Diagnosis and Classification of Primary Myocardial Disease with the Aid of Endomyocardial Biopsy
スポンサーリンク
概要
- 論文の詳細を見る
1. By utilizing the endomyocardial biopsy, such diseases as myocarditis, myocardial sarcoidosis or giant cell myocarditis, and glycogen storage disease could be excluded as secondary myocardial disease. Those cases of clinically diagnosed primary myocardial disease were classified into three major groups according to their histopathological patterns. They are 1)Myocardial hypertrophy, 2) Myocardial degeneration or fibrosis, and 3) Endocardial thickening. 2. Accordingly, 125 biopsied cases which were diagnosed as primary myocardial disease could be differentiated into our classification. A: I) Familial, II') Suspected familial, III) Nonfamilial B: I) Endocardial fibroelastosis, II) Idiopathic cardiomyopathy a. Myocardial hypertrophy. b. Myocardial degeneration or fibrosis. c. Endomyocardial disease. d. Undetermined. III) Postpartal heart disease. IV) Suspected secondary cardiomyopathy. 3. Studies in each groups disclosed the following results (a) In the hypertrophic group; high incidence (37.7%) of the proven and those of strongly suspective familial occurrence was noteworthy. In high percentage, electrocardiographic evidences of hypertrophy, ST.T change, and abnormal Q waves were also noted. The cases could be divided into obstructive and non-obstructive form according to their hemodynamic features. How-ever, 7 cases were considered to be intermediate form because of the variability of the hemodynamic and angiocardiographic findings. The biopsies from the obstructive and intermediate form often revealed abnormally hypertrophic myocardial fibers with abundant glycogen. It is considered that the obstructive cardiomyopathy is not a different disease but one of the extreme form of the hypertrophic type cardiomyopathy and cannot be clearly differentiated from those of non-obstructive form. It is suggested that the hypertrophic type is that of endogenous nature. (b) In cases of degenerative or fibrotic type; rather lower incidence (10.6%) of familial occurrance, and high incidence of electrocardiographic conduction disturbances and of ST.T changes were noteworthy. It is speculated that this group may be of exogenous nature. (c) In those cases in which endocardial thickening was pre-dominant, it was assumed that they are secondarily developed lesions to either hypertrophic or degenerative or fibrotic type cardiomyopathy. Clinical pictures were those of mixted type of the two. Infantile endocardial fibroelastosis was considered to be of different nature. It is concluded that the application of the endomyocardial biopsy will give a potential value in making a more detailed clinical diagnosis of primary myocardial disease as well as recognizing the disease process. This study was supported by Asahi Shinbun academic research grant (Asahi Gakuzyutsu Shourei-kin) in the year of 1969-1970.
- 社団法人日本循環器学会の論文
著者
-
Sekiguchi Morie
Heart Institute Japan Tokyo Women's Medical College
-
Konno Souji
Heart Institute Of Tokyo Women's Medical College
-
Konno Souji
Heart Institute Japan Tokyo Women 's Medical College
-
Sekiguchi Morie
Heart Institute Japan Tokyo Women 's Medical College
関連論文
- ETIOPATHOGENESIS OF JUVENILE AORTIC ANEURYSM : Surgery, Platelet and Thrombosis : FREE COMMUNICATIONS (III) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- A COMPARATIVE STUDY OF CORONARY ANGIOGRAMS AND HISTOPATHOLOGICAL FINDINGS IN CORONARY ATHEROSCLEROSIS : WITH SPECIAL REFERENCE TO THE MORPHOLOGICAL CHANGES BEFORE AND AFTER PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY(PTCA) : PTCA, Thrombosis : PROCEEDI
- COMPUTED TOMOGRAPHIC DIAGNOSIS OF AORTITIS SYNDROME : Computer Tomography, Radio-isotope : IVth Auditorium : Proceedings of the 43rd Annual Meeting of the Japanese Circulation Society, Tokyo, 1979
- SKELETAL MUSCLE ABNORMALITIES IN IDIOPATHIC CARDIOMYOPATHY : PROCEEDINGS OF THE 37TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- CLINICAL AND PATHOLOGICAL OBSERVATION EMPLOYING ENDOMYOCARDIAL BIOPSY IN HYPERTROPHIC TYPE OF PRIMARY MYOCARDIAL DISEASE
- Diagnosis and Clinical Spectrum of Primary Myocardial Disease : Part III
- 73) Rheumatic Activity in Valvular Disease
- MYOCARDITIS AS A CAUSE OF IDIOPATHIC CARDIOMYOPATHY : ANALYSIS OF CLINICO-PATHOLOGICAL CORRELATIONS EMPLOYING ENDOMYOCARDIAL BIOPSY : Cardiomyopathy : FREE COMMUNICATIONS (Abstract) : 45 Annual Scientific Meeting, Japanese Circulation Society
- CLASSIFICATION OF THE SICK SINUS SYNDROME ACCORDING TO OVERDRIVE SUPPRESSION : Ist Auditorium : PROCEEDINGS OF THE 40TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Efficacy and Limitations of CCU : from Surgical Standpoints : The Effectiveness and Limitations of Coronary Care Unit
- CORONARY ARTERIOGRAPHY IN MYOCARDIAL INFARCTION : CORRELATION BETWEEN ELECTROCARDIOGRAPHIC FINDINGS AND THE STENOTIC REGION OF THE LEFT ANTERIOR DESENDING ARTERY : Vth Auditorium : PROCEEDINGS OF THE 40TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- WIDENING OF INTERCALATED DISC IN IDIOPATHIC HYPERTROPHIC CARDIOMYOPATHY
- Diagnosis and Classification of Primary Myocardial Disease with the Aid of Endomyocardial Biopsy
- Congential Aneurysm of the Sinus of Valsalva;Criteria for Operation of Type IVSD
- ON THE POSSIBILITY OF SAVING PATIENTS WITH VENTRICULAR FREE WALL RUPTURE FOLLOWING ACUTE MYOCARDIAL INFARCTION : Ischemic Heart Disease (III) : III : 48 Annual Scientific Meeting, Japanese Circulation Society
- PATHOGENESIS OF CORONARY THROMBOSIS IN ACTE MYOCARDIAL INFARCTION: A HISTOLOGICAL STUDY OF CORONARY ARTERIES OF 108 AUTOPSIED CASES EMPLOYING SERIAL SECTION : IInd Auditorium : PROCEEDINGS OF THE 40TH ANNUAL MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Tetralogy of Fallot with Left Ventricular Hypertrophy
- Histopathological Differentiation Employing Endomyocardial Biopsy in the Clinical Assessment of Primary Myocardial Disease
- Hemodynamic Assessment in the Medical Treatment of Acute Myocardial Infarction : The Effects of Various Vasodilators and Catecholamines : Diagnostic and Therapeutic Procedures in Acute Myocardial Infarcton
- Angiographic Evidence of Left Main Trunk Spasm as a Possible Cause of Syndrome X
- Didmoad(diabetes insipidus, diabetes mellitus, optic atrophy and deafness) syndrome associated with myocardial disease.