QUANTITATIVE RELATIONSHIPS BETWEEN THALLIUM-201 ESTIMATED MYOCARDIAL INFARCT SIZE AND LEFT VENTRICULAR FUNCTION IN THE ACUTE OR CONVALESCENT PHASE OF THE FIRST ATTACK OF MYOCARDIAL INFARCTION
スポンサーリンク
概要
- 論文の詳細を見る
Correlations between left ventricular (LV) function and infarct size estimated by computer-assisted thallium (Tl)-201 scintigraphy were studied in 16 patients in the acute or convalescent phase of the first attack of transmural myocardial infarction (MI). Tl-201 estimation of the infarct size was done using a "corrected" circumferential profile method, by which the total defect score could be obtained. The LV function was evaluated by radionuclide angiography, echocardiography and cardiac catheterization study. The following results were obtained : 1) A close inverse relationship was found between the defect score and the ejection fraction (r=-0.649, r<0.01). 2) The linear correlation diastolic pressure and -0.616 (p < 0.02) between the defect score and the cardiac index. 3) There was a linear correlation between the defect score and the LV end-diastolic dimension (r= -0.852, p < 0.001). However, there was no relation between the defect score and the left atrial dimension. When the LV indices were compared between the small (S) and the large (L) defect score group, the L defect group had faster heart rate, larger LV chamber size and the smaller stroke volume index than the S defect group. However, there was no significant difference in the cardiac index between these 2 groups. These results suggest that the LV dilatation in acute or convalescent phase of the first attack of transmural MI is an ominous sign because it was usually accompanied by large infarct size. The present study also indicates that LV dilatation accompanying a large infarct does not satisfactorily compensate for LV dysfunction by Frank-Starling mechanism, because the stroke volume index decreased in proportion to the infarct size and the cardiac index was maintained by an increase in heart rate in cases with LV dilatation.
- 社団法人日本循環器学会の論文
- 1983-07-20
著者
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Sakai Makoto
Department Of Pathology Tokyo Metropolitan Geriatric Hospital
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Hashimoto Shuji
The 2nd Dep. Of Intern. Med. Kagoshima Univ.
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Toyama Hinako
Division Of Internal Medicine And Department Of Nuclear Medicine Tokyo Metropolitan Geriatric Hospit
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Iio Masahiro
Department of Radiology, Faculty of Medicine, University of Tokyo
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Sakai Makoto
Tokyo Metropolitan Geriatric Hospital Division Of Cardiology
-
Nakamura Kazuhiko
Second Department Of Cardiology Kagoshima Medical Center National Hospital Organization
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UEDA KEIJI
Tokyo Metropolitan Geriatric Hospital
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Ueda Keiji
Tokyo Metropolitan Geriatric Hospital Division Of Cardiology
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Ueda Keiji
Division of Cardiology,Tokyo Metropolitan Geriatric Hospital,the Second Dept.Med. , and tlle Dept.of
-
Sakai Makoto
Division of Cardiology,Tokyo Metropolitan Geriatric Hospital,the Second Dept.Med. , and tlle Dept.of
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Takaoka Shigeru
The Second Department of Internal Medicine, Kagoshima University
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Nakamura Kazuhiko
The Second Department of Internal Medicine, Kagoshima University
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Hashimoto Shuji
The Second Department of Internal Medicine, Kagoshima University
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Tabuchi Hiromi
The 2nd Dept. of Int. Med. Kagoshima University School of Medicine
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Kataoka Hajime
The 2nd Dept. of Int. Med. Kagoshima University School of Medicine
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KATAOKA HAJIME
The Second Department of Internal Medicine, Faculty of Medicine, Kagoshima University
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TABUCHI HIROMI
Division of Internal Medicine and Department of Nuclear Medicine, Tokyo Metropolitan Geriatric Hospi
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MURATA HAJIME
Division of Internal Medicine and Department of Nuclear Medicine, Tokyo Metropolitan Geriatric Hospi
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Nakamura Kazuhiko
The 2nd Dep. Of Intern. Med. Kagoshima Univ.
-
Tabuchi Hiromi
The Second Department Of Internal Medicine Kagoshima University
-
Tachibana Hiroki
2nd Division Of Cardiology National Minami-kyushu Chuo Hospital
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Murata Hajime
Division Of Internal Medicine And Department Of Nuclear Medicine Tokyo Metropolitan Geriatric Hospit
-
Murata Hajime
Division Of Advanced Technology For Medical Imaging National Institute Of Radiological Sciences
-
Nakamura Kazuhiko
The Second Department Of Cardiology Kyushu Cardiovascular Center
-
Sakai Makoto
Division Of Cardiology Tokyo Metropolitan Geriatric Hospital
-
Iio Masahiro
Department Of Radiology Faculty Of Medicine University Of Tokyo
-
Murata Hajime
Tokyo Metropolitan Geriatric Hospital
-
Hashimoto Shuji
The 2nd Dept.of Intern.ned. Kagoshima Univ.school Of Med
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Takaoka Shigeru
The Second Department Of Internal Medicine Kagoshima University
-
Tachibana Hiroki
The 2nd Dep. Of Intern. Med. Kagoshima Univ.
-
Ueda Keiji
Division Of Cardiology Tokyo Metropolitan Geriatric Hospital
-
Kataoka Hajime
Div. Of Cardiology And Dept. Of Nuclear Med. Tokyo Metropolitan Geriatric Hospital
-
Hashimoto Shuji
The Second Department Of Internal Medicine Faculty Of Medicine Kagoshima University
-
Ueda Keiji
Tokyo Metropolitan Geriatric Hospital.
-
Nakamura Kazuhiko
The Second Cardiovascular Division The National Southern Kyu-syu Central Hospital
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Sakai Makoto
Department Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Nakamura Kazuhiko
2nd Division Of Cardiovascular Medicine National Hospital Organization Kagoshima Medical Center
-
Nakamura Kazuhiko
Division Of 2nd Cardiology National Hospital Organization Kagoshima Medical Center
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Toyama Hinako
Department Of Nuclear Medicine And Radiological Sciences Tokyo Metropolitan Geriatric Hospital
-
Takaoka Shigeru
Div. Of Cardiology And Dept. Of Nuclear Med. Tokyo Metropolitan Geriatric Hospital
-
Tabuchi Hiromi
The Second Department Of Internal Medicine Faculty Of Medicine Kagoshima University
-
Ueda Keiji
Department Of Cardiology Tokyo Metropolitan Geriatric Hospital
-
Hashimoto Shuji
The Second Dep. of Intern. Med., Faculty of Med., Kagoshima Univ.
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