Usefulness of Delayed Enhancement Magnetic Resonance Imaging for Detecting Cardiac Rupture Caused by Small Myocardial Infarction in a Case of Cardiac Tamponade
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概要
- 論文の詳細を見る
Delayed enhancement magnetic resonance imaging (DE-MRI) has excellent spatial resolution and compared with other cardiac imaging techniques it can detect a small myocardial infarction (MI) or a subendocardial infarction. A 76-year-old man was admitted for loss of consciousness because of cardiac tamponade. The cause of tamponade was unknown, but electrocardiography and blood test suggested a recent MI. The removal of 100ml bloody fluid by immediate pericardiocentesis normalized his hemodynamics, and he regained consciousness. Neither echocardiography nor scintigraphy could determine the location of the MI or rupture, but DE-MRI clearly demonstrated a transmural enhancement in a very narrow range of the lateral wall of the left ventricle. Coronary angiography revealed a severely stenotic lesion in the obtuse marginal branch of the left circumflex artery. DE-MRI is a powerful tool for diagnosing small MI that are undetectable with other imaging. Therefore, DE-MRI should be applied in cases with cardiac tamponade by unknown causes.
- 社団法人日本循環器学会の論文
- 2005-11-20
著者
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Satoh Hiroshi
Division Of Cardiology Internal Medicine Iii Hamamatsu University School Of Medicine
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URUSHIDA Tsuyoshi
Division of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine
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KATOH Hideki
Division of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine
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HAYASHI Hideharu
Division of Cardiology, Internal Medicine III, Hamamatsu University School of Medicine
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MATOH Fumitaka
Department of Emergency Medicine, Hamamatsu University School of Medicine
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SHIRAKI Katsunori
Division of Cardiology, Internal Medicine III, University School of Medicine
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SAKAHARA Harumi
Department of Radiology, Hamamatsu University School of Medicine
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Takehara Yasuo
Department of Radiology, Hamamatsu University School of Medicine
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Katoh Hideki
Division Of Cardiology Internal Medicine Iii Hamamatsu University School Of Medicine
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Hayashi Hideharu
Division Of Cardiology Internal Medicine Iii Hamamatsu University School Of Medicine
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Hayashi Hideharu
Internal Medicine Iii Hamamatsu University School Of Medicine
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Urushida Tsuyoshi
Division Of Cardiology Internal Medicine Iii Hamamatsu University School Of Medicine
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Asai Masayoshi
Division of Cardiology, Shizuoka City Hospital
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Hayashi Hideharu
Department Of Internal Medicine Iii Hamamatsu University School Of Medicine
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Terada Hajime
Divisions Of Cardiology Department Of Internal Medicine Iii
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Terada Hajime
Department Of Medicine Iii Hamamatsu University Of Medicine
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Asai Masayoshi
Department Of Internal Medicine Iii Hamamatsu University School Of Medicine
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Asai Masayoshi
Division Of Cardiology Shizuoka City Hospital
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Takeuchi Yasuyo
Department Of Internal Medicine Iii Hamamatsu University School Of Medicine
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Takehara Yasuo
Department Of Radiology Hamamatsu University School Of Medicine
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Sakahara Harumi
Department Of Nuclear Medicine And Diagnostic Imaging Kyoto University School Of Medicine
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Matoh Fumitaka
Department Of Emergency Medicine Hamamatsu University School Of Medicine
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Shiraki Katsunori
Division Of Cardiology Internal Medicine Iii University School Of Medicine
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Sone Hirohito
Department Of Nutrition Ochanomizu University
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Shiraki Katsunori
Division Of Cardiology Internal Medicine Iii Hamamatsu University School Of Medicine
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Terada Hajime
Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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Takehara Yasuo
Department of Internal Medicine III, Hamamatsu University School of Medicine
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