RECURRENT PAROXYSMAL HYPOTENSION AND BRADYCARDIA IN A PATIENT WITH PHARYNX TUMOR METASTASIS TO THE CERVICAL LYMPH NODES
スポンサーリンク
概要
- 論文の詳細を見る
In a 64-year-old male, recurrent syncope, hypotension and bradycardia developed repeatedly. The systolic blood pressure fell and could not be measured by auscultation method and the heart rate decreased to under 20 bpm. He recovered from unconsciousness in several minutes. No precipitating cause was apparent for such episodes. Physical examination revealed swollen lymph nodes in the upper cervical regions .Carotid sinus massage caused a fall of systolic blood pressure by 40 mmHg and the P-P interval lengthened to 1.96 sec. The otolaryngeal examination showed neoplasma in the pharynx. He received irradiation therapy on the primary lesion and the bilateral metastatic lesions. After irradiation (4,000 rad), the paroxysmal hypotension and bradycardia disappeared concomitantly with the reduction in size of the metastatic tumor. Hypersensitiveness to carotid sinus massage, however, remained unchanged. In this case, the metastatic tumor around the carotid sinus seemed to be related to the syncope and the hemodynamic collapse.
- 社団法人日本循環器学会の論文
- 1986-03-20
著者
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Aizawa Yoshifusa
the First Department of Internal Medicine
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Murata Minoru
Mito Saiseikai Hospital
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Shibata Akira
The First Department of Internal Medicine, Niigata University School of Medicine
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Sato Akinori
The First Department Of Internal Medicine Niigata University School Of Medicine
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Shibata Akira
1st Department Of Internal Medicine Niigata University School Of Medicine
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ARAI YUTAKA
The First Department of Internal Medicine, Niigata University School of Medicine
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Murata Minoru
The First Department of Internal Medicine, Niigata University School of Medicine
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MORIKAWA Masatsugu
First Department of Medicine, Niigata University School of Medicine
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MORIKAWA MASATSUGU
The First Department of Internal Medicine, Niigata University
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Shibata Akira
First Department Of Internal Medicine Niigata University Niigata Case Western Reserve University
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Shibata Akira
The First Department Of Internal Medicine Niigata University School Of Medicine
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Arai Yutaka
The First Department Of Internal Medicine Niigata University Schoool Of Medicine
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Arai Yutaka
The First Department Of Internal Medicine Niigata University School Of Medicine
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OJIMA KENN
The First Department of Internal Medicine, Niigata University School of Medicine
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Murata Minoru
The First Department Of Internal Medicine Niigata University School Of Medicine
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Morikawa Masatsugu
First Department Of Medicine Niigata University School Of Medicine
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Arai Yutaka
The 1st Dept. Of Intern. Med. Niigata Univ. School Of Med.
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Ojima Kenn
The First Department Of Internal Medicine Niigata University School Of Medicine
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Aizawa Yoshifusa
The First Department Of Internal Madicine Niigata University School Of Medicine
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