THE CLINCAL SIGNIFICANCE OF EXERCISE-INDUCED ST-SEGMENT ELEVATION IN PREVIOUS ANTHERIOR BYOCARDIAL INFARCTION
スポンサーリンク
概要
- 論文の詳細を見る
To investigate the mechanism of exercise-induced ST elevation in previous anterior myocardial infarction, exercise body surface mapping was performed on 22 patients with anterior myocardial infarction. ST elevation was compared with the findings of exercise radionuclide ventriculography and exercise thallium-201 myocardial perfusion imaging. ST-segment was quantified by the integral of ST-segment voltage. The maximal value of ST segment integral out of the 87 leads on the body surface was defined as ST max. The percent of change in ST max after exercise was closely correlated to the decrease in ejection fraction (r=-0.76). Furthermore, 9 of the 12 patients with increased ST max after exercise had exercise-induced regional wall motion abnormalities mainly i the apical and anterolateral segments, while other 10 patients without increased ST max did not (p < 0.01). There was no difference in % change of ST max a) between anterior reversible defect (+) group and the (-) group ; b) between inferior reversible defect (+) group and the (-) group ; c) between single vessel (isolated left anterior descending artery stenosis) group and the multivessel group. This fact indicated that exercise-induced ST elevation did not result from the exercise-induced myocardial ischemia of the infarctional segment or the remote non-infarctional segment. We concluded that exercise-induced ST elevation in previous anterior myocardial infarction is mainly due to the aggravation of anterior wall motion abnormalities induced by exercise.
- 社団法人日本循環器学会の論文
- 1985-09-20
著者
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Tsuiki Kai
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Kubota Isao
the First Department of Internal Medicine, Yamagata University School of Medicine
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YAMAKI Michiyasu
The First Dep. of Internal Medicine, Yamagata University School of Medicine
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Ikeda Kozue
The First Department of Internal Medicine, Yamagata University School of Medicine
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Yasui Shoji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Ikeda Kozue
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Tonooka Ichiro
The First Department of Internal Medicine, Yamagata University School of Medicine
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Yamaguchi Seiji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Yasui Shoji
The Fiest Department Of Internal Medicene Yamagata University School Of Medicine
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Tuiki Kai
The 1st Dept. of Yamagata University
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Kubota Isao
The Fiest Department Of Internal Medicene Yamagata University School Of Medicine
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Tonooka Ichiro
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Tono-oka Ichiro
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Kanaya Tohru
First Department Of Internal Medicine And Department Of Radiology Yamagata University School Of Medi
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Ikeda Kozue
The First Department Of Internal Medicine And Clinical Laboratory Yamagata University School Of Medi
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