Critical Analysis of Hemodynamic Insufficiency by Head-up Tilt in Patients With Carotid Occlusive Disease
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概要
- 論文の詳細を見る
Background The objective of this study was to evaluate the diagnostic value of the head-up-tilt (HUT) test for detecting cerebral hemodynamic insufficiency in patients with major cerebral artery occlusion disease because such patients may benefit from extracranial-intracranial bypass surgery. Methods and Results In 13 cases of transient ischemic attacks in patients with carotid or middle cerebral artery occlusive disease, the HUT test was used to determine whether or not the symptoms appear during induced hypotension before investigating cerebral hemodynamics with positron emission tomography. Three of the 13 patients showed focal symptoms such as hemiparesis and limb shaking during the HUT test. In all 3 patients, the oxygen extraction fraction (OEF) increased beyond 53.3% (ie, misery perfusion), whereas only 2 of the other 10 patients without focal symptoms showed an increase in OEF during HUT. Conclusions The HUT test was highly useful for screening patients with cerebral hemodynamic insufficiency in carotid occlusive disease.
- 社団法人日本循環器学会の論文
- 2005-07-20
著者
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Horio Masaru
Ehime University
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Matsuda H
Department Of Cardiovascular Surgery Hyogo Medical College
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Matsumoto Masayasu
Osaca 2 Study Group
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Matsumoto Masayasu
Department Of Clinical Neuroscience And Therapeutics Hiroshima University Graduate School Of Biomedi
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HORI Masatsugu
Division of Nephrology, Department of Internal Medicine and Therapeutics, Osaka University Graduate
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HATAZAWA Jun
Department of Nuclear Medicine and Tracer Kinetics, Osaka University Graduate School of Medicine
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Matsumoto M
Department Of Clinical Neuroscience And Therapeutics Hiroshima University Graduate School Of Biomedi
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Matsuda Hikaru
大阪大学 医学系研究科心臓血管外科
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Oyama Naoki
大阪大学 医学系研究科神経内科学
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Hatazawa Jun
Osaka University Graduate School Of Medicine
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Hatazawa J
Akita Res. Inst. Brain And Blood Vessels Akita Jpn
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Hatazawa J
Department Of Tracer Kinetics Osaka University Medical School
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Hatazawa Jun
Department Of Radiology And Nuclear Medicine Akita Research Institute Of Brain And Blood Vessels
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Hatazawa Jun
Department Of Radiology And Nuclear Medicine Akita Research Institute For Brain And Blood Vessels
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IMAIZUMI Masao
Department of Nuclear Medicine and Tracer Kinetics, Osaka University Graduate School of Medicine
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Kitagawa Kazuo
Division of Strokology, Department of Cardiovascular Medicine (A8), Osaka University Graduate School
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Sakaguchi Manabu
Division of Strokology, Department of Cardiovascular Medicine
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Oku Naohiko
Division of Strokology, Department of Cardiovascular Medicine
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Imaizumi Masao
Division of Strokology, Department of Cardiovascular Medicine
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Yamagami Hiroshi
Division of Strokology, Department of Cardiovascular Medicine
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Ohtsuki Toshiho
Division of Strokology, Department of Cardiovascular Medicine
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Matsushita Kohji
Division of Strokology, Department of Cardiovascular Medicine
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Hougaku Hidetaka
Division of Strokology, Department of Cardiovascular Medicine
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Yamagami Hiroshi
Division Of Strokology Department Of Cardiovascular Medicine
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Matsuda Hikaru
Division Of Cardiovascular Surgery Cardiovascular Medicine Osaka University Graduate School Of Medic
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Morita Hisaki
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine
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Imaizumi Masao
Department Of Nuclear Medicine And Tracer Kinetics Osaka University Graduate School Of Medicine
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Imaizumi Masao
Osaka University Graduate School Of Medicine
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Hougaku Hidetaka
Department Of Cardiovascular Medicine Osaka University Graduate School Of Medicine
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Matsushita Kohji
Division Of Strokology Department Of Cardiovascular Medicine
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Kitagawa Kazuo
Stroke Division Department Of Neurology Osaka University Graduate School Of Medicine
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Hori Masatsugu
Department Of Radiology National Center Hospital For Mental Nervous And Muscular Disorders National
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Hori Masatsugu
Division Of Cardiovascular Surgery Cardiovascular Medicine Osaka University Graduate School Of Medic
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Matsuda Hikaru
Department Of Cardiology Osaka University Graduate School Of Medicine
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Sakaguchi Manabu
Department Of Neurology Osaka University Graduate Of Medicine
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Oku Naohiko
Department Of Tracer Kinetics And Nuclear Medicine Osaka University Graduate School Of Medicine
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Ohtsuki Toshiho
Division Of Strokology Department Of Cardiovascular Medicine
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Horio Masaru
Division Of Health Sciences Department Of Functional Diagnostic Science Osaka University Graduate Sc
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Hori Masatsugu
Department Of Cardiology Ehime Prefectural Imabari Hospital
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Hatazawa Jun
Department Of Nuclear Medicine And Pet Center Hyogo College Of Medicine Hospital
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Matsuda Hikaru
Department Of Integrated Medicine Kagawa University
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Hatazawa Jun
大阪大学
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Matsumoto Masayasu
Department Of Clinical Neuroscience And Therapeutics Graduate School Of Biomedical Science Hiroshima University
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Miyashita Kouichi
Department Of Radiology Yokohama City University Graduate School Of Medicine
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Matsumoto Masayasu
Department of Clinical Neuroscience and Therapeutics Division of Integrated Medical Science, Graduate School of Biomedical Sciences, Hiroshima University
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