COMPARATIVE EFFECTS OF EARLY AND LATE REPERFUSION OF THE INFARCT-RELATED CORONARY ARTERY AND COLLATERAL CIRCULATION WHICH DEVELOPS AFTER INFARCTION ON LEFT VENTRICULAR SIZE AND FUNCTION
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概要
- 論文の詳細を見る
This study assesses the effects of early and late reperfusion of the infarct-related coronary artery and collateral circulation developed after infarction on left ventricular morphology and function in 22 patients with a first acute anterior myocardial infarction and without long-standing preinfarction angina. The patients were categorized into 4 groups: group A-5 patients with successful re-perfusion within 6 h after the onset of infarction: group B-6 patients with late patency of the infarct-related coronary artery; group C-6 patients without re-canalization of the infarct-related coronary artery who had good collateral circulation (collateral index (CI)=2 or 3); and group D-5 patients without re-canalization who had either poor or no collateral circulation (CI=0 or 1). The left ventricular size and function were evaluated by means of contrast left ventriculography during the chronic stage of infarction. The left ventricular global and regional functions were preserved better (p<0.05) in group A than in the other three groups. Although there was no difference in regional wall motion of the infarct area among groups B, C and D, the ejection fraction was greater (p<0.05) and the percentage perimetric circumference was smaller (p<0.05) in groups B and C than in group D. Among the 4 groups, the left ventricular end-diastolic volume index tended to be greater in group D. Thus, these results suggest that blood supply to the infarct area is essential for the preservation of left ventricular size and function regardless of the timing and route.
- 社団法人日本循環器学会の論文
- 1993-10-20
著者
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Fujita Masatoshi
Kyoto University
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Miwa Kunihisa
The Second Department of Internal Medicine, Kansai Electric Power Hospital
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Igawa Akihiko
Second Department Of Internal Medicine Graduate School Of Medicine University Of Toyama
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Igawa Akihiko
富山医科薬科大学 第2内科
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Miwa Kunihisa
Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Miwa Kunihisa
The 2nd Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Miwa Kunihisa
Fukuda General Hospital
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Igawa Akihiko
The Second Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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Fujita Masatoshi
The Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Yamanishi Kazuto
The Second Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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INOKO MORIAKI
The Second Department of Internal Medicine, Toyama Medical and Pharmaceutical University
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Yamanishi Kazuto
The 2nd Department of Internal Medicine Toyama Medical and Pharmaceutical University
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Inoko Moriaki
The Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Igawa Akihiko
The Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Furudate Masayori
Hokkaido Cardiac Metabolism Imaging Study Group
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Miwa Kunihisa
The Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Miwa Kunihisa
The Second Department Of Internal Medicine Kansai Electric Power Hospital
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Fujita Masatoshi
The 2nd Department Of Internal Medicine Toyama Medical & Pharmaceutical University
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Yamanishi Kazuto
The Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
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Yamanishi Kazuto
The 2nd Dept. Of Internal Med. Toyama Medical And Pharmaceutical University
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Mizumaki Kouichi
Second Department Of Internal Medicine Faculty Of Medicine Toyama Medical And Pharmaceutical University
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