FRAGMENTATION HEMOLYSIS IN A PATIENT WITH HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY AND MITRAL VALVE PROLAPSE
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概要
- 論文の詳細を見る
We encountered a 65-year-old female with hypertrophic obstructive cardiomyopathy and mitral valve prolapse who had infective endocarditis and hemolytic anemia. The infecting organism of endocarditis was group A streptococci. With regard to the etiology of the hemolytic anemia, fragmentation hemolysis was considered because fragmented red cells and elevated lactic dehydrogenase were observed. Haptoglobin was markedly decreased. Coombs' test, Ham's test and abnormal hemoglobin were negative. She had not had a hemolytic attack in the past. Ultrasonic cardiography showed asymmetrical septal hypertrophy, mitral valve prolapse and 285 mmHg of calculated pressure gradient in the left ventricle. Cardiac catheterization showed 115 mmHg of left intraventricular pressure gradient and mitral regurgitation (grade 2). Hemolysis was slightly improved after treatment with propranolol. Thus, fragmentation of the normal red cells seemed to be due to shear stress.
- 社団法人日本循環器学会の論文
- 1992-09-20
著者
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IIMURA Osamu
Sapporo Medical University
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical University School Of Medicine
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Shimamoto Kazuaki
手稲渓仁会病院 総合内科
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IIMURA Osamu
Division of Nephrology, Department of Internal Medicine, Jichi Medical School
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Iimura Osamu
The Second Department Of Internal Medicine Sapporo Medical College
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MAEDA TSUYOSHI
Department of Internal Medicine, Nippon Steel Corporation Muroran Works Hospital
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ASHIE TAKESHI
Department of Internal Medicine, Nippon Steel Corporation Muroran Works Hospital
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KIKUIRI KUNIYASU
Department of Internal Medicine, Nippon Steel Corporation Muroran Works Hospital
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FUKUYAMA SHUZABURO
Department of Internal Medicine, Nippon Steel Corporation Muroran Works Hospital
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YAMAGUCHI YASUKAZU
Department of Internal Medicine, Nippon Steel Corporation Muroran Works Hospital
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YOSHIDA ERIO
The Second Department of Internal Medicine, Sapporo Medical College
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SHIMAMOTO KAZUAKI
The Second Department of Internal Medicine, Sapporo Medical College
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IIMURA Osamu
Hokkaido JR Sapporo Hospital
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Iimura O
Sapporo Medical Univ.
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Iimura O
Sapporo Medical University
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Yoshida Erio
The Second Department Of Internal Medicine Sapporo Medical College
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Iimura Osamu
Department Of Nephrology Jichi Medical School
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical College. Sapporo. Japan
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Iimura Osamu
The 2nd Department Of Internal Medicine Sapporo Medical College
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Ashie Takeshi
Department Of Cardiology Shin-nittetsu Muroran General Hospital
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Ashie Takeshi
Department Of Internal Medicine Nippon Steel Corporation Muroran Works Hospital
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Maeda Tsuyoshi
Department Of Internal Medicine Nippon Steel Corporation Muroran Works Hospital
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Iimura Osamu
Japan Multicenter Investigation for Cardiovascular Diseases-B Study Group
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Iimura Osamu
The 2nd. Department Of Internal Medicine Sapporo Medical College
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Iimura Osamu
The Second Department Of Internal Medicine Sappolo Medical College
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Kikuiri Kuniyasu
Department Of Internal Medicine Nippon Steel Corporation Muroran Works Hospital
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Yamaguchi Yasukazu
Department Of Internal Medicine Nippon Steel Corporation Muroran Works Hospital
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Fukuyama Shuzaburo
Department Of Internal Medicine Nippon Steel Corporation Muroran Works Hospital
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Shimamoto Kazuaki
The Seceond Department Of Internal Medicine Sapporo Medical University School Of Medicine
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Iimura O
Department Of Nephrology Jichi Medical School
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Iimura Osamu
The Secone Department Of Internal Medicine Sapporo Medical College
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Maeda Tsuyoshi
Department Of Applied Chemistry Faculty Of Science And Engineering Kinki University
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IIMURA OSAMU
The Second Department of Internal Mdicine, Sapporo Medical College
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