EFFECTS OF LEFT VENTRICULAR, DYSFUNCTION ON LEFT ATRIAL PERFORMANCE IN PREVIOUS MYOCARDIAL INFARCTION ANDDURING PACING-INDUCED MYOCARDIAL ISCHEMIA IN ANGINA PECTORIS

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概要

• 論文の詳細を見る

• This study aimed to evaluate acute and chronic response of left atrial function to left ventricular dysfunction in patients with coronary artery disease. We studied simultaneous measurements of left atrial volume by biplane cine-angiography and left ventricular pressure at rest and after pacing in 59 patients with coronary artery disease and 11 normal subjects. At rest, 35 patients with previous myocardial infarction (MI group) had low left ventricular filling rate of the first third in diastolic time, large left atrial volume before contraction (LA pre-ACV) and large left atrial ejection volume (LAEV), compared with control group. Left atrial ejection fraction (LAEF), the ratio of LAEV to LA pre-ACV, was similar between both groups. LAEF was maintained within a wide range of values in accordance with left ventricular peak A pressure, except for 3 patients who had high values of left ventricular peak A pressure and low values of LAEF. After a right atrial pacing stress test, time constant was prolonged and mean emptying rate of left atrial volume during early diastole decreased in 11 patients with angina pectoris who had an increase greater than 5 mmHg in left ventricular end-diastolic pressure after pacing. In these group, LA pre-ACV increased, LAEF decreased and LAEV was unchanged. These results suggest that left atrial performance responds differently to acute and chronic left ventricular dysfunction in patients with coronary artery disease.

• 社団法人日本循環器学会の論文
• 1988-11-20

著者

• Fujitani Kazuhiro

  The First Department Of Internal Medicine Hyogo College Of Medicine

• Fujitani Kazuo

  The First Department Of Internal Medicine Hyogo College Of Medicine

• Fukuzaki Hisashi

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Takeuchi Motoshi

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

• Yamasaki Tohru

  Himeji Cardiovascular Center

• Yamasaki Tohru

  The First Department Of Internal Medicine Kobe University School Of Medicine

• Fukuzaki Hisashi

  The First Department Of Internal Medicine Kobe University

• Takeuchi Motoshi

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

• Takeuchi Motoshi

  Department Of Cardiology Himeji Cardiovascular Center

• Fujitani Kazuhiro

  The First Department Of Internal Medicine Hiroshima University School Of Medicine

• Fujitani Kazuo

  Department Of Internal Medicine Devision I Kobe University School Of Medicine

• Fukuzaki Hisashi

  1st Dep. Of Internal Med. Kobe Univ.

• Fukuzaki Hisashi

  Department Of Thoracic Surgery Osaka Medical College

• Fukuzaki Hisashi

  Internal Medicine Division I Kobe University

• FUJIWARA Katsuaki

  Rokko Hospital

• Fujitani Kazuhiro

  Department Of Internal Medicine Division I.. Kobe University School Of Medicine

• Fujitani Kazuhiro

  Department Of Internal Medicine Division I. Kobe University School Of Medicine

• Fujiwara Katsuaki

  Kobe University Department Of Medicine Division I

• Fujiwara Katsuaki

  The First Depertment Of Internal Medicine Kobe University Scbool Of Medicine.

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