INCREASED PLASMA ENDOTHELIN CONCENTRATIONS IN PATIENTS WITH ACUTE HEART FAILURE AFTER MYOCARDIAL INFARCTION
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概要
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We have investigated the relationship between plasma endothelin (ET) concentrations and several clinical characteristics in 31 patients with acute myocardial infarction (MI). ET levels were also measured in 10 age-matched healthy subjects, 9 patients with unstable angina, and 20 patients with chronic heart disease. In patients with MI, although no significant relationship was observed between plasma ET concentrations and measured hemodynamic parameters, plasma levels were higher in patients with pulmonary congestion than in those without this complication (1.61±0.29 vs 1.21±0.33 fmol/ml; p<0.01). No significant difference in plasma ET levels was found between cardiac and peripheral sampling sites (pulmonary artery; 1.07±0.28, right atrium; 1.02±0.28, peripheral artery 1.12±0.23 peripheral vein; 1.14±0.38 fmol/ml: N.S.), or among patients with uncomplicated MI, unstable angina (1.00~0.32 fmol/ml), and healthy subjects (1.01 ~0.29 fmol/ml). Increased level were observed in patients with decompensated heart failure due to chronic heart disease, but were not found in patients without pulmonary congestion (1.62±0.60 vs 1.11± fmol/ml; p<0.01). These observations suggest that plasma ET concentrations are elevated in the presence of congestive heart failure or severe ventricular depression, but are not persistently increased by myocardial ischemia per se.
- 社団法人日本循環器学会の論文
- 1993-05-20
著者
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NAKAMURA Motoyuki
Second Department of Internal Medicine, School of Medicine, Iwate Medical University
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Hiramori Katsuhiko
Second Department Of Internal Medicine Iwate Medical University
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Makita Shinji
Department Of Internal Medicine Ii Iwate Medical University
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Hotta Kazuhiko
岩手医科大学 内科学第2
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Makita Shinji
Second Department of Internal Medicine, Iwate Medical University
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ARAKAWA NAOSHI
Second Department of Internal Medicine, Iwate Medical University
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Yoshida Hiroaki
Second Department of Internal Medicine, Iwate Medical University
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FUNAKOSHI TSUTOMU
Second Department of Internal Medicine, Iwate Medical University
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CHIBA MAKOTO
Second Department of Internal Medicine, Iwate Medical University
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ABE YASUMI
Second Department of Internal Medicine, Iwate Medical University
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AOKI HIDEHIKO
Second Department of Internal Medicine, Iwate Medical University
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Nakamura Motoyuki
Secon Department Of Internal Medicine Memorial Heart Center
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Abe Yasumi
Second Department Of Internal Medicine Iwate Medical University
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Chiba Makoto
Second Department Of Internal Medicine Iwate Medical University
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Aoki Hidehiko
Iwate Medical University School Of Medicine
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Arakawa Naoshi
Second Department Of Internal Medicine Iwate Medical University
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Funakoshi Tsutomu
Second Department Of Internal Medicine Iwate Medical University
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Yoshida Hiroaki
Second Department Of Internal Medicine Iwate Medical University
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Hiramori Katsuhiko
Second Department of Internal Medicine and Department of Hygiene, School of Medicine, Iwate Medical University
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