CLINICAL STUDY OF LATE POTENTIALS : Comparison of Late Potentials in Myocardial Infarction, Cardiomyopathy and Idiopathic Ventricular Tachycardia

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概要

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• Late potentials (LPs) were studied using the signal averaging technique in 80 patients with myocardial infarction (MI), idiopathic cardiomyopathy (CM) and idiopathic ventricular tachycardia (IVT). In MI, LP duration was 28.4 ± 12.6 ms in the sustained VT group (I; 8 cases); 18.6 ± 9.0 ms in the nonsustained VT group (II; 11 cases); and 14.4 ± 8.6 ± ms in the non-TV group (III; 21 cases); (p < 0.05 in I vs II, p < 0.01 in I vs III and not significant in II vs III). In CM, it was 33.7 ± 13.0 ms in group I (6 cases); 20.1 ± 5.9 ms in group II (12 cases); and 7.1 ±9.2 ms in group III (14 cases); (p < 0.01 in I vs II, I vs III and II vs III). The LP duration in IVT (8 cases); was 15.6 ± 10.4 ms, which was significantly shorter than that of group I in MI and CM (p < 0.05 vs MI and p < 0.01 vs CM). Late potential duration was also compared between a pacing-inducible VT group and a non-inducible VT group. The mean value of LP duration in the inducible VT group of MI was significantly longer than that in the non-inducible group (27.8 3.9 ms in 4 cases vs 17.3 2.5 ms in 4 cases, p < 0.05). However, there was no significant difference in LP duration between the inducible and non-inducible groups of CM (22.0 11.0 ms in 5 cases vs 22.2 13.6 ms in 5 cases). In IVT, it was 21.0 4.7 ms in 4 cases and 12.8 11.3 ms in 4 cases (n.s.). In conclusion, LP duration was closely related to sustained VT in MI and CM, but not in CM. It is therefore proposed that the pathophysiological significance of LPs is different in each underlying disease.

• 社団法人日本循環器学会の論文
• 1988-01-20

著者

• Inoh Tsutomu

  Kobe University School Of Medicine First Department Of Internal Medicine

• Inoue Tomoo

  First Department Of Internal Medicine Kobe University School Of Medicine

• INOUE TOMOO

  The First Department of Internal Medicine, Kobe University, School of Medicine

• FUKUZAKI HISASHI

  The First Department of Internal Medicine, Kobe University, School of Medicine

• Ito Shigeki

  Himeji Cardiovascular Center

• Inoh Tsutomu

  The First Dept of Int Med Kobe University School of Medicine

• YONEDA NAOTO

  The First Department of Internal Medicine, Kobe University, School of Medicine

• KANEDA SHINICHI

  The First Department of Internal Medicine, Kobe University, School of Medicine

• ITOH SHIGEKI

  The First Department of Internal Medicine, Kobe University, School of Medicine

• KOBAYASHI KATSUYA.

  The First Department of Internal Medicine, Kobe University School of Medicine

• ISHIDA KENJIRO

  The First Department of Internal Medicine, Kobe University School of Medicine

• Yoneda Naoto

  First Department of Internal Medicine. Kobe University School of Medicine

• Kobayashi Katsuya

  The First Department of Internal Medicine, Kobe University School of Medicine

• Ito Shigeki

  The Department Of Cardiology Himeji Cardiovascular Center

• Ishida Kenjiro

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Fukuzaki Hisashi

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Kaneda Sinichi

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Kobayashi Katsuya

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Yoneda Naoto

  The Department Of Internal Medicine National Sasayama Hospital

• Itoh Shigeki

  The Department Of Cardiology Himeji Cardiovascular Center

• Yoneda Naoto

  Dept. of Cardiology, national Sasayama Hosp.

• Ishida Kenjiro

  Division I Of Internal Medicine Kobe University School Of Medicine

• Ishida Kenjiro

  Dep. Of Int. Med. Nippon Steel Co. Hirohata Works Hospital

• ITOH Shigeki

  Cardiology Hyogo Brain and Heart Center at Himeji

• Fukuzaki Hisashi

  The First Department Of Internal Medicine Kobe University

• Inoue Tomoo

  From The First Department Of Internal Medicine Kobe University School Of Medicine

• Itoh Shigeki

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Inoue Tomoo

  Kobe University School Of Medicine First Department Of Internal Medicine

• Yoneda Naoto

  Dept. Of Cardiology National Sasayama Hosp.

• Fukuzaki Hisashi

  Internal Medicine Division I Kobe University

• Inoue Tomoo

  The First Department Of Internal Medicine

• Inoue Tomoo

  First Department Of Internal Medicine. Kobe University School Of Medicine

• Kobayashi K

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Kobayashi Katzuya

  Dept Of Intern Med. Div. I Kobe Univ. School Of Med.

• Itoh Shigeki

  Dept. Of Cardiology Himeji Cardiovascular Center

• Itoh Shigeki

  First Dept. Of Internal Med. Kobe Univ. Sch. Cf Med.

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