CLINICAL CHARACTERISTICS AND POSSIBLE ROLE OF CORONARY ARTERY SPASM IN SYNCOPE AND/OR ABORTED SUDDEN DEATH
スポンサーリンク
概要
- 論文の詳細を見る
We investigated the clinical and pathophysiologic characteristics in patients with vasospastic angina who developed syncope and/or experienced aborted sudden death (SD). Vasospastic angina was diagnosed using the methylergonovine test. Syncope was found in 32 (10.4%) patients among 309 who were admitted to our institute in a one-year period. The most frequent cause of syncope was ventricular tachycardia which was found in 10 (31.2%) of the 32 patients. The next important cause of syncope was vasospastic angina which was found in 7 patients (21.8%). Among the 7 patients with vasospastic angina who experienced one or more syncopal episodes, there were 3 patients with aborted SD, 3 with syncope and one with shock. Cardiovascular collapse was observed in 4. Interior wall ischemia was found in 5 and anterior wall ischemia in 2 during the methylergonovine test. None of the 7 patients had significant coronary stenosis. Two patients had no prodromal symptom such as chest pain. Our results suggest that coronary artery spasm may be one of the most frequent cardiovascular diseases that causes syncope which is not always accompanied by a prodromal symptom. Therefore, coronary spasm should be distinguished in patients with unexplained syncope or aborted SD.
- 社団法人日本循環器学会の論文
- 1990-12-20
著者
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Shibata Akira
Division Of Cardiology Niigata University Graduate School Of Medical And Dental
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Shibata A
First Dept Of Internal Medicine
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Shibata A
Division Of Cardiology Niigata University Graduate School Of Medical & Dental Sciences
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Yamamoto Tomohiko
Niigata Teishin Hospital
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Chinushi Masaomi
First Department Of Internal Medicine Niigata University School Of Medicine
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Matsubara Taku
the First Department of Internal Medicine
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Aizawa Yoshifusa
the First Department of Internal Medicine
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Yamazoe Masaru
the First Department of Internal Medicine, Niigata University School of Medicine
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Tamura Yusuke
the First Department of Internal Medicine, Niigata University School of Medicine
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Igarashi Yutaka
Tsuruoka City Shonai Hospital
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CHINUSHI Masaomi
the First Department of Internal Medicine, Niigata University School of Medicine
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Tanabe Yasuhiko
Saiseikai Niigata Daini Hospital
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Matsubara Taku
Shinrakuen Hospital
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Matsubara T
Division Of Cardiology Shinrakuen Hospital
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Matsubara Taku
新潟大学 医歯学総合研究科循環器学分野
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Yamaura Masayuki
Department Of Cardiology Niigata City General Hospital
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Murakawa Yuji
The Second Department Of Internal Medicine. Faculty Of Medicine University Of Tokyo
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Matsubara Taku
First Department of Internal Medicine
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Shibata Akira
The First Department of Internal Medicine, Niigata University School of Medicine
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Tanabe Yasuhiko
Department Of Internal Medicine Niigata Prefectural Shibata Hospital
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Shibata Akira
The First Department Of Internal Medicine Niigata University School Of Medicine Tachikawa Hospital T
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Saeki Makihiko
The First Department Of Internal Medicine Niigata University School Of Medicine
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Matsubara T
First Department Of Internal Medicine Institute Of Nephrology Niigata University School Of Medicine
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Yamazoe Masaru
Niigata City General Hospital
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Yamazoe Masaru
First Department Of Internal Medicine
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YAMAGUCHI TOSHIO
The First Department of Internal Medicine, Niigata University School of Medicine
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IGARASHI YUTAKA
The First Department of Internal Medicine, Niigata University School of Medicine
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TANABE YASUHIKO
The First Department of Internal Medicine, Niigata University School of Medicine
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Tanabe Yasuhiko
The First Department Of Internal Medicine
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Yamamoto Tomohiko
The First Department of Internal Medicine
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Yamaguchi Toshio
Niigata Teishin Hospital
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Yamazoe Masaru
The First Department Of Internal Medicine Niigata University School Of Medicine
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Shibata Akira
First Department Of Internal Medicine Niigata University Niigata Case Western Reserve University
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Shibata Akira
The First Department Of Internal Medicine Niigata University School Of Medicine
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Igarashi Yutaka
First Department Of Internal Medicine Niigata University School Of Medicine
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Yamazoe Masaru
First Department Of Medicine Niigata University
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Makiyama Yashiro
Niigata City General Hospital
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Shibata Akira
The Frist Department Of Internal Medicine Niigata University School Of Medicine
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Igarashi Yutaka
The First Department Of Internal Medicine Niigata University School Of Medicine
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Yamaguchi Toshio
The First Department Of Internal Medicine Niigata University School Of Medicine
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Murakami Yuji
The Second Department Of Internal Medicine. Faculty Of Medicine University Of Tokyo
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Shibata Akira
The 1st. Depertment Of Internal Medicine Niigata University School Of Medicine.
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Aizawa Yoshifusa
The First Department Of Internal Madicine Niigata University School Of Medicine
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Chinushi Masaomi
The First Department of Internal Medicine, Niigata University of Medicine
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