THE RELATIONSHIP BETWEEN CHEST PAIN DURING THALLIUM-201 SCINTIGRAPHY WITH DIPYRIDAMOLE AND MYOCARDIAL ISCHEMIA
スポンサーリンク
概要
- 論文の詳細を見る
Dipyridamole thallium-201 scintigraphy (DP-Tl) and coronary angiography were studied on 74 patients with suspected coronary artery disease. We compared the clinical features, hemodynamic responses, angiographic results and scintigraphic findings of patients who had chest pain during DP-Tl testing ('chest pain' group) with those of patients who did not have chest pain ('no pain' group). Thirty eight (51%) of the 74 patients developed chest pain. Heart rate and rate pressure product during DP infusion of 'chest pain' group were greater than those of the 'no pain' group (p<0.05). Ischemic ST depression was more frequently observed among 'chest pain' patients (p<0.01). There were no differences in angiographic severity of coronary artery disease between 'chest pain' and 'no pain' group. Also, we could find no differences in extent and severity scores of perfusion defects and washout abnormalities between the two groups. However, when patients with myocardial infarction were excluded, the 'chest pain' group had significantly greater extent and severity scores of washout abnormalities than the 'no pain' group (extent score: 38±8 vs 18±5. p%lt;0.05, severity score: 55±15 vs 18±7, p<0.01). Our study indicated that in patients without myocardial infarction, patients with 'chest pain' had more severe ischemia than 'no pain' patients. But in patients with myocardial infarction, myocardial ischemia not accompanied by chest pain might be as severe as that with chest pain. The presence or absence of myocardial infarction might have great influence on results regarding the relation of chest pain to myocardial ischemia.
- 社団法人日本循環器学会の論文
- 1991-05-20
著者
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Yamaguchi Seiji
Internal Medicine Sagae Hospital
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Tsuiki Kai
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Takeishi Yasuchika
The First Department of Internal Medicine, Yamagata University School of Medicine
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Takeishi Yasuchika
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Kanaya Tohru
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Ikeda Kozue
The First Department of Internal Medicine, Yamagata University School of Medicine
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YASUI SHOJI
Nagoya National Hospital
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Yamauchi Sou
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Kanaya Toru
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Yasui S
The Department Of Public Health
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Yasui Shoji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Ikeda Kozue
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Tonooka Ichiro
The First Department of Internal Medicine, Yamagata University School of Medicine
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Hoshi Hikaru
The First Department of Internal Medicine and Clinical Laboratory, Yamagata University School of Med
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Meguro Mitsuhiko
The First Department of Internal Medicine Yamagata University School of Medicine
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TONO-OKA ICHIRO
The First Department of Internal Medicine, Yamagata University School of Medicine
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Masakane Ikuto
The First Department of Internal Medicine, Yamagata University School of Medicine
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Yamaguchi Seiji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Yasui Shoji
The Fiest Department Of Internal Medicene Yamagata University School Of Medicine
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Tuiki Kai
The 1st Dept. of Yamagata University
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Tonooka Ichiro
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Ikeda Kozue
The 1st Dept. Of Int. Med. Yamagata Univ. School Of Med.
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Hoshi Hikaru
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Konta Tsuyoshi
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Masakane Ikuto
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Tono-oka Ichiro
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Tsuiki Kai
The 1st Department Of Internal Medicine Yamagata University School Of Medicine
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Meguro Mitsuhiko
The Faculty Of Science And Technology Keio University:(present Address) The University Of Electro-co
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Kanaya Tohru
First Department Of Internal Medicine And Department Of Radiology Yamagata University School Of Medi
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Ikeda Kozue
The First Department Of Internal Medicine And Clinical Laboratory Yamagata University School Of Medi
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Takahashi Keiji
The First Department Of Internal Medicine Yamagata University School Of Medicine
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Yamauchi Sou
Sagae City Hospital
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