STUDY ON LEFT ATRIAL CONTRACTILE PERFORMANCE : Participation of Frank-starling Mechanism
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概要
- 論文の詳細を見る
We estimated the magnitude of the left atrial contraction in 28 patients with ischemic heart disease by calculating the biplane cineangiographic volumes of the left atrium. The left atrial contraction contribution to the left ventricular stroke volume (ml/m^2, Y axis) correlated inversely with the left ventricular ejection fraction (%, X axis), yielding an equation : Y=-0.31 X + 43.7 (n=28, r=-0.56, p<0.001). The result indicates that the left ventricular filling is compensated by the augmented atrial contraction in case of impaired left ventricular function. We defined the left atrial volume at the beginning of the atrial contraction (LAVd, ml/m^2) as the "preload" of the left atrium, and we also defined the volume expelled by the active atrial contraction (ΔLAVa, ml/m^2) as the stroke volume of the left atrium. The stroke volume (Y) correlated positively with the "preload" (X), yielding an equation : Y=0.48 X -1.3 (n=28, r=0.80, p<0.001). We then defined the left ventricular end-diastolic pressure, the peak of the a-wave, as the "afterload" of the left atrium, and we studied the "afterload"-stroke volume relations in the left atrium. However as expected, a reasonable relationship between them was difficult to form. Consequently, we showed that an increase in the "preload" of the left atrium augmented the stroke volume of the left atrium, which means that Frank-Starling mechanism is operative in the left atrium.
- 社団法人日本循環器学会の論文
- 1987-09-20
著者
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TANAKA Tsutomu
Second Department of Internal Medicine, Gifu University School of Medicine
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Nagano T
Department Of Cardiology Gifu Prefectural General Medical Center
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Noda Toshiyuki
岐阜大学 第2内科
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Noda Toshiyuki
The Second Department Of Internal Medicine Gifu University School Of Medicine
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Yamaguchi Masato
2nd Dept Of Int Med Gifu Univ
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Yamaguchi Masato
The Second Department of Internal Medicine, School of Medicine, Kanazawa University, Kanazawa
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ARAKAWA MICHIO
The Second Department of Internal Medicine, Gifu University School of Medicine
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TANAKA TSUTOMU
The Second Department of Internal Medicine, Gifu University School of Medicine
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TAKAYA TADATAKE
The Second Department of Internal Medicine, Gifu University School of Medicine
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NAGANO TOSHIHIKO
The Second Department of Internal Medicine, Gifu University School of Medicine
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HIRAKAWA SENRI
The Second Department of Internal Medicine, Gifu University School of Medicine
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Nakano Tatsuo
The Second Department Of Internal Medicine Gifu University School Of Medicine
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Tanaka Tsutomu
The 2nd Dept. Of Intern. Med. Gifu Univ. School Of Med. Gifu
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Noda Toshiyuki
Second Department Of Internal Medicine Gifu University School Of Medicine
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Arakawa Micho
2nd Dept Of Int Med Gifu Univ
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Arakawa Michio
Second Department Of Internal Medicine Gifu University School Of Medicine
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Arakawa Michio
Gifu University School Of Medicine
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Hirakawa S
The 2^<nd> Department Of Internal Medicine Gifu University School Of Medicine
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Hirakawa Senri
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Tanaka Tsutomu
Second Department Of Internal Medicine Gifu University School Of Medicine
-
Takaya Tadatake
Second Department Of Internal Medicine Gifu University School Of Medicine
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Nagano Toshihiko
Department Of Cardiology Gifu Prefectural General Medical Center
-
Arakawa Michio
Second Department Of Internal Medicine Gifu University School Of Medicine.
-
Noda Toshiyuki
Department Of Cardiology Gifu Prefectural General Medical Center
-
Nagano T
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Yamaguchi Masato
Second Department Of Internal Medicine Gifu University School Of Medicine
-
Tanaka Tsutomu
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Hirakawa Senri
2nd. Dept. Of Intern. Med Gifu Univ. School Of Med
-
Arakawa Michio
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Yamaguchi Masato.
Second Department Of Internal Medicine Gifu University School Of Medicine
-
Hirakawa Senri
岐阜大学 第2内科
-
Takaya Tadatake
2nd Dept Of Int Med Gifu Univ
-
Yamaguchi Masato
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Nagano Toshihiko
岐阜大学 第2内科
-
Arakawa Michio
2nd Dept Of Int Med Gifu Univ
-
Arakawa Michio
岐阜大学 第2内科
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Hirakawa Senri
Second Department Of Internal Medicine Gifu University School Of Medicine.
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Hirakawa Senri
The 2 Depart. Of Intern. Med. Gifu Univesity Of Med.
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