Narrowing of the Left Ventricular Cavity Associated With Transient Ventricular Wall Thickening Reduces Stroke Volume in Patients With Acute Myocarditis
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概要
- 論文の詳細を見る
It has been reported that some patients with acute myocarditis have transient ventricular thickening associated with narrowing of the left ventricular cavity caused by interstitial edema. The present study investigated this phenomenon in 20 patients with acute myocarditis. Based on the sum of the interventricular septal wall thickness and left ventricular posterior wall thickness (IVST+PWT), measured by M-mode echocardiography, patients were divided into group A (IVST+PWT〓25mm, n=12) and group B (IVST+PWT<25mm, n=8). The IVST+PWT was 31.8±3.5mm in group A and 21.9±2.7mm in group B (p<0.0001). The left ventricular end-diastolic dimension (LVDd) was 42.3±6.0mm in group A and 49.4±6.7mm in group B (p<0.05). The stroke volume (SV) was 41.1±20.5ml and 73.0±32.3ml in groups A and B, respectively (p<0.05). The left ventricular ejection fraction (LVEF) was similar in group A (47.9±13.0%) and group B (56.9±9.0%). The SV correlated inversely with IVST+PWT (r=-0.62, p<0.01), and directly with both the LVDd (r=0.95, p<0.0001) and LVEF (r=0.64, p<0.01). The LVDd correlated inversely with IVST+PWT (r=-0.62, p<0.01). In conclusion, the reduction in SV that occurs during the acute phase of myocarditis is not only the result of systolic dysfunction, but also of the concentric left ventricular wall thickening associated with myocardial interstitial edema, which results in narrowing of the left ventricular cavity at end diastole. (Circ J 2003; 67: 490-494)
- 社団法人日本循環器学会の論文
- 2003-05-20
著者
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HISHIDA Hitoshi
Division of Cardiology, Department of Internal Medicine, Fujita Health University School of Medicine
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Morimoto Shin-Ichiro
Division of Cardiology, Department of Medicine, Fujita Health University School of Medicine
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MIYAGISHIMA Kenji
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
-
KATO Yasuchika
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
-
Hishida Hitoshi
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
-
Uemura Akihisa
Fujita Ezetimibe Study Assembly (festa)
-
Morimoto Shin-ichiro
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
-
Mori Shin
Department Of Internal Medicine Fujita Health University School Of Medicine
-
Ohtsuki Masatsugu
Department of Cardiology, Fujita Health University School of Medicine
-
Mori Shin
Saitama Medical Center Jichi Medical University
-
Hishida H
Department Of Cardiology Fujita Health University
-
Morimoto Shin-ichiro
First Department Of Internal Medicine Shinshu University
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Morimoto Shin-ichiro
Saitama Medical Center Jichi Medical University
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Iwase Masatsugu
Fujita Health University Hospital
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Hiramitsu Shinya
Division of Cardiology, Fujita Health University
-
Iwase Masatsugu
Department Of Cardiology Fujita Health University School Of Medicine
-
Iwase Masatsugu
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine:j
-
Uemura Akihisa
Division of Cardiology, Department of Internal Medicine, Fujita Health University School of Medicine
-
Ohtsuki Masatsugu
Division of Cardiology, Department of Internal Medicine, Fujita Health University School of Medicine
-
Sugiura Atsushi
Division of Cardiology, Department of Internal Medicine, Fujita Health University School of Medicine
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Kato Shigeru
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
-
ITO Teruo
Cardilvacular Center,Nagoya Dai-ni Red Cross Hospital
-
Iwase Masatsugu
Division Of Cardiology Department Of Internal Medicine Fujita Health University
-
Sugiura Atsushi
Department of Cardiology, Fujita Health University,
-
Miyagishima Kenji
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Ohtsuki Masatsugu
Department Of Cardiology Fujita Health University School Of Medicine
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Ohtsuki Masatsugu
Department Of Pharmacology Fujita Health University School Of Medicine
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Sugiura Atsushi
Department Of Cardiology Fujita Health University
-
Iwase Masatsugu
Department Of Cardiology Fujita Health University
-
Iwase Masatsugu
Junior College Of Medical Information Fujita Health University School Of Medicine
-
Ohtsuki Masatsugu
Departments Of Pharmacology Fujita Health University
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Morimoto Shin-ichiro
Department Of Pathology Tokyo Women's Medical College
-
Iwase Masatsugu
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Usui Akihiko
Cardiothoracic Surgery Nagoya University Graduate School Of Medicine
-
Ohtsuki Masatsugu
藤田保健衛生大学 内科学
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Hiramitsu Shinya
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Sekiguchi Morie
Dept. Of Cardiovascular Surqery The Heart Institute Of Japan Tokyo Women's Medical College
-
Kato Yasuchika
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Sugiura Atsushi
Department Of Cardiology Hekinan Municipal Hospital
-
Sugiura Atsushi
Department Of Cardiology Nagoya Memorial Hospital
-
Sugiura Atsushi
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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