INHOMOGENEOUS CONTRIBUTION OF LATE DIASTOLICFILLINT TO FILLING VOLUME IN PATIENTS WITH ISOLATED DISEASE OF THE LEFTANTERIOR DESCENDING CORONARY ARTERY : ASSESSMENT WITH RADIONUCLIDE VENTRICULOGRAPHY

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概要

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• Contributions of late diastolic filling (slow filling and atrial systolic phases) to total filling volume in both global and regional left ventricle were analyzed using radionuclide techniques in 21 patients with isolated left anterior descending coronary artery disease without previous myocardial infarction. A computer program subdivided the image of the left ventricle into four regions at a geometric center of the area. The time-activity and its first-derivative curves of the global and regional left ventricles were computed. In the global left ventricle, the percent contributions of late diastolic filling to total filling volume were significantly increased in patients with one-vessel disease than in control subjects (20±5%, 28±4%; p<0.001). In the regional left ventricle, in patients with one-vessel disease, the percent contributions of late diastolic filling to total filling volume were significantly increased in the septal (25±5%, 34±8%; p<0.001) and in the apical regions (21±4%, 28±4%; p<0.001) which were perfused by stenosed vessel. In contrast, there were no significant differences in this value between the two groups in the normally perfused lateral region (226%, 255%; p=NS). These results indicate that the late diastolic filling makes a larger contribution to the left ventricular filling in the affected regions than in the normally perfused regions, and that the increased late diastolic filling in the affected regions are the cause for the increased late diastolic filling in the global left ventricle in patients with one-vessel disease.

• 社団法人日本循環器学会の論文
• 1985-02-20

著者

• Yano Masafumi

  Department Of Medicine And Clinical Science Division Of Cardiology Yamaguchi University Graduate Sch

• OZAKI MASAHARU

  Second Department of Internal Medicine, Yamaguchi University

• YAMAGISHI TAKASHI

  Second Department of Internal Medicine, Yamaguchi University

• IKEZONO TOHRU

  Second Department of Internal Medicine, Yamaguchi University

• SHIMIZU TATSURO

  Second Department of Internal Medicine, Yamaguchi University

• OGAWA HIROSHI

  Second Department of Internal Medicine, Yamaguchi University

• MATSUDA YASUO

  Second Department of Internal Medicine, Yamaguchi University

• Obayashi Masakazu

  Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi Univesity Graduate

• Ozaki Masaharu

  2nd. Dept. Of Internal Med. Yamaguchi Univ. Ube Yamaguchi Japan

• Ikezono Tohru

  Second Department Of Internal Medicine Yamaguchi University

• Shimizu Tatsuro

  Second Department Of Internal Medicine Yamaguchi University

• Kumada Toshiaki

  The Third Department Of Internal Medicine Faculty Of Medicine Kyoto University

• Furutani Yuhji

  Second Department Of Internal Medicine Yamaguchi University School Of Medicine:national Hamada Hospi

• Kumada Toshiaki

  The 3rd Medical Clinic Kyoto University Hospital

• Takahashi Yojiro

  Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi University School

• Furutani Yuuji

  Second Department Of Internal Medicine Yamaguchi University School Of Medicine

• Furutani Yuhji

  The Second Department Of Internal Medicine University Of Yamaguchi Ube And Yamato Hospital

• Furutani Yuhji

  Second Department Of Internal Medicine Yamaguchi University School Of Medicine

• Kumada Toshiaki

  The 2nd Department Of Internal Medicine Faculty Of Medicine Yamaguchi University

• ARIMA AKIMITSU

  The Second Department of Internal Medicine, University of yamaguchi, Ube, and Yamato Hospital

• KUMADA TASHIAKI

  Second Department of Internal Medicine, University of Yamaguchi, Ube, and Yamato Hospital, Kumage Gu

• FURUTANI YUJI

  Second Department of Internal Medicine, University of Yamaguchi, Ube, and Yamato Hospital, Kumage Gu

• ARIMA AKIMITSU

  Second Department of Internal Medicine, University of Yamaguchi, Ube, and Yamato Hospital, Kumage Gu

• KASUKAWA REIZO

  Second Department of Internal Medicine, University of Yamaguchi, Ube, and Yamato Hospital, Kumage Gu

• Arima Akimitsu

  The Second Department Of Internal Medicine University Of Yamaguchi Ube And Yamato Hospital

• Kumada Toshiaki

  The Division Of Internal Medicine Yamaguchi University School Of Medicine

• Kusukawa Reizo

  Department Of Cardiology Tenri Hospilal

• Ozaki Masaharu

  Second Department Of Internal Medicine Yamaguchi University

• Yamamoto Takeshi

  Division Of Cardiovascular Medicine Department Of Medical Bioregulation Yamaguchi University School

• Furutani Yuhji

  Second Department Of Internal Medicine Yamaguchi University

• Takahashi Yojiro

  The Second Division Of Internal Medicine Yamaguchi University School Of Medicine

• Obayashi Masakazu

  Department Of Medical Bioregulation Division Of Cardiovascular Medicine Yamaguchi University School

• Obayashi Masakazu

  Department Of Medical Bioregulation Division Of Cardiovascular Medicine Yamaguchi University School

• Yamamoto Takeshi

  Division Of Cardiology Tokuyama Central Hospital

• Matsuda Yasuo

  Second Department Of Internal Medicine Yamaguchi University School Of Medicine:national Hamada Hospital

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