Dynamic Outflow Obstruction due to Transient Extensive Left Ventricular Wall Motion Abnormalities Caused by Acute Myocarditis in a Patient With Hypertrophic Cardiomyopathy : Reduction in Ventricular Afterload by Disopyramide
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概要
- 論文の詳細を見る
A 65-year-old woman was admitted to the coronary care unit because of acute pulmonary edema. Immediate 2-dimensional and Doppler echocardiograms revealed extensive left venticular wall motion abnormalities and left ventricular hypertrophy with extreme outflow obstruction. Although an ECG showed ST-segment elevation in the anterolateral leads, a coronary arteriogram revealed normal epicardial arteries. Heart failure was relieved after diminishing the dynamic outflow obstruction with disopyramide administration. An endomyocardial biopsy from the right ventricle on the 8th hospital day showed borderline myocarditis. Wall motion abnormalities gradually normalized within 2 weeks. It is speculated that her pulmonary edema would not have been relieved so readily without the immediate reduction in ventricular afterload by disopyramide. These clinical changes over time were observed with serial echo-Doppler examinations.
- 社団法人日本循環器学会の論文
- 1999-07-20
著者
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Hano Takuzo
Department Of Cardiovascular Medicine Wakayama Medical University
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Hano Takuzo
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Nishio Ichiro
Department Of Cardiovascular Medicine Wakayama Medical University
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Nishio Ichiro
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Ishii Noriko
Division Of Cardiology Department Of Medicine Wakayama Medical University
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Nishio Ichiro
Division Of Cardiology Department Of Internal Medicine Wakayama Medical College
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Hano Takuzo
School Of Allied Health Sciences Faculty Of Medicine Osaka University
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Tomobuchi Yoshiaki
Department Of Cardiovascular Medicine
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Sakai Yasuhito
Critical Care Medical Center
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Tomobuchi Yoshiaki
Critical Care Medical Center
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Sakai Yasuhito
Critical Care Medical Center Department Of Medicine Wakayama Medical College
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Hayashi Yasushi
Critical Care Medical Center, Department of Medicine, Wakayama Medical College
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Hano Takuzo
和歌山県立医科大学 循環器内科
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Hirano Takashiro
School Of Allied Health Sciences Faculty Of Medicine Osaka University
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Nisio Ichiro
Division Of Cardiology Department Of Medicine Wakayama Medical College
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Nishio I
Division Of Cardiology Department On Medicine Wakayama Medical College
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Hano Takuzo
Department Of Cardiovascular Medcine Wakatama Medical University
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Hayashi Yasushi
Critical Care Medical Center Department Of Medicine Wakayama Medical College
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