Long-Term Prognosis of Fulminant Myocarditis Rescued by Percutaneous Cardiopulmonary Support Device
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概要
- 論文の詳細を見る
Background The long-term prognosis and cardiac function of fulminant myocarditis treated with percutaneous cardiopulmonary support (PCPS) was compared with the outcome of those not treated with PCPS. Methods and Results From 1991 to 2000, 14 patients with fulminant myocarditis (left ventricle ejection fraction (LVEF) ≤40%) were admitted to hospital. PCPS was necessary for treatment of shock in 8 (PCPS group), but not for the remaining 6 patients (non-PCPS group). In the PCPS group, 6 patients (75%) survived the critical phase and did not have any cardiac problems after discharge (range of follow-up period, 1.4-6.0 years). All patients in the non-PCPS group survived the acute phase ; 1 patient had congestive heart failure 1.5 years after discharge, and another died from malignancy (follow-up period range, 2.2-9.4 years). Although the left ventricular ejection fraction (LVEF) of the PCPS group was significantly lower than that of the non-PCPS group in the acute phase, there was no significant difference in LVEF between the 2 groups in the chronic phase. Conclusion Patients who survive the acute phase crisis of acute myocarditis have a favorable long-term survival rate, whether or not mechanical support is used. (Circ J 2004 ; 68 : 829-833)
- 2004-08-20
著者
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Ino Takashi
First Department Of Integrated Medicine Omiya Medical Center Jichi Medical School
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KAWAHITO Koji
the Department of Thoracic and Cardiovascular Surgery, Jichi Medical School
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Ikeda Nahoko
First Department Of Integrated Medicine Saitama Medical Center Jichi Medical University
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Ikeda Nahoko
First Department Of Integrated Medicine Omiya Medical Center Jichi Medical University
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Kawahito Koji
The Department Of Thoracic And Cardiovascular Surgery Jichi Medical School
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Kawahito Koji
The Division Of Cardiovascular Surgery Omiya Medical Center Jichi Medical School
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Tsuruya Yoshio
Division Of Cardiology Saitama Social Insurance Hospital
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Saito Muneyasu
First Department Of Integrated Medicine Saitama Medical Center Jichi Medical University
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Saito Muneyasu
The Cardiovasucural Division Jichi Medical School Omiya Medical Center
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Katsuki Taka'aki
Division Of Cardiology Saitama Medical Center Jichi Medical School
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Yasu Takanori
Department Of Clinical Pharmacology & Therapeutics University Of The Ryukyus Graduate School Of
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Hashimoto Shigemasa
Department Of Cardiovascular And Renal Medicine Saga University Faculty Of Medicine
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Hirahara Taishi
Division Of Cardiovascular Medicine Department Of Integrated Medicine I Jichi Medical University Sai
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Ohmura Nobuhiro
Division Of Cardiovascular Medicine Kawasaki Saiwai Hospital
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Yasu Takanori
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Tsukamoto Yoshiaki
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Takagi Yosuke
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Ikeda Nahoko
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Hashimoto Shigemasa
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Tsuruya Yoshio
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Kubo Norifumi
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Fujii Mikihisa
The Cardiovascular Division, Omiya Medical Center, Jichi Medical School
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Sugawara Yoshitaka
First Department Of Integrated Medicine Saitama Medical Center Jichi Medical University
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Kobayashi Nobuhiko
Department Of Medicine Jichi Medical School Omiya Medical Center
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Maejima Yasuhiro
First Department Of Integrated Medicine Omiya Medical Center Jichi Medical School:department Of Card
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Tone Katsuyuki
Division Of Cardiology Saitama Medical Center Jichi Medical School
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Fujii Mikihisa
Cardiovascular Division First Department Of Integrated Medicine Omiya Medical Center Jichi Medical S
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Fujii Mikihisa
Department Of Integrated Medicine 1 Jichi Medical School Omiya Medical Center
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Maejima Yasuhiro
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Omura Nobuhiro
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Katsuki Takaaki
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Sugawara Yoshitaka
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Hirahara Taishi
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Kobayashi Nobuhiko
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Funayama Hiroshi
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Ishida Takeshi
The Cardiovasucular Division, Omiya Medical Center, Jichi Medical School
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Ino Takashi
The Division of Cardiovascular Surgery, Omiya Medical Center, Jichi Medical School
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Kubo Norifumi
Cardiovascular Division Jichi Medical University Saitama Medical Center
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Funayama Hiroshi
Cardiovascular Division Jichi Medical University Saitama Medical Center
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Saito Muneyasu
Cardiovascular Division Department Of Integrated Medicine I
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Tada Yuuko
Division Of Cardiology Saitama Medical Center Jichi Medical School
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Yasu Takanori
Division Of Cardiovascular Medicine Department Of Integrated Medicine I Jichi Medical University Sai
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Turuya Yoshio
Department Of Internal Medicine Saitama Medical Center Jichi Medical University
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Tada Yuko
Cardiovascular Division Department Of Medicine Jichi Medical University Saitama Medical Center
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Ikeda Nahoko
Division Of Cardiovascular Medicine Department Of Integrated Medicine I Jichi Medical University Saitama Medical Center
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