亜硝酸アミル及びメトキサミンによる負荷心弾動図の検討
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概要
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The ballistocardiogram (BCG) or finger plethysmogram (FPG) is one of the bloodless examination methods related to cardiovascular dynamics. The effects of amyl nitrite and methoxamine on BCG, FPG and ECG (electrocardiogram) were studied in order to find out the mechanisms constructing ballistocardiographic waves. Materials and Methods: Seventy healthy persons without cardio-pulmonary diseases were divided into 2 groups: Group I , consisting of 40 young persons less than 35 years of age; and Group 2, consisting of 30 older persons over 50 years of age. The longitudinal BCG through von Wittern's sublow-frequency table, FPG and ECG w, ere recorded simultaneously while holding the breath, before 0.25 ml amyl nitrite inhalation for 15 seconds, and 15, 30, 45, 60 and 90 seconds after the beginning of the inhalation. In 10 minutes after the inhalation, the BCG, FPG and ECG returned to their original levels. Then they were recorded again before the 25-second intravenous injection of 0.08 mg/Kg methoxamine and 30 seconds, 1, 2, 3 and 5 minutes after the beginning of the injection. The effects of the agents were controlled by FPG and ECG. Twenty items (14 items in the longitudinal BCG, 5 items in the FPG and one item in the ECG) were selected from the findings of the records obtained. These items were measured and calculated for the study. The heights of H, I , J, K and N, the amplitudes of HI, IJ, JK and LM, the amplitude ratios of HI/IJ, JK/IJ and LM/IJ, and the times of Q-J and Q-N were measured as usual in longitudinal BCG. Q-J time meant the time from the beginning of the Q wave in the ECG to the tip of J wave in BCG. Q-N time had similar meaning. The tip of the FPG wave was named "B", the incisura named "C", the starting point of the FPG wave on the base line named "S", the amplitude of the wave named "b", and the height of the incisura named "c". The "c/b" was called incisura ratio. "b", "c", "c/b", "SB time" and "SC time" were measured and calculated. R-R time only was measured in ECG.
- 社団法人日本循環器学会の論文
- 1974-09-30
著者
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