matsumori Akira

  Department Of Cardiology Kyoto University

• Saijyo Sayaka

  The Department Of Cardiology Hyogo Prefectural Amagasaki Hospital

• Imaizumi Tsutomu

  The Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive

• Murashige Akihiro

  Department Of Cardiology Kyoto University

• Matsumori A

  The Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University

• Hara Masatake

  Department Of Cardiovascular Medicine Kyoto University Graduate School Of Medicine

• Matsumori Akira

  Department Of Cardiovascular Medicine Graduate School Of Medicine Kyoto University

• Ono Kou

  Department Of Cardiovascular Medicine Kyoto University Hospital

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