Prognostic Significance of Inverted T Waves in Patients With Acute Pulmonary Embolism(Clinical Investigation)
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概要
- 論文の詳細を見る
Background The significance of inverted T waves remains unclear in patients with acute pulmonary embolism (PE). Methods and Results The relationship of the number of leads with inverted T waves to the severity of PE in 40 patients with acute PE was studied. Patients were classified into 3 groups according to the number of leads with inverted T waves on the admission electrocardiogram (ECG): 15 patients, ≤3 leads (group L); 12 patients, 4-6 leads (group M); and 13 patients, ≥7 leads (group H). In groups L, M and H, the rates of right ventricular dysfunction on echocardiography were 47%, 92% and 100% (p<0.01), respectively, and the rates of in-hospital complicated events (including death or the need for catecholamine support, cardiopulmonary resuscitation or mechanical cardiovascular support because of hemodynamic instability) were 0%, 8% and 46% (p=0.004), respectively. On multivariate analysis, arterial hypotension at presentation (odds ratio (OR) 8.96, p=0.049) and inverted T waves in ≥7 leads on the admission ECG (OR 16.8, p=0.037) were the only independent predictors of in-hospital complicated events. Conclusions The number of leads with inverted T waves may be a useful and simple marker of increased risk for early complications in patients with acute PE.
- 社団法人日本循環器学会の論文
- 2006-05-20
著者
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KOSUGE Masami
The Division of Cardiology, Yokohama City University Medical Center
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EBINA Toshiaki
The Division of Cardiology, Yokohama City University Medical Center
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HIBI Kiyoshi
The Division of Cardiology, Yokohama City University Medical Center
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UMEMURA Satoshi
The Division of Cardiology, Yokohama City University Medical Center
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KIMURA Kazuo
The Division of Cardiology, Yokohama City University Medical Center
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Kanna Masahiko
Division of Cardiology, Fujisawa City Hospital
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Iwahashi Noriaki
The Division of Cardiology, Yokohama City University Medical Center
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Ebina Toshiaki
横浜市立大学附属市民総合医療センター 心臓血管センター
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Nozawa Naoki
The Division Of Cardiology Yokohama City University Medical Center
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Ishikawa T
Department Of Medical Science And Cardiorenal Medicine Yokohama City University Graduate School Of M
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Ishigami T
Department Of Second Internal Medicine Yokohama City University School Of Medicine
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Kanna Masahiko
Department Of Cardiology Fujisawa Municipal Hospital
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Kanna Masahiko
Division Of Cardiology Fujisawa City Hospital
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Yano Hideto
Department Of Cardiology Fujisawa Municipal Hospital
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Kusama Ikuyoshi
Division Of Cardiology Yokohama City University Medical Center Yokohama City University Graduate Sch
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Ogawa H
Division Of Cardiology Yokohama City University Hospital
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Ozaki Hiroyuki
神奈川県立循環器呼吸器病センター 循環器科
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Minami Kazutoshi
Yokohama City University Medical Center
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Kohagura Kentaro
琉球大学 第三内科
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Yano Hideto
Division Of Cardiology Fujisawa City Hospital
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Nakazawa I
Division Of Cardiology Yokohama City University Medical Center
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Ogawa Hideyuki
Division Of Cardiology Yokohama City University Hospital
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Ishikawa Toshiyuki
The Division of Cardiology, Yokohama City University Medical Center
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Tsukahara Kengo
The Division of Cardiology, Yokohama City University Medical Center
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Kanna Masahiko
The Division of Cardiology, Yokohama City University Medical Center
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Okuda Jyun
The Division of Cardiology, Yokohama City University Medical Center
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Ozaki Hiroyuki
The Division of Cardiology, Yokohama City University Medical Center
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Yano Hideto
The Division of Cardiology, Yokohama City University Medical Center
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Nakati Tatuya
The Division of Cardiology, Yokohama City University Medical Center
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Kusama Ikuyoshi
The Division of Cardiology, Yokohama City University Medical Center
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Kosuge Masami
The Division Of Cardiology Yokohama City University Medical Center
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Nakazawa Ichirou
Department Of Medical Science And Cardiorenal Medicine Yokohama City University School Of Medicine
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Kikuchi Miyako
Yokohama City University School Of Medicine Cardiovascular Center
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Minamizawa Kousuke
Second Department Of Internal Medicine Yokohama City University School Of Medicine
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