ESTIMATION OF INFARCT SIZE USING SERUM TROPONIN T CONCENTRATION IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

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概要

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• To estimate the size of myocardial infarction, serum troponin T concentration was measured in 34 patients with acute myocardial infarction. Left ventriculography, 2-dimensional echocardiography and resting ^<20l>thallium myocardial single photon emission computed tomography (SPECT) were performed about 4 weeks after the onset of myocardial infarction and used for correlation with the late serum troponin T peak concentration which occurred on the 3rd to 5th day after onset. Both left ventricular ejection fraction (LVEF) obtained from left ventriculography and wall motion index (WMI) obtained from 2-dimension-al echocardiography were inversely related to late troponin T peak value (LVEF: r=-0.68, p<0.001, WMI: r=-0.70, p<0.001). Extent score (ES) and severity score (SS), which were estimated from the initial resting ^<20l>thallium SPECT image, showed excellent linear correlations with late troponin T peak concentrations (ES: r=0.77, p<0.001, SS: r=0.66, p<0.001). This correlation was present both in patients with an early troponin T peak on day 1 (group A-16 patients) and in those without an early peak (group B-10 patients). Thus, late troponin T peak concentration can be used to predict infarct size regardless of the kinetics of its appearance in serum.

• 社団法人日本循環器学会の論文
• 1993-10-20

著者

• Yanagi Shiro

  Division Of Cardiology Fuchu Hospital

• Toda Iku

  Division Of Cardiology Bell Land General Hospital

• Yamagishi Hiroyuki

  First Department of Internal Medicine Osaka City University Medical School

• Akioka Kaname

  First Department of Internal Medicine Osaka City University Medical School

• Toda Iku

  First Department of Internal Medicine Osaka City University Medical School

• Yoshiyama Minoru

  First Department of Internal Medicine Osaka City University Medical School

• Teragaki Masakazu

  First Department of Internal Medicine Osaka City University Medical School

• Takeuchi Kazuhide

  First Department of Internal Medicine Osaka City University Medical School

• Takeuchi Kazuhide

  大阪市立大学 医学研究科循環器病態内科学

• Takeuchi Kazuhide

  The First Department Of Internal Medicine Osaka City University Medical School

• OMURA Takashi

  First Department of Internal Medicine, Osaka City Unitersity Medical School

• Tani Tomoko

  First Department of Internal Medicine, Osaka City University Medical School

• Takeda Tadanao

  First Department of Internal Medicine, Osaka City University Medical School

• Yanagi Shiro

  First Department of Internal Medicine, Osaka City University Medical School

• Takeda Tadanao

  First Department Of Internal Medicine Osaka City University Medical School

• Takeda Tadanao

  First Department Of Internal Medecine Osaka City University Medical School

• Nishikimi Toshio

  First Department Of Internal Medicine Osaka City University Medical School

• Yamashita Hajime

  Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine

• Takeda Tadanao

  1st Department Of Internal Medicine Osaka City University Medical School

• Tani Tomoko

  First Department Of Internal Medicine Osaka City University Medical School

• OMURA Takashi

  First Department of Internal Medicine Osaka City University Medical School

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