FUNCTIONAL LIMITATION OF RECRUITABLE COLLATERALS IN HUMAN SUBJECTS : ST Segment Deviation on Intracoronary Electrocardiogram during Transient Coronary Occlusion Induced by Balloon Inflation
スポンサーリンク
概要
- 論文の詳細を見る
Three patients showed ST elevation on precordial electrocardiogram and ST depression on intracoronary electrocardiogram during angioplasty of the left anterior descending coronary arteries (LAD). While none of the patients had spontaneously visible collaterals, all showed transient recruitable collaterals to the LAD. No evident collaterals into the diagonal branches were observed. Possibly, if the intracoronary electrocardiogram represents the potential changes of the epicardial surface in the vicinity of the guidewire tip, then endocardial ischemia may have developed even though epicardial ischemia was not observed, due to relatively sufficient blood flow through the recruitable collaterals to the LAD. ST elevation on the precordial electrocardiogram may have represented epicardial and endocardial ischemia of the diagonal branches, where the recruitable collaterals could not protect against transmural ischemia. These phenomena suggest that the recruitable collaterals are functionally limited during acute coronary occlusion, even though the collaterals are well developed.
- 社団法人日本循環器学会の論文
- 1993-07-20
著者
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Shimizu Masami
the Second Department of Internal Medicine, Kanazawa University Hospital
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TAKEDA Ryoyu
Department of Internal Medicine, Hokuriku Hospital
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MIFUNE Junichiro
Fukui Cardiovascular Center
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MURAKAMI Tatsuaki
Department of Internal Medicine,Fukui Cardiovascular Center
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MIFUNE Junichiro
Department of Internal Medicine,Fukui Cardiovascular Center
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Takeda Ryoyu
The Second Department of Internal Medicine, School of Medicine, Kanazawa University
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Mifune Jun-ichiro
Fukui Cardiovascular Center
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Takeda Ryoyu
Department Of Internal Medicine Hokuriku Hospital
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Takeda Ryoyu
金沢大学 医学部内科学
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Takeda Ryoyu
高岡病院(厚生連)
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Takeda Ryoyu
Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Takeda Ryoyu
The 2nd Department Of Internal Medicine Kanazawa University School Of Medicine
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Takeda Ryoyu
The Second Department Of Internal Medicine Kanazawa University School Of Medicine.
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YOSHIO HIROYUKI
The Second Department of Internal Medicine, Kanazawa University School of Medicine
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Mifune Junichiro
Department Of Internal Medicine Fukui Cardiovascular Center
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Murakami Tatsuaki
Department Of Cardiology Fukui Cardiovascular Center
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Mifune Jun-ichiro
Department Of Internal Medicine Fukui Cardiovascular Center
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Takeda Ryoyu
The 2nd Dept. Int. Med. Kanazawa Univ.
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Shimizu Masami
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Murakami Tatsuaki
Department Of Internal Medicine Fukui Cardiovascular Center
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Yoshio Hiroyuki
Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Yoshio Hiroyuki
Department Of Internal Medicine Fukui Cardiovascular Center
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Mifune Junichiro
Department Of Medicine Tokyo Metropolitan Geriatric Hospital And Department Of Clinical Physiology T
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Takeda Ryoyu
Department Of Internal Medicine Federation Of National Public Service Personnel Mutual Aid Associati
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Shimizu Masami
The Second Department Of Internal Medicine Kanazawa University Hospital
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Shimizu Masami
Molecular Genetics Of Cardiovascular Disorders Division Of Cardiovascular Medicine Graduate School O
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Murakami Tatsuaki
Department Of Cardiology
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Murakami Tatsuaki
Department Of Applied Chemistry Faculty Of Engineering Chiba University
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Murakami Tatusaki
福井循環器病院
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Yoshio Hiroyuki
The Second Department Of Internal Medicine Kanazawa University School Of Medicine
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