Prediction of Functional Recovery of the Left Ventricle After Coronary Revascularization in Patients With Prior Anterior Myocardial Infarction : A Myocardial Integrated Backscatter Study
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概要
- 論文の詳細を見る
Cyclic variation (CV) of myocardial integrated backscatter (IBS), which reflects intrinsic contractile performance, can predict myocardial viability in patients with a reperfused acute myocardial infarction (MI), but the use of this method has not been validated for chronic left ventricular (LV) dysfunction. The aim of this study was to examine whether myocardial IBS was useful for predicting LV functional recovery after coronary revascularization in 17 patients with prior anterior MI and LV dysfunction (ejection fraction <50%). Within 24 h of the revascularization procedure (percutaneous transluminal coronary angioplasty or coronary stenting), IBS curves were obtained by placing the region of interest on the anterior wall on the short-axis IBS image. The patients had repeat left heart catheterization at 3 or 6 months after the revascularization procedure, and were grouped according to the patterns of the IBS curve within the anterior wall. In 8 patients (group A), the IBS curve had a synchronized pattern with the magnitude of CV ≥3.5, and in the remaining 9 patients (group B), the curve had either an asynchronized pattern or the magnitude of CV was less than 3.5 dB even in the case of synchronized pattern, or both. At baseline, there were no significant differences in LV functional indices between the 2 groups. After the follow-up period, the LV end-systolic volume decreased (75±21 ml to 56±20 ml, p=0.05), LV ejection fraction increased (35±12% to 50±14%, p=0.014), and LV end-diastolic pressure decreased (19±10 mmHg to 13±6 mmHg, p=0.02) in group A, whereas only the LV ejection fraction increased (34±9% to 40±11%, p=0.03) in group B; LV end-systolic volume (72±19 ml to 66±16 ml, p=0.126) and LV end-diastolic pressure (18±12 mmHg to 14±8 mmHg, p=0.184) showed no significant changes. In conclusion, IBS is valuable for predicting LV functional recovery after coronary revascularization in patients with LV dysfunction caused by a remote anterior MI. A large-scale study is be needed to establish these data.
- 社団法人日本循環器学会の論文
- 2002-09-20
著者
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Suwa M
Hokusetsu General Hospital
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Suwa Michihiro
The Third Division, Department of Internal Medicine
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Kitaura Yasushi
The Third Division, Department of Internal Medicine
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Nakamura Tomomi
The 3rd Division, Department of Internal Medicine
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Ito Takahide
The Third Division, Department of Internal Medicine, Osaka Medical College
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Nakamura Tomomi
The Third Division, Department of Internal Medicine, Osaka Medical College
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Kobashi Ayaka
The Third Division,Department of Internal Medicine,Osaka Medical Colleg
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Suzuki Shuji
The Third Division, Department of Internal Medicine, Osaka Medical College
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Tanimura Mitsuhiro
The Third Division, Department of Internal Medicine, Osaka Medical College
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Suzuki George
The Third Division, Department of Internal Medicine, Osaka Medical College
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Miyazaki Sadae
The Third Division, Department of Internal Medicine, Osaka Medical College
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Ito Takahide
Hayama Heart Center
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Suwa Michihiro
Dept. Of Intern. Med. Osaka Medical Colledge.
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Suwa Michihiro
3rd Division Department Of Internal Medicine Osaka Medical College
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Suwa Michihiro
Third Department Of Internal Medicine Osaka Medical College
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Suzuki Shuji
The Third Division Department Of Internal Medicine Osaka Medical College
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Ito Takahide
The Third Division Department Of Internal Medicine Osaka Medical College
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Kobashi Ayaka
The Third Division Department Of Internal Medicine Osaka Medical Colleg
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Suzuki George
The Third Division Department Of Internal Medicine Osaka Medical College
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Miyazaki Sadae
Third Department Of Internal Medicine Osaka Medical College
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Suwa Michihiro
Iii Div Osaka Med. College
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Suwa Michihiro
The Third Division Department Of Internal Medicine Osaka Medical College
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Ito Takahide
Third Department Of Internal Medicine Osaka Medical College
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Nakamura Tomomi
The 3rd Division Department Of Internal Medicine
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Tanimura Mitsuhiro
The Third Division Department Of Internal Medicine Osaka Medical College
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Suwa Michihiro
大阪医科大学
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Kitaura Yasushi
The Third Department Of Internal Medicine Osaka Medical College
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Ito Takahide
The Third Department Of Internal Medicine Osaka Medical College
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