PERSISTENT ELEVATION OF CARDIAC ENZYMES IN A PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY : With Special Reference to Electrocardiographic, Echocardiographic and 201-thallium Myocardial Scintigraphic Findings : The 53th Annual Scientific Session of the Japane
スポンサーリンク
概要
- 論文の詳細を見る
A 17-year-old female patient with hypertrophic cardiomyopathy whose serum cardiac enzymes (creatine phosphokinase = CPK, lactic dehydrogenase = LDH) showed persistent elevation was presented. Percent of CPK-MB and LDHl in 6-year-follow-up period ranged from 3.2% to 8.5%, and 58.0% to 63.2%, respectively. This finding strongly suggests the existence of a small amount of continuous myocardial necrosis for a long time. The influence of cardiac enzyme release on the heart was assessed by serial checks of electrocardiogram, echocardiogram and 201-thallium myocardial scintigram. In serial checks of electrocardiograms, markedly decreased R wave amplitude ranging between 31% and 47% was observed in II, III, aVF and V3-6. On echocardiograms, asymmetric septal hypertrophy and a narrow left ventricular cavity were observed in all echocardiograms through the follow-up period. But, in most recent apical two-dimensional echocardiograms, hourglass appearance of the left ventricle due to a distinct cavity-formation at the apex was observed. In 201-thallium single photon emission computed tomogram, hypoperfusion area markedly extended in anterior and lateral parts. These changes in electrocardiograms, echocardiograms and 201-thallium myocardial scintigrams seemed to reflect myocardial necrosis. Our case points to a mechanism for hypertrophic cardiomyopathy to change, over time, to dilated cardiomyopathy-like features.
- 社団法人日本循環器学会の論文
- 1990-04-20
著者
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Hiwada Kunio
The 2nd Department Of Internal Medicine Ehime University School Of Medicine
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KOKUBU TATSUO
Department of Internal Medicine, Kinki Central Hospital
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HAMADA Mareomi
The 2nd Department of Internal Medicine, Ehime University School of Medicine
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SHIGEMATSU Yuji
The 2nd Department of Internal Medicine, Ehime University School of Medicine
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Sumimoto Takumi
The 2nd Department of Internal Medicine, Ehime University school of Medicine
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Kokubu Tatsuo
Department Of Internal Medicine Kinki Central Hospital
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Kokubu Tatsuo
The Department Of Internal Medicine Kinki Central Hospital
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Sumimoto Takumi
Hypertension Center Kinki Central Hospital
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Fujiwara Yasushi
The 2nd Department Of Internal Medicine Ehime University School Of Medicine
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Kokubu Tatsuo
3rd Dept. Of Intern. Med.. Osaka Univ. Med. School.
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Hayashi Makoto
Division Of Cardiology Uwajima City Hospital
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Kokubu Tatsijo
3rd Dept. Of Intern. Med.. Osaka Univ. Med. School.
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Hamada Mareomi
The 2nd Department Of Internal Medicine Ehime University School Of Medicine
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Kokubu Tatsijo
The 3rd Department Of Medicine Osaka University Hospital
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Kokubu Tatsuo
The Department Of Internal Medicine Kinki Contral Hospital
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