THE USEFULNESS OF EQUILIBRIUM RADIONUCLIDE VENTRICULOGRAPHY IN THE DIAGNOSIS OF ARRHYTHMOGENIC RIGHT VENTRICULAR DYSPLASIA AND A REPORT OF CASES OF A FAMILIAL OCCURRENCE

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• Arrhythmogenic right ventricular dysplasia (ARVD) is a recently identified clinical entity and its diagnosis rests on documentation of ventricular tachycardia (VT) of right ventricular origin and morphologic changes of the right ventricle. However, the diagnosis of ARVD is difficult noninvasively and often requires angiography. The usefulness of equilibrium radionuclide ventriculography as a noninvasive method for the diagnosis of ARVD has not been fully evaluated. We performed equilibrium radionuclide ventriculography in 7 patients with ARVD, 10 normal subjects and 9 patients with dilated cardiomyopathy (DCM). The right ventricular ejection fraction (EF) in patients with ARVD (25 ± 8%, mean ± SD) was lower (p < 0.001) than that in normal subjects (56 ± 7%) but was not significantly different from that in patients with DCM (32 ± 10%). The left ventricular EF in patients with ARVD (57 ± 12%) was lower (p < 0.05) than that in normal subjects (70 ± 7%), but higher (p < 0.001) than that in patients with DCM (27 7%). These findings suggest that ARVD is a specific from of DCM which predominantly affects the right ventricle and that equilibrium radionuclide ventriculography may be a useful noninvasive method for the diagnosis of this disorder. In addition, we present a family in which 3 of 6 siblings were affected by ARVD, suggesting that some genetic factors may be involved in the etiology of this disorder.

• 社団法人日本循環器学会の論文
• 1988-06-20

著者

• IMAIZUMI Tsutomu

  Kurume University

• UEHARA Yoshio

  University of Tokyo

• TAKESHITA Akira

  Kyushu University

• Asai Takashi

  Department Of Cardiovascular Medicine Wakayama Medical University

• Takeshita Akira

  Department Of Cardiovascular Medicine Wakayama Medical University

• Uehara Yoshio

  Second Department Of Medicine University Of Tokyo

• Takeshita Akira

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• KOYANAGI Samon

  National Kyushu Medical Center Hospital

• Nakamura Motoomi

  The Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive

• Akiba T

  Kowa Co. Ltd. Shizuoka Jpn

• Koyanagi Samon

  Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu Univers

• Nakamura Motoomi

  Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu Univers

• IMAIZUMI Tsutomu

  Research Institute of Angiocardiology and Cardiovascular Clinic,Faculty of Medicine,Kyushu Universit

• Hirooka Yoshitaka

  Research Institute of Angiocardiology and Cardiovascular Clinic, Faculty of Medicine, Kyushu Univers

• TAJIMI Tsukasa

  Department of Cardiology, Kyushu Kosei-Nenkin Hospital

• Tajimi Tsukasa

  Department Of Cardiology Kyushu Kosei-nenkin Hospital

• Urabe Yoshitoshi

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• Nakamura Motoomi

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• Nakamura Motoomi

  Research Institute Of Angiocardiology And Cardiovascular Clinic And Information Science Laboratory F

• Nakamura Motoomi

  Div.mol.cardiol. Res.inst.angiocardiol. Fac.med. Kyushu Univ

• Nakamura Motoomi

  Reseach Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine

• Tajimi Tsukasa

  Research Institute of Angiocardiology and Cardiovascular Clinic, and Information Science Laboratory

• TAJIMI Tukasa

  Kyusyu Kouseinenkin Hospital Internal Medicine

• Imaizumi Tsutomu

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• Takeshita Akira

  Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University

• Akizawa Tadao

  Center Of Blood Purification Therapy Wakayama Medical School

• Tajimi Tsukasa

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• Koyanagi Samon

  The Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive

• Takeshita Akira

  From Reseach Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive

• Akiba Takashi

  Tokyo Women's Medical Univ. Tokyo Jpn

• Koyanagi Samon

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyusbu Universit

• Tajimi Tsukasa

  University Medical School

• Tajimi Tsukasa

  Research Institute Of Angiocardiology And Cardiovascular Clinic And Information Science Laboratory F

• Imaizumi Tsutomu

  Department Of Internal Medicine Division Of Cardiovascular Medicine And The Cardiovascular Research

• Nakamura Motoomi

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• Nakamura Motoomi

  Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit

• Takeshita Akira

  Research Institute Of A Ngiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universi

• Koyanagi Samon

  The Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive

• Uehara Yoshio

  The Second Department Of Medicine University Of Tokyo

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