LEFT VENTRICULAR RESPONSES TO SUPINE BICYCLE EXERCISRE ASSESSED BY RADIONUCLIDE ANGIOCARDIOGRAPHY AND A SWAN-GANZ CATHETER
スポンサーリンク
概要
- 論文の詳細を見る
Left ventricular responses to supine bicycle ergometer exercise were studied by gated radionuclide angiocardiography (RNA), in 12 normal subjects (group A), 11 coronary patients without effort angina (group B) and 17 coronary patients with effort angina (group C). In the serial measurement of global ejection fraction (EF) there was a significant increase during peak exercise (PEx) in group A and B. In group C, global EF during mild exercise (MEx) did not increase, but decreased significantly during PEx. There results suggest the necessity of achieving adequate exercise loading in the diagnosis of exercise-induced ischemia, and also, that the serial measurement of global EF during exercise appears to be highly valuable. In the assessment of regional wall motion on the basis of regional EF, abnormal responses to exercise were highly inducible in the anteroseptal region in coronary patients with left anterior descending artery involvement. Abnormal wall motion in the other regions was less indicative for right coronary or left circumflex artery dysfunction. We examined hemodynamic responses to exercise by a Swan-Ganz catheter during RNA study in 5 patients of group A, 5 of group B, and 9 of group C. There was a large increase in left ventricular stroke work index (LVSWI) with a small rise in pulmonary capillary wedge pressure (PCWP) in group A. In group B LVSWI increased with a moderate rise in PCWP during PEx. In group C there was a negligible increase of LVSWI despite a marked rise in PCWP. A similar relationship was present between the LVSWI and the end-diastolic count (EDC) in the left ventricular region of interest. In MEx, however, the rise in PCWP in group C was more prominent than the increase in EDC. Thus, the present data indicate that the left ventricle in group C operates on a steeper portion of the diastolic pressure-volume curve than that in group A or B.
- 社団法人日本循環器学会の論文
- 1985-07-20
著者
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鳥塚 莞爾
財団法人 体質研究会
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Takahashi N
Department Of Cardiology Shiga Prefecture Medical Center For Adult
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Tamaki Nagara
Department of Nuclear Medicine, Graduate School of Medicine, Hokkaido University
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Kambara Hirofumi
The Kyoto And Shiga Myocardial Infarction (kysmi) Study Group:cardiovascular Center Osaka Red Cross
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Kambara Hirofumi
大阪赤十字病院
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Kohagura Kentaro
琉球大学 第三内科
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Kohagura Kentaro
琉球大学医学部附属病院 血液浄化療法部
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KAMBARA Hirofumi
Osaka Red Cross Hospital
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SUZUKI YUKISONO
Cardiology Division, Takeda Hospital
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KAMBARA HIROFUMI
The Third Division, Department of lnternal Medicine, Kyoto University Hospital
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Tamaki Shunichi
Cardiology Division Takeda Hospital
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TORIZUKA KANJI
Department of Nuclear, Medicine Kyoto University School of Medicine
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Tamaki Nagara
公立高島総合病院
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YOSHIDA AKIRA
Mitsubishi Kyoto Hospital
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Kawai Chuichi
The Third Division Department Of Internal Medicine. Faculty Of Medicine Kyoto University
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Tamaki N
Hokkaido Univ.
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KADOTA KAZUNORI
The Third Division, Department of Internal Medicine, Faculty of Medicine, Kyoto University
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Yokoyama A
Biomedical Imaging Research Center Fukui Medical School
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Takahashi Norio
Departments Of Radiology Fukui Medical University
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Tamaki Shunichi
The Third Dev., Dept. of Internal Med. and Dept. of Nuclear Med., Kyoto Univ. Hospital.
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Suzuki Yukisono
The Third Dev., Dept. of Internal Med. and Dept. of Nuclear Med., Kyoto Univ. Hospital.
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Torizuka Kanji
Depertment Of Radiology And Nuclear Medicine Faculty Of Medicine Kyoto University
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Kambara Hirofumi
The 3rd Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Kadota Kazunori
Osaka Police Hospital
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Kodama Kazuhisa
Internal Medicine Nephrology And Hypertension St. Marianna University School Of Medicine
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YOSHIDA AKIRA
Division of Internal Medicine, Mitsubishi Kyoto Hospital
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Kannagi Toshiko
Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Kambara Hirofumi
The Third Division Department Of Internal Medicine Kyoto University
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Kadota Kazunori
The Third Division Department Of Internal Medicine Kyoto University
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Kanatsu Kazuro
Department Of Internal Medicine Hyogo Hospital
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Kawai Chuichi
The Third Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Tamaki Nagara
Department Of Cardiology Shiga Prefecture Medical Center For Adult
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Kumada Toshiaki
Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Torizuka Kanji
Dept. Of Radiology Kyoto Univ. School Of Med.
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Torizuka Kanji
Central Lab. Of Radiology Kyoto Univ. Hospital
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Kambara Hirofumi
The Third Division Department Of Internal Medicine
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Suzuki Yukisono
Cardiology Division Takeda Hospital
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Kadota K
Department Of Internal Medicine Hyogo Hospital
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Kanatsu Kazuro
Third Division Department Of Internal Medicine Faculty Of Medicine Kyoto University
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Kamabara Hirofumi
Osaka Red Cross Hospital
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Kanatsu Kazuro
3rd Div. Dept. Of Intern. Med. Kyoto Univ. Hosp.
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Kohagura Kentaro
Department Of Cardiovascular Medicine Nephrology And Neurology Faculty Of Medicine And Dialysis Unit
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Kambara H
Kyoto University
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Torizuka Kanji
Department Of Nuclear Faculty Of Medicine Kyoto University
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Kumada Toshiaki
The Third Division Department Of Internal Medicine Faculty Of Medicine
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