Shoshin Beriberi With Vasospastic Angina Pectoris : Possible Mechanism of Mid-Ventricular Obstruction

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概要

• 論文の詳細を見る

• A 73-year-old heavy drinker was admitted to hospital in a state of shock. He had been suffering from frequent angina at rest, causing him to drink more heavily in an effort to overcome his anginal chest pain. He had been drinking hard each day and had not eaten for 4 weeks. His hemodynamic state on admission showed high-output heart failure. Echocardiography revealed hyperkinesis of the left ventricle and mid-ventricular obstruction with peak intraventricular gradients of 30 mmHg. Although no improvement was seen despite administering the maximal dose in catecholamine therapy, his condition improved rapidly after vitamin B was administered. Cardiac catheterization revealed mid-ventricular obstruction with an apical aneurysm. Coronary artery spasm was induced by injecting acetylcholine in the distal site of the left anterior descending artery, which perfused the area of the apical aneurysm. In the present case, both left ventricular hyperkinesis caused by shoshin beriberi and apical myocardial infarction caused by frequent coronary spasms produced mid-ventricular obstruction with an apical aneurysm.

• 社団法人日本循環器学会の論文
• 2002-10-20

著者

• Aizawa Yoshifusa

  First Department of Internal Medicine, Niigata University School of Medicine

• Suzuki Keisuke

  Sado General Hospital

• Tanabe Yasuhiko

  Saiseikai Niigata Daini Hospital

• Suzuki Kenji

  Dep. Of Gastroenterology And Hepatology Niigata Univ. Graduate School Of Medical And Dental Sciences

• Tanabe Yasuhiko

  Department Of Internal Medicine Niigata Prefectural Shibata Hospital

• Suzuki Kaoru

  Departments of Electrical Engineering, College of Science and Technology, Nihon University

• ITO MASAHIRO

  First Department of Internal Medicine, Hiroshima University Medical Hospital

• Tanabe Yasuhiko

  Department Of Cardiology Niigata Prefectural Shibata Hospital

• Suzuki Kaoru

  Department Of Internal Medicine Niigata Prefectural Shibata Hospital

• Kumakura Makoto

  Department of Internal Medicine, Niigata Prefectural Shibata Hospital

• Kumakura Makoto

  Department Of Internal Medicine Niigata Prefectural Shibata Hospital

• Suzuki Katsunori

  Division Of Endocrinology And Metabolism Niigata University Graduate School Of Medical And Dental Sc

• Suzuki Katsunori

  Division Of Endocrinology And Metabolism Saiseikai Niigata Second Hospital

• Aizawa Yoshifusa

  First Department Of Internal Medicine Niigata Universaity School Of Medicine

• Suzuki Kaoru

  Department Of Basic Human Sciences School Of Human Sciences Waseda University

• Suzuki Kaoru

  Dep. Of Gastroenterology And Hepatology Niigata Univ. Graduate School Of Medical And Dental Sciences

• Ito Masahiro

  First Department Of Internal Medicine Niigata University School Of Medicine

• Suzuki Kaoru

  Third Dep. Of Medicine Graduate School Of Medical And Dental Sciences Niigata Univ.

• Suzuki Kaoru

  Department Of Applied Chemistry Faculty Of Science Science University Of Tokyo

• Suzuki Keisuke

  First Department Of Internal Medicine Niigata University School Of Medicine

• AIZAWA Yoshifusa

  First Department of Internal Medecine, Niigata University School of Medicine, Niigata, Japan.

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