Silent Myocardial Ischemia in the Aged : A Retrospective Study from the Evaluation of Necropsy Hearts : PANEL DISCUSSION ON SILENT MYOCARDIAL ISCHEMIA
スポンサーリンク
概要
- 論文の詳細を見る
The diagnosis of silent myocardial ischemia in the aged remains controversial. In this study to evaluate the basic state of silent ischemia in the aged, a total of 972 consecutive autopsy cases (mean 79.0 yrs of age) were analyzed in terms of coronary atherosclerotic diseases. The following results were obtained: (1) Severe coronary occlusive lesions simultaneously detected in the three major coronary arterial branches were found in 85 cases (8,7%), of which may correspond to one representation of silent ischemia. (2) There were 218 cases of MI (22.4%), of which 106 (49%) were never documented to have MI during life. The latter may correspond to unrecognized MI. It was considered to be caused by 1) small or middle-sized MI in 66 cases and 2) lateral or nontransmural MI in 29 out of 40 large MI cases (more than 4.9 cm in diameter). (3) 30 cases (54%) out of 56 fresh and large MI with a correct diagnosis revealed no chest pain. This is an incidence of painless MI in the aged. This painless group showed a significant difference in the incidence of a correct diagnosis of MI (51% vs 89%), combined arrhythmia (47% vs 79%) and the association of CVD (47% vs 11%) compared with chest pain group.
- 社団法人日本循環器学会の論文
- 1989-11-20
著者
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SHIMADA Hiroyuki
Department of Ophthalmology, School of Medicine, Nihon University
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Shimada Hiroyuki
Tokyo Metropolitan Geriatric Hospital
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UEDA KEIJI
Tokyo Metropolitan Geriatric Hospital
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Ueda Keiji
Tokyo Metropolitan Geriatric Hospital Division Of Cardiology
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Ueda Keiji
Division of Cardiology,Tokyo Metropolitan Geriatric Hospital,the Second Dept.Med. , and tlle Dept.of
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Ohkawa Shinichiro
Division of Cardiology,Tokyo Metropolitan Geriatric Hospital,the Second Dept.Med. , and tlle Dept.of
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Sugiura Masaya
Division of Cardiology,Tokyo Metropolitan Geriatric Hospital,the Second Dept.Med. , and tlle Dept.of
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Imai Tamotsu
Division of Cardiology, Tokyo Metropolitan Geriatric Hospital
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SHIMADA Hiroyuki
Division of Cardiology and Pathology
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Shimada Hiroyuki
Department Of Pathology Tokyo Metropolitan Geriatric Hospital
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Ohkawa Shin-ichiro
Department Of Internal Medicine Kasumigaseki Building Clinic
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Imai Tamotsu
Division Of Internal Medicine Marunouchi Clinic
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Imai Tamotsu
Division Of Cardiology Tokyo Metropolitan Komagome Hospital
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Osa Shinichi
Division Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Sugiura Masaya
Tokyo Metropolitan Institute Of Gerontology
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Ohkawa Shinichiro
Department Of Internal Medicine Kasumigaseki Building Clinic
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Ohkawa Shin-ichiro
Department Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Ohkawa Shinichirou
Department Of Medicine Tokyo Women's Medical College Daini Hospital
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Ueda Keiji
Division Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Ohkawa Shin'ichiro
Devision Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Sugiura Masaya
Division Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Shimada Hiroyuki
Department Of Geriatrics And Neurology Osaka City University Graduate School Of Medicine
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Ueda Keiji
Tokyo Metropolitan Geriatric Hospital.
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Ohkawa Shin-ichiro
Tokyo Metroporitan Geriatric Hospital
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Ohkawa Shinichiro
Dept. Of Int. Med. Tokyo Metropol. Geriat. Hosp. (yoiku-in) & Dept. Of Clin. Path. Tokyo Metropo
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Sugiura Masaya
Dept. Of Int. Med. Tokyo Metropol. Geriat. Hosp. (yoiku-in) & Dept. Of Clin. Path. Tokyo Metropo
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Ohkawa Shin-ichirou
Devision Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Sugiura Masaya
Division Of Cardiology Tokyo Metoropolitan Hiroo General Hospital
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Ohkawa Shinichiro
Tokyo Metropolitan Institute Of Gerontology
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Ueda Keiji
Department Of Cardiology Tokyo Metropolitan Geriatric Hospital
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OHKAWA Shinichiro
Division of Cardiology, Tokyo Metropolitan Geriatric Hospital
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SHIMADA Hiroyuki
Department of Clinical Pathology, Tokyo Metropolitan Institute of Gerontology
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