Assessment of Myocardial Perfusion and Fatty Acid Metabolism in a Patient With Churg-Strauss Syndrome Associated With Eosinophilic Heart Disease
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概要
- 論文の詳細を見る
Churg-Strauss syndrome is characterized by asthma, eosinophilia and systemic necrotizing vasculitis; cardiac involvement (ie, eosinophilic heart disease) is the major cause of morbidity and mortality, although there are no reports of an association between left ventricular dysfunction because of eosinophilic heart disease and myocardial blood flow or myocardial fatty acid metabolism. A patient presented with Churg-Strauss syndrome associated with eosinophilic heart disease that had progressed to dilated cardiomyopathy. Coronary angiography, thallium201 (^<201>Tl) and iodine-123 β-methyl-iodophenyl pentadecanoic acid (^<123>I BMIPP) myocardial single photon emission computed tomography (SPECT) were performed to evaluate left ventricular dysfunction. Although coronary angiography was normal and ^<201>Tl SPECT showed no apparent image defect, 123I BMIPP SPECT showed diffuse decreased accumulation, excepting the apex. The left ventricular dysfunction in patients with eosinophilic heart disease is associated with impaired myocardial fatty acid metabolism rather than with impaired myocardial blood flow.
- 社団法人日本循環器学会の論文
- 2004-05-20
著者
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Kuwabara Yoichi
Third Department Of Internal Medicine Chiba University School Of Medicine
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Kuwabara Yoichi
Third Department Of Internal Medicine Chiba University School Of Medcine
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HIRAI Akira
Department of Physics, Faculty of Science, Kyoto University
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Shikama Nobuaki
Department of Internal Medicine, Chiba Municipal Hospital
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Nakagawa Tomoo
Department of Internal Medicine, Chiba Municipal Hospital
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Takiguchi Yasuo
Department of Internal Medicine, Chiba Municipal Hospital
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Aotsuka Nobuyuki
Department of Internal Medicine, Chiba Municipal Hospital
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Komiyama Nobuyuki
Third Department of Internal Medicine, Chiba University School of Medicine
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Terano Takashi
Department of Internal Medicine, Chiba Municipal Hospital
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Terano Takashi
Department Of Internal Medicine Chiba Municipal Hospital
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Nakagawa Tomoo
Department Of Internal Medicine Chiba Municipal Hospital
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Takiguchi Yasuo
Department Of Internal Medicine Chiba Municipal Hospital
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Shikama Nobuaki
Department Of Internal Medicine Chiba Municipal Hospital
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Aotsuka Nobuyuki
Department Of Internal Medicine Chiba Municipal Hospital
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Komiyama Nobuyuki
Third Department Of Internal Medicine Chiba University School Of Medicine
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Hirai Akira
Department Of Internal Medicine Chiba Municipal Hospital
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Aotsuka Nobuyuki
Department Of Hematology And Oncology Japanese Red Cross Narita Hospital
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Hirai Akira
Departent Of Materials Science And Engineering Faculty Of Engineering Kyushu Institute Of Technology
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Nakagawa Tomoo
Department of Gastroenterology and Nephrology, Graduate School of Medicine, Chiba University, Japan
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