Increase in Electrocardiographic R-Waves After Revascularization in Patients With Acute Myocardial Infarction
スポンサーリンク
概要
- 論文の詳細を見る
Background The physiological mechanism of the increase in the electrocardiographic (ECG) R-wave voltage after revascularization in patients with acute myocardial infarction (MI) needs to be elucidated. Methods and Results One hundred and thirty-eight MI patients (83: anterior MI, 45: inferior MI, 10: lateral MI) underwent ECG and echocardiography in both the acute and subacute phases after emergency revascularization, as well as a resting thallium-201/iodine-123 15-p-iodophenyl-3-(R,S)-methyl pentadecanoic acid myocardial scintigraphy in the acute phase. The total sum of the R-wave voltage (ΣR) was calculated over multiple leads on ECG for each infarcted lesion. Scintigraphic defect on each tracer was expressed as the percentage (%) defect of the total left ventricular (LV) myocardium. The % defect-discordance on both images in the acute phase and the % increase in ΣR and the absolute increase in LV ejection fraction from the acute to the subacute phase (ΔEF) were also calculated. The ΣR in the subacute phase was significantly greater than that in the acute phase (p<0.0001). The % increase in ΣR significantly correlated with the ΔEF (r=0.57, p<0.0001). The % increase in ΣR also correlated with the % defect-discordance (r=0.68, p<0.0001). Conclusions The increase in the ECG R-wave voltage reflects not only the improvement in myocardial perfusion but also the presence of salvaged myocardium after revascularization in acute MI patients.
- 社団法人日本循環器学会の論文
- 2006-10-20
著者
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MUROHARA Toyoaki
Department of Cardiology, Nagoya University Graduate School of Medicine
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Isobe Satoshi
名古屋第二赤十字病院 循環器内科
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Ichimiya Satoshi
Department Of Cardiology Yokkaichi Municipal Hospital
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Isobe Satoshi
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Isobe Satoshi
Department Of Cardiology Kami-iida Daiichi General Hospital
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Okada Taro
Division Of Cardiology Aichi Prefecture Cardiovascular And Respiratory Center
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Hirai Makoto
Department Of Circulation And Respiration Research Institute Of Environmental Medicine Nagoya Univer
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Yamamoto Takashi
滋賀医科大学 呼吸循環器内科
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Isobe S
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Inden Yasuya
Department of Cardiology, Nagoya University School of Medicine
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Kondo Takahisa
Department of Cardiology, Nagoya University School of Medicine
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Yamada Kiyoyasu
Department of Cardiology, Nagoya University School of Medicine
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Kadowaki Takashi
滋賀大学 医学部健康科学科
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Isobe Satoshi
Department Of Cardiology Nagoya University School Of Medicine
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Nanasato Mamoru
Department of Cardiology, Nagoya Daini Red Cross Hospital
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OHSHIMA Satoru
Department of Cardiology, Nagoya University Graduate School of Medicine
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Unno Kazumasa
Department Of Cardiology Nagoya University
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Oshima Satoru
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Izawa Hideo
Division Of Cardiology Fujita Health University Hospital
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Izawa Hideo
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Inden Yasuya
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Kondo Takahisa
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Yamada Takumi
名古屋大学 大学院医学系研究科循環器内科
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Murohara Toyoaki
Department Of Cardiology Nagoya University Graduate School Of Medicaine
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Isobe Satoshi
Department Of Cardiology Kami-iida Dai-ichi General Hospital
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Ichimiya Satoshi
Department Of Cardiology Kami-iida Daiichi General Hospital
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Andoh Akitada
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Ando Akitada
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Ooshima Satoru
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Isobe Satoshi
Department Of Cardiology Kami-iida Daiichi General Hospital:department Of Cardiology Nagoya Universi
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Takada Yasuo
Department of Cardiology, Nagoya University Graduate School of Medicine
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Ogawa Takuo
Department of Cardiology, Kami-iida Daiichi General Hospital
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Ohshima Satoru
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Izawa Hideo
Department Of Cardiology
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Yamada Kiyoyasu
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Nanasato Mamoru
Division Of Cardiology First Department Of Internal Medicine Nagoya University Graduate School Of Me
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Takada Y
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Takada Yasunobu
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Takagi Kenzo
Third Division Of The Research Laboratory For Development Of Medicine School Of Pharmacy Hokuriku Un
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Takada Yasuo
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Isobe Satoshi
Division Of Cardiology First Department Of Internal Medicine Nagoya University Graduate School Of Me
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Nanasato Mamoru
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Murohara Toyoaki
Department Of Cardiology Nagoya Graduate School Of Medicine
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Hirai Makoto
Department Of Geriatrics Nagoya University Graduated School Of Medicine
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Nanasato Mamoru
Division Of Cardiology First Department Of Internal Medicine Nagoya University Graduate School Of Me
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Unno Kazumasa
Department Of Cardiology Nagoya University Graduate School Of Medicine
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Kondo Takahisa
Department of Advanced Medicine in Cardiopulmonary Disease, Nagoya University Graduate School of Medicine
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Hirai Makoto
Department of Cardiology, Nagoya University Graduate School of Health Science
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