Investigation of the Most Effective Provocation Test for Patients With Coronary Spastic Angina : Usefulness of Accelerated Exercise Following Hyperventilation
スポンサーリンク
概要
- 論文の詳細を見る
This study sought to compare the clinical usefulness of the hyperventilation plus cold stress test or the hyperventilation combined with accelerated exercise test with other single tests in patients with coronary spastic angina. The study examined 24 patients(23 men, mean age 66 years)with angiographically confirmed coronary spastic angina and less than 50% stenosis. Moreover, none had spontaneous ST segment elevation before the study. Under no medication for at least 24h prior, 4 procedures were performed from 09.00h to 11.00h:(i)a hyperventilation test for 5 min(HV(5));(ii)HV(5)combined with a cold stress test for the last 2 min(HV(5)+CS(2));(iii)a treadmill exercise test based on Bruce's protocol(TM(3));and(iv)a treadmill exercise test accelerated at 1 min intervals according to Bruce's protocol immediately after HV(5)(HV(5)+TM(1)). The rate of appearance of chest pain and ischemia-induced ECG changes due to HV(5)+TM(1)were significantly higher than the other 3 tests. HV(5)+CS(2)was not superior to HV(5)alone. The incidence of provoked ST segment elevation due to HV(5)+TM(1)was higher than with the other 3 procedures. Thus, in patients with coronary spastic angina, no spontaneous ST segment elevation and near normal coronary arteries, HV(5)+CS(2)was no more useful than HV(5)alone. It is recommended that the newly designed HV(5)+TM(1)combination test be used for documenting evidence of ischemia in patients with coronary spastic angine, low disease activity and near normal coronary arteries.
- 社団法人日本循環器学会の論文
- 1999-01-20
著者
-
SUEDA Shozo
Department of Internal Medicine, Ehime Prefectural Niihama Hospital
-
Otani Takashi
Department of Cardiology, Ehime National Hospital
-
Ochi Naoto
Department of Cardiology, Kita Medical Association Hospital
-
Kawada Hiroyuki
Department of Cardiology, Kita Medical Association Hospital
-
Uraoka Tadao
Department of Cardiology, Kita Medical Association Hospital
-
Saeki Hideyuki
Department of Cardiology, Saiseikai Saijo Hospital
-
Kukita Hitoshi
Department of Cardiology, Uwajima Social Insurance Hospital
-
Matsuda Shouzou
Department of Cardiology, Kita Medical Association Hospital
-
Ochi Takaaki
Department Of Cardiology Takanoko Hospital
-
Kukita Hitoshi
Uwajima Social Insurance Hospital
-
Matsuda Shouzou
Kita Medical Association Hospital
-
Sueda Shozo
Department Of Cardiology Saiseikai Saijo Hospital
-
Sueda Shozo
Department Of Cardiology Ehime Prefectural Niihama Hospital
-
Ochi Naoto
Department Of Cardiology Kita Medical Association Hospital
-
Uraoka Tadao
Department Of Cardiology Kita Medical Association Hospital
-
Kawada Hiroyuki
Department Of Cardiology Ehime Prefectural Imabari Hospital
-
Otani Takashi
Department Of Cardiology Ehime National Hospital
-
Ochi Takaaki
The Second Department Of Internal Medicine Ehime University School Of Medicine
-
Saeki Hideyuki
Department Of Cardiology Saiseikai Saijo Hospital
-
Saeki Hideyuki
Department Of Cardiology Ehime Prefectural Imabari Hospital
-
Otani Takashi
Department Of Agricultural Chemistry Kyushu University
-
Kawada Hiroyuki
Department Of Cardiology Kita Medical Association Hospital
-
KAWADA Hiroyuki
Department of Applied Mechanics and Aerospace Engineering, Waseda University
関連論文
- Detection of Myocardial Ischemia Using 64-Slice MDCT : Comparison With Stress/Rest Myocardial Scintigraphy
- Guidelines for Diagnosis and Treatment of Patients With Vasospastic Angina (Coronary Spastic Angina) (JCS 2008) : Digest Version
- PE-228 Possibility of Adenosine Triphosphate Stress 3D-Echocardiography in Diagnosis of Ischemic Heart Disease(Echo/Doppler-10, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-153 Effects of the long-term administration of nicorandil on vascular endothelial function and the progression of arteriosclerosis(Endothelium/NO 3 (H) : PJ26)(Poster Session (Japanese))
- Is Addition of β Blocker to Treatment of Chronic Cardiac Failure with All Antagonist (ARB) Necessary?
- Clinical Characteristics of Chronic Cardiac Failure Patients with BNP in a Nearly Normal Range despite Severe Left Ventricular Dysfunction
- Intracoronary Administration of a Thromboxane A_2 Synthase Inhibitor Relieves Acetyicholine-Induced Coronary Spasm
- Circadian variation of vascular endotherial function - correalation with neurohormonal agents
- Magnesium Deficiency in Patients With Recent Myocardial Infarction and Provoked Coronary Artery Spasm
- Beneficial Effect of Troglitazone, an Insulin-Sensitizing Antidiabetic Agent, on Coronary Circulation in Patients With Non-Insulin-Dependent Diabetes Mellitus
- Subacute and Chronic Effects of DDD Pacing on Left Ventricular Diastolic Function in Ptients With Non-Obstructive Hypertrophic Cardiomyopathy
- Clinical Characteristics of Female Patients With Coronary Spastic Angina : Comparison With Male Patients
- Recommendations for performing acetylcholine tests safely : STOP dangerous complications induced by acetylcholine tests (STOP DCIAT)
- A long-acting calcium antagonist over one year did not improve BMIPP myocardial scintigraphic imagings in patients with pure coronary spastic angina
- New Combined Spasm Provocation Test in Patients With Rest Angina : Intracoronary Injection of Acetylcholine After Intracoronary Administration of Ergonovine
- Investigation of the Most Effective Provocation Test for Patients With Coronary Spastic Angina : Usefulness of Accelerated Exercise Following Hyperventilation
- A Case of Variant Angina Pectoris With Similar Findings on Both Rest and Matched Exercise Thallium-201 Studies
- CLINICAL SIGNIFICANCE OF SYSTOLIC TIME INTERVALS IN DETECTING THE STENOSIS OF PROXIMAL LEFT CORONARY ARTERY : Ischemic Heart Disease (V) : FREE COMMUNICATIONS (V) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- DIFFERENCE IN MYOCARDIAL CHARACTERISTICS BETWEEN HYPERTROPHIC CARDIOMYOPATHY AND MYOCARDIAL HYPERTROPHY DUE TOESSENTIAL HYPERTENSION
- NONINVASIVE EVALUATION OF LEFT VENTRICULAR FUNCTION BY SYSTOLIC TIME INTERVALS IN ESSENTIAL HYPERTENSION WITH ANGINA PECTORIS
- NONINVASIVE EVALUATION OF LEFT VENTRICULAR FUNCTION AND THE EFFECTS OF Ca^ ANTAGONIST IN HYPERTENSION WITH ANGINA PECTORIS : Hemodynamics, Cardiac Function (IV) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- CALCIUM-CHANNEL BLOCKERS AND BETA-ADRENERGIC BLOCKER : THE DIFFERENCE EFFECTS IN PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY : Hemodynamics, Cardiac Function (IV) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- TIME ANALYSIS: MORE SENSITIVE TECHNIQUE IN THE EVALUATION OF THE LEFT VENTRICULAR FUNCTION IN ESSENTIAL HYPERTENSION : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Hypertension
- ABNORMAL BLOOD PRESSURE RESPONSE OF VALSALVA MANEUVER IN ESSENTIAL HYPERTENSIVES WITH PAROXYSMAL HYPERTENSION : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY : Hypertension
- DIFFERENCE IN MYOCARDIAL CHARACTERISTICS BETWEEN HYPERTROPHIC CARDIOMYOPATHY AND MYOCARDIAL HYPERTROPHY DUE TO ESSENTIAL HYPERTENSION USING THE EARLY DIASTOLIC TIME INTERVALS : PROCEEDINGS OF THE 47th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION
- CLINICAL SIGNIFICANCE OF SYSTOLIC TIME INTERVALS FOR THE EVALUATION OF LEFT VENTRICULAR FUNCTION IN PATIENTS WITH CORONARY ARTERY DISEASE
- DIAGNOSTIC SIGNIFICANCE OF EARLY DIASTOLIC TIME INTERVALS IN PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY AND MYOCARDIAL HYPERTROPHY DUE TO ESSENTIAL HYPERTENSION
- IS CAPTOPRIL EFFECTIVE IN PRIMARY PULMONARY HYPERTENSION?
- DIAGNOSTIC SIGNIFICANCE OF EARLY DIASTOLIC TIME INTERVALS IN PATIENTS WITH HYPERTROPHIC CARDIOMYOPATHY AND HYPERTENSIVE HEART DISEASE : Cardiomyopathy (I) : 46th Annual Scientific Meeting, Japanese Circulation Society
- RELATIONSHIP BETWEEN STROKE VOLUME AND EJECTION TIME IN CORONARY HEART DISEASE : Ichemic Heart Disease (II) : 46th Annual Scientific Meeting, Japanese Circulation Society
- PJ-249 Assessment of Myocardial Ischemia in Acute Coronary Syndrome Using 64-slice MDCT : Comparison with Myocardial Perfusion Scintigraphy at Rest(PJ042,ACS/AMI (Clinical/Diagnosis) 1 (IHD),Poster Session (Japanese),The 73rd Annual Scientific Meeting of
- PJ-063 Assessment of Myocardial Ischemia in Acute Coronary Syndrome Using 64-slice MDCT Myocardial Imaging(PJ011,CT/MRI (Myocardium) 4 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Circulation Society)
- Analysis of microvascularity after reperfused acute myocardial infarction using the maximum slope method of contrast-enhanced magnetic resonance imaging
- Dual Induction Tests Save Patients Surviving Out-of-Hospital Cardiac Arrest : The Revival of Coronary Spasm
- OJ-226 Clinical Impact of Cardiac Magnetic Resonance on Prediction of the Long-term Clinical Outcome in Patients with Hypertrophic Cardiomyopathy(Cardiomyopathy, basic/clinical-2 (M) OJ38,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific
- OE-153 Relation of Right Bundle-Branch Block to Intensive Microvascular Reperfusion Injury in Patients with Anterior Acute Myocardial Infarction(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 6 (IHD) : OE19)(Oral Presentation (English))
- PJ-809 Quantitative Analysis of Real-time Three-dimensional Low-dose Dobutamine Stress Echocardiography in Assessment of Myocardial Viability(PJ136,Echo/Doppler (Others) 1 (I),Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japanese Ci
- DPJ-044 Effect of Statin Therapy to Yellow Neointimal Formation Developed after Sirolimus-eluting Stent Implantation : Angioscopic Findings(DPJ08,Intravascular Imagings (I),Digital Poster Session (Japanese),The 73rd Annual Scientific Meeting of The Japane
- OJ-018 Different Patterns of Neointimal Formation 8 Months after Bare Metal Stent, Sirolimus, and Paclitaxel-eluting Stent Implantation : Angioscopic Findings(OJ03,Intravascular Imagings (I),Oral Presentation (Japanese),The 73rd Annual Scientific Meeting
- A case of a newly developed yellow neointima at stent implanted site 1 year after sirolimus-eluting stent placement Angioscopic findings
- PJ-467 Subendocardial Ischemia in Suspected Angina Pectoris without Coronary Stenosis Assessed by Contrast-enhanced 64-slice MDCT(CT/DSA(09)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Pulsating Renal Blood Flow Distribution Measured Using Power Doppler Ultrasound : Correlation with Hypertension
- Changes in Coagulation and Fibrinolytic System after Local Intra-arterial Thrombolysis for Acute Ischemic Stroke
- Chronic Effects of Continuous Positive Airway Pressure on Cardiac Sympathetic Function and Endothelial Function in Patients with Sleep Apnea Syndrome
- Hemostatic and fibrinolytic factors in patients with coronary artery disease and sleep apnea syndrome
- PE-468 Recommendations for Performing Acetylcholine (ACh) Tests Safely : STOP Complications Induced by Acetylcholine Tests (STOP CIA)(Chronic coronary heart disease/Remodeling-3, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- MECHANISM OF VENOUS CONGESTION IN SYSTEMIC AND PULMONARY CIRCULATORY SYSTEMS : Pulmonary circulation Peripheral circulation : FREE COMMUNICATIONS (Abstract) : 45 Annual Scientific Meeting, Japanese Circulation Society
- Usefulness of Selective Myocardial Contrast Echocardiography in Percutaneous Transluminal Septal Myocardial Ablation : A Case Report
- Structure and Function of the Left Ventricle and Carotid Artery in Hemodialysis Patients
- PJ-801 Coronary atherosclerosis has been certainly progressed in Japanese patients : from the analysis of 16 years' spasm provocation test(Atherosclerosis, clinical(13)(IHD),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circu
- PJ-644 Coronary spasm may progress coronary atherosclerosis in patients with pure coronary spastic angina ?(Chronic coronary heart disease / Remodeling(03)(IHD),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Societ
- Coronary Artery Spasm Provocation Test by Simultaneous Brachial Artery and Vein Approach with the Tometakun Hemostat
- PJ-722 Coronary Spastic Angina may Disappear in the Future in Even Japan? : From the Analysis of Spasm Questionnaire(Chronic coronary heart disease/Remodeling-4, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-721 Coronary Flow Reserve (CFR) in Patients With Coronay Spastic Angina (CSA) : Correlation Between CFR and Age or Duration of Angina(Chronic coronary heart disease/Remodeling-4, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-720 Clinical Significance of Washout Rate (WOR) of MIBI in Patients with Coronary Spastic Angina (CSA) During Follow up Periods(Chronic coronary heart disease/Remodeling-4, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-719 Sleep Apnea Syndrome in Patients with Pure Coronary Spastic Angina(Chronic coronary heart disease/Remodeling-4, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-469 It is Necessary to Foster Standard Young Generation Cardiologists : from the Analysis of the Spasm Questionnaire in all Japan(Chronic coronary heart disease/Remodeling-3, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-401 Vasospastic Heart Failure : Frequency of Provoked Spasm in Patients with Heart Failure(Chronic coronary heart disease/Remodeling-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-399 Invesitigation of the Influential Factor on Prognosis and the Result of Medical Therapy in Patients with Pure Coronary Spastic Angina(Chronic coronary heart disease/Remodeling-2, The 71st Annual Scientific Meeting of the Japanese Circulation Societ
- OJ-245 Need for Documentation of Guidelines for Coronary Artery Spasm : An Investigation by Questionnaire in all Japan(Chronic coronary heart disease/Remodeling-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- 1 Clinical Status and Controversy of Coronary Spastic Angina in Japan(Topics on Coronary Vasospastic Angina, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Comparison of Cardiac Imagings between 99mTc-MIBI and 123I-BMIPP in Patients with Pure Vasospastic Angina (Angina Pectoris, Basic/Clinical 2 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Prognostic Effects of Calcium Channel Blockers in Patients With Vasospastic Angina : A Meta-Analysis
- Angioplasty-Bypass Surgery Combination Therapy : Case Study of an Elderly Patient With Unstable Angina and Colon Cancer
- FRACTURE BEHAVIOR OF ARAMID / EPOXY COMPOSITE WITH A CIRCULAR HOLE SUBJECTED TO COMPRESSIVE LOAD
- Unexpectedly large aortoesophageal fistula inconsistent with CT imaging due to the thrombus working as the tamponade
- Preparation of a New Class of Inner Salts by Formal Addition of Tosyl Nitrene to the Sulfur Atom of Inner Salts, α-Carbeniodithiocarboxylates
- Isolated Left Coronary Ostial Stenosis as a Result of Fibromuscular Dysplasia in a Young Man
- Effect of Water Absorption on Interaction between Matrix Cracking and Fiber Bridging for Stress Corrosion Cracking of PMC(Recent Advances in Materials and Processing (I))
- 215 Estimation of Longitudinal Tensile Strength in Filament Wound Pipe using Notched Specimen
- Coronary abnormal response has increased in Japanese patients : Analysis of 17 years' spasm provocation tests in 2093 cases
- Clinical Characteristics and Possible Mechanism of Paroxysmal Atrial Fibrillation (PAF) Induced by Intracoronary Injection of Acetylcholine (ACh)
- Assessment of coronary flow velocity reserve in hypertensive patients with contrast-enhanced transthoracic Doppler echocardiography
- Need for Documentation of Guidelines for Coronary Artery Spasm : An Investigation by Questionnaire in Japan
- Regio- and Stereo-Chemistry of Addition of Molecular Bromine to S-Oxidized Derivatives of 3, 4-Di-t-butylthiophene : Exclusive 1, 4-Cis-Additions
- Michael Additions of Oxygen and Sulfur Nucleopholes to 3,4-Di-t-butyl-1-[(p-tolyl)sulfonylimino]-1,1-dihydrothiophene. A Comparison Study with 3,4-Di-t-butylthiophene 1-Oxide and 1,1-Dioxide
- Synthesis, Structure, Tautomerism, and 1,4-Dipolar Cycloaddition of Thermally Stable, Crystalline 1,4-Dipoles
- Addition of Grignard and Organolithium Reagents to the Negatively Charged Sulfur Atom of 2, 2-Bis(diethylamino)ethan-2-ylium-1-dithioate
- EFFECT OF THE ATRIAL AND THE VENTRICULAR PREMATURE CONTRACT ON CORONARY CIRCULATION IN DOGS : Coronary Circulation : Ist Auditorium : Proceedings of the 43rd Annual Meeting of the Japanese Circulation Society, Tokyo, 1979
- Clinical Significance of Infarct Non-Related Coronary Artery Stenosis by Aging in Patients with First AMI
- Applicability of Fracture Toughness Concept to Fracture Behavior of Carbon : Carbon Composites
- Evaluation of Initiation of the Interfacial Debonding in Single Fiber Composite : Energy Balance Method Considering an Energy Dissipation of the Plastic Deformation
- Vasospastic heart failure : Multiple spasm may cause transient heart failure?
- PJ-656 Experience of 1,000 Acetylcholine (ACh) Spasm Provocation Tests : What Have We Learned?(Cerebrovascular circulation/Stroke-3 (H) PJ110,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-349 Higher Cardiac Events in Patients with Positive Spasm Provocation Tests : Comparison with Those Negative Spasm Provocation Tests(Coronary circulation, basic/clinical-5 (IHD) PJ59,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meet
- OJ-259 Need for Documentation of Guidelines for Coronary Artery Spasm : An Investigation by Questionnaire in Japan(Coronary circulation, basic/clinical-2 (IHD) OJ44,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanes
- Investigations of the Peripheral Artery Disease and the Knowledge of the Peripheral Intervention in Ehime by Questionnaire (Peripheral Circulation/Vascular Disease 4(H), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-922 Washout rate of MIBI may be useful to follow up patients with coronary spastic angina(Nuclear cardiology(11)(I),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- PE-289 The definition of positive spasm on acetylcholine provocation tests : the problem on documentation of spasm guideline in the real world(Chronic coronary heart disease/Remodeling(02)(IHD),Poster Session(English),The 72nd Annual Scientific Meeting of
- 5 Vasospastic heart failure : frequency of provoked spasm in patients with heart failure(Symposium 2 (SY-02) (IHD) Coronary Spasm Revisited,Special Program,The 72nd Annual Scientific Meeting of the Japanese Circulation Society)
- Did the Widespread Use of Long Acting Calcium Antagonists Decrease the Occurrence of Variant Angina?(Angina Pectoris, Basic/Clinical 6 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-463 Calcium Antagonists did not improve BMIPP Cardiac Scintigraphy in Patients with Pure Coronary Spastic Angina(Angina Pectoris, Clinical 2 (IHD) : PJ77)(Poster Session (Japanese))
- PJ-462 Clinical impact of selective spasm provocation tests : comparisons between acetylcholine and ergonovine in consecutive 1508 examinations(Angina Pectoris, Clinical 2 (IHD) : PJ77)(Poster Session (Japanese))
- OJ-474 Limitations of medical therapy in patients with pure coronary spastic angina(Angina Pectoris, Clinical 3 (IHD) : OJ58)(Oral Presentation (Japanese))
- Clinical and Angiographical Characteristics of Acetylcholine Induced-Spasm : Relation to Dose of Intracoronary Injection of Acetylcholine
- Intracoronary Administration of A Thromboxane A2 Synthetase Inhibitor Relieves Acetylcholine : Induced Coronary Spasms
- Torsade de Pointes Induced by Hypocalcemia in a Postoperative Patient with Thyrotoxicosis.
- New Protocol to Detect Coronary Spastic Angina without Fixed Stenosis.
- Comparative Results of Coronary Intervention in Patients With Variant Angina Versus Those With Non-Variant Angina.
- Spasm Provocation Tests Performed under Medical Therapy: A New Approach for Treating Patients with Refractory Coronary Spastic Angina on Emergency Admission