Clinical Application of Echocardiographic Imaging to Diagnosis of Coronary Artery Disease : 53th Annual Scientific Session of the Japanese Circulation Society
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概要
- 論文の詳細を見る
Ergometer two-dimensional echocardiography was performed in 28 subjects complaining of chest pain but without myocardial infarction. Sequential ergometer loading was initiated at 50 or 75 watts, and increased in several stages. Apical four-chamber view two-dimensional echocardiograms were recorded onto video tape, and video images were converted into digital computer signals. After cine-loop display, computer image processing included noise reduction and edge enhancement, M-mode measurements were made at a designated level on the two-dimensional echo images. Wall motion was also analyzed directly from the two-dimensional echo images, using an auto-edge detection method. The derived data were compared with results from coronary angiograms. No echo abnormality was observed at rest, whereas during exercise wall motion was depressed at the diseased site of the angiogram; the amplitude of excursion and the changes in systolic and diastolic velocity were disturbed at the septum in LAD-involved patients, and in the posterolateral wall in both Cx and RCA patients. The imaging success rate using the computer-aided analysis was found to be 92.9%. Sensitivity for diagnosis of coronary artery disease was 82.1% and specificity 89.3%. Ergometer two-dimensional echocardiography with assisted computer image processing appears to be one of the most valuable tools for clinical real time evaluation of coronary artery disease.
- 社団法人日本循環器学会の論文
- 1990-03-20
著者
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Sato Yuichi
Department of Imaging, Health Park Clinic Kurosawa
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Sato Y
Department Of Cardiology Kawaguchi Municipal Medical Center
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Uchiyama Takahisa
Departments of Cardiology
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Yokoyama Shin-ichiro
昭和大学藤が丘病院 循環器内科
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Kajiwara Nagao
Department of Cardiology, Surugadai Nihon University Hospital
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Kajiwara Nagao
Department Of Cardiology Surugadai Nihon University Hospital
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Fujibayashi Yozo
Department of Cardiology, Surugadai Nihon University Hospital
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Fujibayashi Yozo
Department Of Cardiology Surugadai Nihon University Hospital
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Sato Yuichi
Department Of Imaging Health Park Clinic Kurosawa
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Kajiwara Nagao
Department Of Cardiology Surugadai Nihon University
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Kajiwara Nagao
Surugadai Nihon University Hospital
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Uchiyama Takahisa
Department Of Internal Medicine Nerima-hikarigaoka Hospital Nihon University
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SAKAMAKI Tatsuo
Department of Cardiology, surugadai Nihon University Hospital
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Yokoyama Shinichiro
Department Of Cardiology Nihon University School Of Medicine
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Sakamaki Tatsuo
Department Of Internal Medicine Nihon University School Of Dentistry At Matsudo
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Yokoyama Shinichiro
Department Of Medicine Division Of Cardiovascular Medicine Nihon University School Of Medicine
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Uchiyama Takahisa
Department Of Cardiology Nihon University Nerimahikarigaoka Hospital
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Uchiyama Takahisa
Department Of Internal Medicine Nihon University Nerima-hikarigaoka Hospital
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Sato Yoshiyuki
Department Of Cardiology Nihon Univeristy School Of Medicine
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Sato Yuichi
Department Of Applied Tumor Pathology Kitasato University Graduate School Of Medical Sciences
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Uchiyama Takahisa
Division Of Cardiology Surugadai Nihon Univ. Hospital
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Sato Yuichi
Department Of Applied Chemistry Faculty Of Engineering Kanagawa University
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Sakamaki Tatsuo
Department Of Cardiology Surugadai Nihon University Hospital
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Nagao Ken
Department Of Cardiology Resuscitation And Emergency Cardiovascular Care Surugadai Nihon University
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Kajiwara Nagao
Departmemt of Cardiology, Surugadai Nihon University Hospital
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