EVALUATION OF RIGHT VENTRICULAR FUNCTION USING GATED EQUILIBRIUM BLOOD POOL RADIONUCLIDE VENTRICULOGRAPHY IN PATIENTS WITH CONGENITAL VOLUME AND PRESSURE OVERLOAD LATE AFTER SURGICAL REPAIR
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概要
- 論文の詳細を見る
The effects of congenital right ventricular pressure and volume overload were studied in 3 patients with pulmonary stenosis. 7 with atrial septal defect and 6 with atrial septal defect plus pulmonary stenosis late after successful surgical correction. Gated equilibrium blood pool radionuclide ventriculography was used to measure right ventricular function at rest and during exercise and to compare it with eight normal subjects. Right ventricular ejection fractions at rest and during exercise were measured to be 61±9% and 66±13%. respectively , in the group with pulmonary stenosis. 49±7% and 54±8% in the group with atrial septal defect. and 65±13% and 69±13%, in the group with atrial septal defect plus pulmonary stenosis. The values in the groups with pulmonary stenosis and atrial septal defect plus pulmonary stenosis were significantly higher than the control subjects (45±5% and 51±5%, p<0.01) . The peak filling rate at rest and during exercise was also significantly higher in the groups with pulmonary stenosis and atrial septal defect plus pulmonary stenosis than in controls (at rest. 2.72±0.72, 2.53±0.94 vs. 1.64±0.24 p<0.05; during exercise. 4.38±1.23, 4.13±1.18 vs. 2.52±0.62, p<0.01). When patients with right ventricular systolic pressure equal to or greater than left ventricular systolic pressure and those with right ventricular systolic pressure less than left ventricular systolic pressure were compared, the right ventricular ejection fraction and peak filling rate were greater with the higher pressure at rest (71±10% and 3.12±0.81 vs. 55±3% and 2.30±0.27, p<0.05) and during exercise (75±11% and 4.86±1.01 vs. 59±3% and 2.61 ±0.35, p<0.05). Postoperative right ventricular hyperfunction may be due to preoperative pressure. but not volume. overload.
- 社団法人日本循環器学会の論文
- 1991-08-20
著者
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Komamura K
Department Of Cardiovascular Dynamics Research Institute National Cardiovascular Center
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Kodama K
Cardiovascular Division Osaka Police Hospital
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Kurose Kouichi
Project Team For Pharmacogenetics National Institute Of Health Sciences
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Matsumura Yasushi
Department Of Cardiology Osaka University School Of Medicine
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Matumura Yasushi
Ishinkai Yao General Hospital
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Kodama Kazuhisa
Department Of Animal Sciences College Of Bioresource Sciences Nihon University
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Kodama Kazuhisa
Division of Cardiology, Osaka Police Hospital
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Yamamoto Kazuhiro
Division of Cardiology, Shizuoka City Hospital
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Akamatsu Hiroki
Department Of Cardiology Nihon University Surugadai Hospital
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HIRATA NOBUAKI
Division of Cardiovascular Surgery and Cardiovascular Division, Osaka Police Hospital
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SAKAKIBARA TETSUO
Division of Cardiovascular Surgery and Cardiovascular Division, Osaka Police Hospital
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WATANABE SHINICHIRO
Division of Cardiovascular Surgery and Cardiovascular Division, Osaka Police Hospital
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NOMURA FUMIKAZU
Division of Cardiovascular Surgery and Cardiovascular Division, Osaka Police Hospital
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AKAMATSU HIROKI
Division of Cardiovascular Surgery and Cardiovascular Division, Osaka Police Hospital
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MATSUMURA YASUSHI
Division of Cardiovascular Surgery and Cardiovascular Division, Osaka Police Hospital
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SASAKI JIRO
Division of Cardiovascular Surgery and Cardiovascular Division, Osaka Police Hospital
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Kodama Kazuhisa
Cardiovascular Division Osaka Police Hospital
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Matshumura Yasushi
Department Of Meddical Information Science Osaka University Graduate School Of Medicine
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Komaki Kouichi
Division Of Animal Sciences College Of Bioresource Sciences Nihon University
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Hirata Nobuaki
Division Of Cardiovascular Surgery And Cardiovascular Division Osaka Police Hospital
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Kodama Kazuhisa
Division Of Cardiology Cardiovascular Center Saiseikai Kumamoto Hospital
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Yamamoto Kazuhiro
The Center For Advanced Medical Engineering And Informatics Osaka University
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Yamamoto Kazuhiro
Division Of Cardiology Shizuoka City Hospital
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Nomura Fumikazu
Division Of Cardiovascular Surgery And Cardiovascular Division Osaka Police Hospital
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Matsumura Yasushi
Division Of Cardiovascular Surgery And Cardiovascular Division Osaka Police Hospital
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Watanabe Shinichiro
Division Of Cardiovascular Surgery And Cardiovascular Division Osaka Police Hospital
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Yamamoto Kazuhiro
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Matsumura Yasushi
Osaka Acute Coronary Insufficiency Study (oacis) Group
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Hirata Nobuaki
Division Of Cardiology Osaka General Medical Center
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Sasaki Jiro
Division Of Cardiovascular Surgery And Cardiovascular Division Osaka Police Hospital
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Yamamoto Kazuhiro
Ultrasound Diagnostic Center Osaka University Hospital
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Komamura Kazuo
Department Of Cardiovascular Medicine National Cardiovascular Center
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Sakakibara Tetsuo
Division Of Cardiovascular Surgery And Cardiovascular Division Osaka Police Hospital
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Watanabe Shinichiro
Division Of Cardiology Sakurabashi Watanabe Hospital
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Matsumura Yasushi
Department Of Medical Information Science And The First Depertment Of Medicine Osaka University Medi
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