CONTRACTILE RESERVE OF VALVULAR HEART DISEASES ECHOCARDIOGRAPHICALLYEVALUATED BY EPINEPHRINE LOADING BEFORE AND AFTER CARDIAC SURGERY
スポンサーリンク
概要
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In order to evaluate cardiac contractile reserve, echocardiographic studies were performed on 59 patients with acquired valvular heart disease and 13 patients with atrial septal defect. After epinephrine loading, the 59 patients were classified into three groups. In group I, echocardiographically-obtained left ventricular posterior wall excursion (PWE) remained below 10 mm after the administration of 2μg/min epinephrine. This group included patients with PWE below 10 mm after 1 μg/min epinephrine loading but who could not endure the 2μg/min infusion because of significant adverse effects. In group II, PWE was less than 10 mm before the loading, but exceeded 10 mm after the administration of 1 or 2 μg/min epinephrine loading. In group III, PWE exceeded 10 mm without stress. The conclusions derived from our data are as follows: 1. The PWE and mean left ventricular posterior wall velocity (mPWV) obtained by echocardiography reflect the stroke volume derived from the thermodilution technique. It is possible to estimate the cardiac contractile force in patients who have a paradoxical motion of the interventricular septum, in the preoperative and even in the early postoperative periods. 2. Patients whose PWE and mPWV are less than 10 mm and 35 mm/sec, respectively, after 2g/min loading of epinephrine (group I), are likely to have severe cardiac failure after surgery. Inotropic stimulation is considered to be a very useful indicator for prediction of cardiac contractile reserve. 3. Patients having decreased PWE, mPWV, mVcf and EF before surgery may have arrested recovery in both short- or long-term follow-up. However, surgical treatment is recommended for these patients with low cardiac function, because some improvement can be expected after surgery.
- 社団法人日本循環器学会の論文
- 1985-10-20
著者
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Eguchi S
Department Of Thoracic And Cardiovascular Surgery Niigata University School Of Medicine
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Matsuzawa Hideo
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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Matsuzawa Hideo
The Second Department Of Surgery Niigata University School Of Medicine
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EGUCHI SHOJI
Niigata University School of Medicine
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YOSHII Shinpei
Second Department of Surgery, Yamanashi Medical University
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EGUCHI SHOJI
The 2nd Dep. of Surgery
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Hayashi Jun-ichi
The Second Department of Surgery Niigata University School of Medicine
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Eguchi Shoji
The Second Department of Surgery Niigata University School of Medicine
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YAMAZAKI Yoshihiko
The Second Department of Surgery, Niigata University School of Medicine
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OTANI SHIN-ICHI
The Second Department of Surgery, University of Niigata Faculty of Medicine
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SATO YOSHITOMO
The Second Department of Surgery, University of Niigata Faculty of Medicine
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YAZAWA MASATOMO
The Second Department of Surgery, University of Niigata Faculty of Medicine
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IMAIZUMI KEIJI
The Second Department of Surgery, University of Niigata Faculty of Medicine
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OKAZAKI HIROSHI
The Second Department of Surgery, University of Niigata Faculty of Medicine
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Eguchi S
Department Of Molecular Design And Engineering Nagoya University
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Hayashi Junichi
The Department Of Thoracic And Cardiovascular Surgery Niigata University School Of Medicine
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Ohtani Shinichi
The Department Of Thoracic And Cardiovascular Surgery Niigata University School Of Medicine
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Yamazaki Yoshihiko
The Second Department Of Surgery Niigata University School Of Medicine
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Eguchi Shoji
The Second Department Of Surgery Of Niigata School Of Medicine
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Eguchi Shoji
Dept Of Thoracic And Cardiovascular Surgery Niigata University Hospital
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Eguchi Shoji
Second Department Of Surgery Niigata University School Of Medicine
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Sato Yoshitomo
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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Yoshii S
Division Of Cardiovascular Surgery Tachikawa General Hospital
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Imaizumi Keiji
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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Hayashi Jun-ichi
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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Eguchi Shoji
The Second Department Of Surgery Niigata University
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Yoshii Shinpei
Division Of Cardiovascular Surgery Tachikawa General Hospital
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Eguchi Shoji
Department Of Molecular Design And Engineering Nagoya University
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Otani Shin-ichi
The 2nd Department Of Surgery University Of Niigata
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Eguchi Shoji
The 2nd Department Of Surgery Niigata University School Of Medicine
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Otani Shinichi
Cardiovascular Unit Niigata University
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Otani Shin-ichi
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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Yazawa Masatomo
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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Hayashi Jun-ichi
Division Of Thoracic And Cardiovascular Surgery Niigata University Graduate School Of Medical And De
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Hayashi Jun-ichi
Division Of Cardiovascular And Thoracic Surgery Department Of Cardiovascular And Vital Control Gradu
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Yamazaki Yoshihiko
Department Of Cardiovascular Surgery Nagaoka Red Cross Hospital
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Yamazaki Yoshihiko
Department Of Thoracic And Cardiovascular Surgery Niigata University School Of Medicine
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Satoh Yoshitomo
Department Of Cardiovascular Surgery Niigata City General Hospital
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Sato Yoshitomo
Departments Of Second Surgery Niigata University School Of Medicine Niigata
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Otani Shin-ichi
The Second Department Of Surgery Niigata University School Of Medicine
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Okazaki Hiroshi
The Second Department Of Surgery University Of Niigata Faculty Of Medicine
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EGUCHI Shoji
Department of Molecular Design and Engineering, Nagoya University
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YOSHII Shinpei
Second Department of Surgery, Yamanashi Medical College
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