Infarct Sizing after Reperfusion by Two-dimensional Echocardiography and Serum Cardiac Myosin Light Chain II in Conscious Dog: Dissociation between Early Left Ventricular Wall Motion and Ultimate Infarct Size : SYMPOSIUM ON PROTECTION OF ISCHEMIC MYOCARDI
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概要
- 論文の詳細を見る
The time course of recovery of left ventricular wall motion after coronary reperfusion and how that relates to anatomical infarct size, wall motion abnormality, and the amount of cardiac myosin light chain II release were evaluated in conscious dogs. One week after the implantation of hydraulic occluders on the left circumflex arteries, myocardial infarction was induced. Coronary reperfusion was performed 3 h after the occlusion in 9 dogs (R) and occlusion was sustained in 9 dogs (C). All dogs underwent serial 2-dimensional echocardiograms and determination of serum cardiac myosin light chain II. The infarct size was identified at 14 days. Systolic wall thickening at the center of the ischemic area (SWT) at 3 h was -7.7±2.8% (C), -9.9±3.0% (R). Systolic thinning was observed even at 14 days in C. Significant recovery of contraction was observed in R, but the improvement continued for as long as 2 days. SWT at 14 days was -1.5±2.8% (C) and 7.0±4.6% (R) (p<0.05). All of SWT or the extent of systolic thinning (EST) 3-hour and 14-day were correlated well with infarct size in C. In group R, 14-day SWT and 14-day EST correlated with infarct size but 3-hour SWT and 3-hour EST did not. Total release of serum cardiac myosin light chain II levels correlated well with infarct size (r=0.88), 14-day SWT (r=-0.90) and 14-day EST (r=0.89) in all dogs. These results indicate that both serum myosin light chain levels and the 2-dimensional echocardiography are noninvasive but quantitative techniques for evaluating infarct size after reperfusion. However, because of the presence of stunned myocardium, the magnitude of myocardial contraction abnormality early after reperfusion does not reflect ultimate infarct size.
- 社団法人日本循環器学会の論文
- 1989-09-20
著者
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Isobe Mitsuaki
The Third Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
-
Nagai R
Department Of Cardiology The University Of Tokyo
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Iemitsu Motoyuki
筑波大学先端学際領域研究センター
-
Iemitsu Motoyuki
Cardiovascular Division Department Of Internal Medicine Institute Of Clinical Medicine
-
Isobe Mitsuaki
東京大学 先端臨床医学開発講座
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YAZAKI Yoshio
The Third Department of Internal Medicine, Faculty of Medicine, University of Tokyo
-
Takaku Fumimaro
Third Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
-
Isobe Mitsuaki
Graduate School Of Medicine Tokyo Medical And Dental University
-
Takaku Fumimaro
The Third Department of Internal Medicine, University of Tokyo
-
Nagai Ryozo
The Third Department of Internal Medicine, University of Tokyo, Kokura Memorial Hospital, Toranomon
-
Isobe Mituaki
The Third Department Of Medicine And The Department Of Radiology University Of Tokyo
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Iemitsu Motoyuki
Graduate School Of Medicine Tokyo Medical And Dental University
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Takaku Fumimaro
The Third Department Of Internal Medicine University Of Tokyo
-
Takaku Fumirnaro
Third Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
-
Takaku Fumimaro
The Third Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
-
Yazaki Yoshio
The Third Department Of Internal Medicine Faculty Of Medicine The University Of Tokyo
-
Isobe Mitsuaki
The Third Department Of Internal Medicine Faculth Of Medicine University Of Tokyo
-
Isobe Mitsuaki
The Cardiovascular Department Tokyo Medical And Dental University
-
Nagai Ryouzou
The Department Of Cardiovascular Diseases Graduate School Of Medicine University Of Tokyo
-
Isobe Mitsuaki
The Third Department Of Medicine And The Department Of Radiology University Of Tokyo
-
Ishibashi Miyuki
The Third Department Of Internal Medicine Faculth Of Medicine University Of Tokyo
-
Yazaki Yoshio
The Third Dept. Of Medicine University Of Tokyo
-
Nagai Ryozo
The Third Dep. Of Internal Medicine Faculty Of Medicine Univ. Of Tokyo Tokyo
-
Takaku Fumirnaro
The Third Dept. Of Medicine University Of Tokyo
-
Takaku Fumirnaro
The Third Department Of Medicine And The Department Of Radiology University Of Tokyo
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Takaku Fumimaro
The Third Dept. Of Medicine University Of Tokyo
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Isobe Mitsuaki
Department Of Cardiovascular Medicine Tokyo Medical And Dental University Graduate School Of Medicine
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