Effects of Secondary Organ Failure on Compensation of Acute Heart Failure in Patients with Myocardial Infarct and Dilated Cardiomyopathy : COMPENSATORY MECHANISMS AND THEIR LIMITATIONS IN HEART FAILURE
スポンサーリンク
概要
- 論文の詳細を見る
Compensation for heart failure can be influenced by cardiac loads due to organ failure. This investigation studied the effect of secondary organ failure on the hemodynamics of acute heart failure. Of 106 patients with acute heart failure due to myocardial infarction or dilated cardiomyopathy, 49 (46%) patients had secondary organ failure, either kidney, liver, brain or blood. Their acute heart failure was sustained for significantly longer than that of 57 patients without organ failure. A transient but severe decompensation induced secondary organ failure, although the left ventricular ejection fraction was not different from that of the control without heart failure. Hypervolemia in cases of renal failure, bradycardia in loss of consciousness, hyperdynamic state in anemia and low blood pressure in liver dysfunction caused the sustained acute heart failure. These results suggested that secondary organ failure might occur in 46% of patients with acute heart failure, and might disrupt compensation by different kinds of hemodynamic loads in low cardiac function.
- 社団法人日本循環器学会の論文
- 1992-05-20
著者
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INOUE Teruo
Department of Cardiovascular and Renal Medicine, Saga University
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Sato Tsutomu
Department of Oral Health, Nippon Dental University School of Life Dentistry at Tokyo
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Hayashi Terumi
Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine
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Takayanagi Kan
Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine
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Morooka Shigenori
Department of Cardiology, Koshigaya Hospital, Dokkyo University School of Medicine
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Takayanagi Kan
Department Of Cardiology Dokkyo Medical University Koshigaya Hospital
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Inoue Teruo
Department Of Cardiology Koshigaya Hospital Dokkyo University School Of Medicine
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Takabatake Yutaka
Department Of Cardiology Dokkyo University School Of Medicine Koshigaya Hospital
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SAKAI Yoshihiko
Department of Cardiology Dokkyo University School of Medicine, Koshigaya Hospital
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Hayashi Terumi
Department Of Cardiology Koshigaya Hospital Dokkyo University School Of Medicine
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Morooka Shigenori
Department Of Cardiology Koshigaya Hospital Dokkyo University School Of Medicine
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Morooka Shigenori
Department Of Cardiology Dokkyo University School Of Medicine Koshigaya Hospital
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Satoh Tutomu
Department Of Cardiology Koshigaya Hospital Dokkyo University School Of Medicine
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Takizawa Kei
Department Of Cardiology Dokkyo Medical University Koshigaya Hospital
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Sakai Yoshihiko
Department Of Cardiology Dokkyo Medical University Koshigaya Hospital
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Sato Tsutomu
Department Of Applied Biological Chemistry Faculty Of Agriculture And Graduate School Of Science And
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Sato Tsutomu
Department Of Agricultural Chemistry Faculty Of Agriculture Yamaguchi University
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Sato Tsutomu
Departmenet of Physics,Faculty of Sience,Hirosaki University
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