Biochemical analysis of airway aspirates of newborns
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概要
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Cardiovascular disease is a major cause of mortality and morbidity in patients with acromegaly. We describe the case of a 43-year-old man with acromegaly who presented with severe congestive heart failure. Treatment with the somatostatin analog octreotide improved cardiac function with an increase in left ventricular ejection fraction (LVEF) from 11% to 27%. LVEF further increased to 43% after trans-sphenoidal surgery. Recovery was uneventful. We emphasize the need for early diagnosis and effective treatment of acromegaly to prevent cardiovascular complications. Octreotide therapy or trans-sphenoidal surgery, if possible, should be considered to control cardiac function even in acromegalic patients with severe congestive heart failure.
著者
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Aoki Koichiro
Department Of Synthetic Chemistry Faculty Of Engineering Gifu University
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Sakagami Satoru
First Department of Internal Medicine, Kanazawa University
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Hisada Azusa
Department Of Internal Medicine Kanazawa National Hospital
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Kitabayashi Masahiro
Department Of Neurosurgery Kohseiren Takaoka Hospital
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Yasuoka Susumu
徳島大学医学部
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Terao Toshiko
徳島大学医学部
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Tsuchihashi Sumiko
徳島大学医学部
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Kobayashi Ken-ichi
First Department Of Internal Medicine Kanazawa University School Of Medicine
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Komai Toshio
Department Of Neurosurgery Kohseiren Takaoka Hospital
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Takata Shigeo
Department Of Cardiology Kanazawa City Hospital
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Sakagami Satoru
First Department of Internal Medicine, School of Medicine, Kanazawa University
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Komai Toshio
Department of Neurosurgery, Kouseiren Takaoka Hospital
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Takata Shigeo
Department of Health Science, School of Medicine, Kanazawa University
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