VECTORCARDIOGRAPHIC FINDINGS IN CONCENTRIC AND ECCENTRIC LEFT VENTRICULAR HYPERTROPHY AS DETERMINED BY ANGIOCARDIOGRAMS 1.Preliminary report
スポンサーリンク
概要
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In forty-one patients with various heart diseases including 29 with LVH, the vectorcardiograms of Frank system and angiocardiographic findings correlated minutely. Based on the left ventricular wall thickness in end-diastole, left ventricular end-diastolic volume, and the length of the long axis of the left ventricle obtained in angiocardiograms, typical left ventricular hypertrophy was classified into types 1a, 1b, 2a, 2b anatomically. The vectorcardiograms in these 4 types represented different patterns with regard to the QRS and T loops respectively. The QRS voltage in the left ventricular hypertrophy closely correlated to the left ventricular wall thickness in end-diastole, the left ventricular end-diastolic volume, and the left ventricular mass. Marked ST and T changes in the left ventricular concentric hypertrophy characterized by increase in wall thickness without definite chamber enlargement may be closely related to the abnormal muscle state with the increased left ventricular wall thickness, and probably due to relative hypoxia in origin. The Q loop of patients with severe left ventricular concentric hypertrophy was definitely differentiated from that of most patients with the pure left ventricular eccentric hypertrophy which was characterized by chamber enlargement with usually slight thickening of the wall. A possible mechanism regarding inconspicuous or prominent Q loops in both concentric and eccentric LVH was presented. An important factor of the delay of the time of occurrence of the spatial R vector in the left ventricular eccentric hypertrophy is the greater distance of the intraventricular conducting pathways caused by the left ventricular dilatation. By means of assessing the vectorcardiogram of the left ventricular hypertrophy, relatively exact anatomy of the left ventricular hypertrophy can be determined.
- 社団法人日本循環器学会の論文
- 1975-04-20
著者
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Yaginuma Toshio
Central Clinical Laboratory Kyoto University Hospital
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Yaginuma Toshio
3rd Dept. Of Intern. Med. Kyoto Univ. School Of Med.
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Ishizawa Kazutoshi
Osaka Hospital Jap. National Railways.
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Ishizawa Kazutoshi
3rd Department Of Medicine Kyoto University
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Ishizawa Kyoko
3rd Div. Dept Of Intern. Med. & 2nd Div. Dept Of Surg. Kyoto Univ. Faculty Of Med.
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Nohara Yoshitsugu
3rd Med. Clin., Kyoto Univ. Hosp.
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Sakurai Tsunetaro
Dept. of Intern. Med. II. Kyoto Univ.
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Ishizawa Kyoko
3rd Div. Dept. Of Intern. Med. Faculty Of Med. Kyoto University.
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MURAI KENICHIRO
3rd Div. Dept. of Intern. Med. Kyoto Univ. School of Med.
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Chen Cheng-Hsiung
III Div., Dept, of Intern. Med., Kyoto Univ.
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Chen Cheng-hsiung
Iii Div. Dept Of Intern. Med. Kyoto Univ.
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ISHIZAWA KAZUHIRO
3rd Medical Clinic, Kyoto University Hospital
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MURAI KENICHIRO
3rd Medical Clinic, Kyoto University Hospital
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MOTOMURA MASAKAZU
3rd Medical Clinic, Kyoto University Hospital
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MATSUOKA JITSUYA
3rd Medical Clinic, Kyoto University Hospital
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CHEN CHENG-HSIUNG
3rd Medical Clinic, Kyoto University Hospital
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SAKURAI TSUNETARO
3rd Medical Clinic, Kyoto University Hospital
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WAKABAYASHI AKIRA
3rd Medical Clinic, Kyoto University Hospital
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Murai Kenichiro
3rd Medical Clinic Kyoto University Hospital
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ISHIZAWA KAZUTOSHI
3rd Medical Clinic, Kyoto University Hospital
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MATUOKA JITSUYA
3rd Medical Clinic, Kyoto University Hospital
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Nagai Yoshikazu
Second Department Of Internal Medicine Tokyo Medical University
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Chen Cheng-hsiung
The 3rd Division Dept Of Internal Medicine Faculty Of Medicine Kyoto University
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Nohara Yoshitsugu
3rd Div. Dept. Of Intern. Med. Kyoto Univ. Hosp.
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Nohara Yoshitsugu
The Department Of Internal Medicine Tokyo Medical College
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Sakurai Tsunetaro
Department Of Biomedical Information Science Kyoto University Hospital
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Motomura Masakazu
3rd Medical Clinic Kyoto University Hospital
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Nohara Yoshitsugu
Tokyo Madical College
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Nohara Yoshitsugu
The 3rd Department Of Internal Medicine Kyoto University
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Nohara Yoshitsugu
3rd Dept. Of Intern. Med. Kyoto Univ. School Of Med.
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Wakabayashi Akira
The 3rd Division Department Of Internal Medicine Facutly Of Medicine Kyoto University
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Sakurai Tsunetaro
3rd Medical Clinic Kyoto University Hospital
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Nohara Yoshitsugu
Kyoto Medical Association For Prevention Of Cardiovascular Disease
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Nohara Yoshitsugu
3rd Medical Clinic Kyoto University Hospital
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Ishikawa Kaichiro
3rd Div. Dept. Of Intern. Med. Faculty Of Med. Kyoto University.
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Nohara Yoshitsugu
The 3rd Division Department Of Internal Medicine School Of Medicine Kyoto University
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Matuoka Jitsuya
3rd Medical Clinic Kyoto University Hospital
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Nohara Yoshitsugu
Department Of Internal. Medicine Kyoto University School Of Medicine
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Wakabayashi Akira
3rd Medical Clinic Kyoto University Hospital
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Wakabayashi Akira
Maekawa Clinic Kyoto University School Of Medicine
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Wakabayashi Akira
The 3rd Medical Clinci Kyoto University Hospita
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Chen Cheng-hsiung
3rd Medical Clinic Kyoto University Hospital
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Ishizawa Kyoko
3rd Department Of Medicine Kyoto University
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Wakabayashi Akira
The 3rd Division Of Internal Medicine Kyoto University
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