SERIAL ELECTROCARDIOGRAPHIC AND ANGIOGRAPHIC CHANGES OF PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY
スポンサーリンク
概要
- 論文の詳細を見る
The characteristics ECG findings as they relate to myocardial changes during long-term course of hypertrophic cardiomyopathy (HCM) were studied. Serial changes in ECG were compared with changes left ventriculogram and bi-ventriculogram in 15 patients with HCM without intraventricular conduction disturbance. Serial changes in ECG findings, with special reference to the negative T wave, were categorized in three group; 1) 5 patients with increase or appearance of the negative T wave (A-1 group). 2) 4 patients with decrease or disappearance of the negative T wave (A-2 group). 2) 6 patients without significant changes in the T wave (B-group). A-1 group presented a marked increase in SV_1+RV_5, and of the thickness of anterior and apical wall, and a decrease of the peak dV/dt/EDV (end diastolic volume-normalized peak filling rate), serially. End diastolic volume (EDV) and ejection fraction (EF) did not change significantly. The configuration of left ventriculogram changed from a round form to a spade-like form. A-2 group presented a marked decrease in SV_1+RV_5, the thickness of anterior and apical wall, peak dV/dt/EDV and peak dV/dt/V (left ventricular volume of the time of peak filling-normalized peak filling rote). EF decreased serially, 2 cases of A-2 group presented the clinical picture of dilated cardiomyopathy in the end stage. In B group, SV_2+RV_5, the wall thickness and left ventricular function did not change, serially. In conclusion, serial observations of ECG are useful for assessing alterations in wall thickness, LV-form and LV-function.
- 社団法人日本循環器学会の論文
- 1989-11-20
著者
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Shimizu Masami
the Second Department of Internal Medicine, Kanazawa University Hospital
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TAKEDA Ryoyu
Department of Internal Medicine, Hokuriku Hospital
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SUMITANI Tetsuji
Sumitani Clinic
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Kita Yoshihiro
Fukui Cardiovascular center
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Takeda Ryoyu
Department Of Internal Medicine Hokuriku Hospital
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Takeda Ryoyu
金沢大学 医学部内科学
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Takeda Ryoyu
高岡病院(厚生連)
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Takeda Ryoyu
Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Takeda Ryoyu
The 2nd Department Of Internal Medicine Kanazawa University School Of Medicine
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Genda Akira
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Hotta Yuuki
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Horita Yuki
Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Takeda Ryoyu
The Second Department Of Internal Medicine Kanazawa University School Of Medicine.
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Shimizu Masami
Second Department Of Internal Medicine School Of Medicine Kanazawa University
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HORITA YUKI
The Second Department of Internal Medicine, School of Medicine, Kanazawa University
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SUGIHARA NORIHIKO
The Second Department of Internal Medicine, School of Medicine, Kanazawa University
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SUEMATSU TETSUO
The Second Department of Internal Medicine, School of Medicine, Kanazawa University
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KITA YOSHITO
The Second Department of Internal Medicine, School of Medicine, Kanazawa University
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TAKEDA RYUYU
The Second Department of Internal Medicine, School of Medicine, Kanazawa University
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Sugihara Norihiko
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Takeda Ryoyu
The 2nd Dept. Int. Med. Kanazawa Univ.
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Genda Akira
The 2nd Dept. Int. Med. Kanazawa Univ.
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Kita Yoshihito
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Shimizu Masami
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Takeda Ryoyu
Department Of Internal Medicine Federation Of National Public Service Personnel Mutual Aid Associati
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Suematsu Tetsuro
Department Of Medicine Fukui Cardiovascular Center Fukui Junkanki Hospital
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Shimizu Masami
The Second Department Of Internal Medicine Kanazawa University Hospital
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Shimizu Masami
Molecular Genetics Of Cardiovascular Disorders Division Of Cardiovascular Medicine Graduate School O
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Suematsu Tetsuo
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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Kita Yoshito
The Second Department Of Internal Medicine School Of Medicine Kanazawa University
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