Intracoronary Nicorandil Relieves Multiple Coronary Vasospasm With Hemodynamic Collapse
スポンサーリンク
概要
- 論文の詳細を見る
A 49-year-old woman was referred to hospital because of chest discomfort. Coronary angiography revealed subtotal occlusion of the left coronary artery and the right coronary artery, but subsequent hemodynamic collapse occurred. Based on the results of intravascular ultrasound the occlusion was suspected to be caused by coronary vasospasm, which was not relieved by intracoronary injection of isosorbide dinitrate (1mg), but was alleviated by nicorandil (2mg), a potassium-channel opener. After discharge from hospital, the patient stopped taking her medication and returned complaining of chest discomfort again. Intravenous verapamil (5mg) did not improve it, but direct intracoronary administration of nicorandil (2mg) did bring relief. This case suggests that nicorandil is effective for coronary vasospasm.
- 社団法人日本循環器学会の論文
- 2008-01-20
著者
-
Lim Young-Jae
Cardiovascular Division, Kawachi General Hospital
-
Mishima Masayoshi
Kawachi General Hospital
-
Ichikawa Makoto
Cardiovascular Division Kawachi General Hospital
-
Lim Young-jae
Cardiovascular Division Kawachi General Hospital
-
Ichikawa Minoru
Cardiovascular Division, Osaka National Hospital
-
Mishima Masayoshi
Cardiovascular Division Kawachi General Hospital
-
Mishima Masayoshi
Cardiovascular Center Kawachi General Hospital
-
Ichikawa Makoto
Division Of Cardiology Department Of Internal Medicine Nihon University School Of Medicine
-
Ichikawa Makoto
Departments Of Cardiology Nihon University School Of Medicine
-
IWATA Akio
Cardiovascular Center, Kawachi General Hospital
-
HAYASHI Takaharu
Cardiovascular Center, Kawachi General Hospital
-
NAKATA Tsuyoshi
Cardiovascular Center, Kawachi General Hospital
-
Lim Yj
Cardiovascular Division Kawachi General Hospital
-
Iwata Akio
Cardiovascular Division Kawachi General Hospital
-
Nakata Tsuyoshi
Cardiovascular Center Kawachi General Hospital
-
Hayashi Takaharu
Cardiovascular Division Kawachi General Hospital
-
Lim Yj
Cardiology Division Kawachi General Hospital
-
Lim Young-jae
Cardiovascular Center Kawachi General Hospital
-
Lim Young-jae
Cardiology Division Kawachi General Hospital
-
Ichikawa Minoru
Cardiovascular Division Kawachi General Hospital
-
Mishima Masayoshi
Osaka Acute Coronary Insufficiency Study (oacis) Group
関連論文
- Effect of Early Use of Low-Dose Pravastatin on Major Adverse Cardiac Events in Patients With Acute Myocardial Infarction : The OACIS-LIPID Study
- Identification of Uncomplicated Patients With Acute Myocardial Infarction Undergoing Percutaneous Coronary Intervention : Are These Patients Suitable for Early Discharge?
- OE-115 Multislice Computed Tomographic Findings of the Anomalous Origins of the Right Coronary Artery : Evaluation of Possible Causes of Myocardial Ischemia(CT/DSA-01, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-139 Investigation of Neointimal Coverage Grading and Yellow Plaque Grading in Stent Site after Sirolimus- Eluting Stent Implantation : angioscopic finding(Intravascular endoscopy/Intravascular ultrasound(05)(I),Poster Session(Japanese),The 72nd Annual
- 1 The detection of vulnerable plaque by intravascular ultrasound : Comparison of intravasclar ultrasound and angioscopy findings(The pathogenesis and preventive strategy for DES failure : Evaluation by invasive coronary imaging modalities,Roundtable Discu
- 1 Can intravascular ultrasound detect the plaque rupture preceding acute coronary stndrome? : Comparison of intravasclar ultrasound and angioscopy findings(Can we predict the onset of acute coronary syndrome?,Controversy (C-1) (I),Special Program,The 72nd
- PJ-507 Compositional Analysis of Angioscopic Yellow Plaques in Coronary Arteries with in Vivo Intravascular Ultrasound Radiofrequency Data Analysis(Intravascular endoscopy/Intravascular ultrasound-7, The 71st Annual Scientific Meeting of the Japanese Circ
- PJ-774 Comparison of Angioscopic Findings and Virtual Histology Intravascular Ultrasound Finfings in Patients in Coronary Artery Disease(Intravascular endoscopy/Intravascular ultrasound-7 (I) PJ135,Poster Session (Japanese),The 70th Anniversary Annual Sci
- OJ-289 CD34 Positive Cells in the Coronary Circulation Increase with Cytokines Induced by Ischemic Condition(Acute coronary syndrome, basic/clinical-3 (IHD) OJ49,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese C
- FRS-090 Multislice Computed Tomographic Findings of the Anomalous Origin of the Right Coronary Artery : Evaluation of Possible Causes of Myocardial Ischemia(New Cardiovascular Imagings-2 (I) FRS18,Featured Research Session (English),The 70th Anniversary A
- Angioscopic Evaluation of Neointimal Proliferation One Month after Stent Implantation in Patients with Acute Coronary Syndrome(ACS) (Thrombosis/Thrombolysis 1 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Usefulness of IB-IVUS Analysis for a Prediction of Plaque Progression in Patients with Acute Coronary Syndrome (ACS)(Intravascular Endoscopy/Intravascular Ultrasound 1 (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Evaluation of Optimal end Point in Bare Metal Stent Implantation by Pressure Wire(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 5 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Effects of a Distal Protection Device during Primary Stenting in Patients with Acute Myocardial Infarction : Observation by Intravascular Ultrasound(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 5 (IHD), The 69th Annual Scientific Meeting of
- A Novel Bone Marrow Implantation Strategy For The Treatment Of Ischemic Heart Disease Using a New Catheter(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 9 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Multivariate Analysis of Scoring of Yellow Plaque and Conventional Coronary Risk Factors(Atherosclerosis, Clinical 8 (IHD), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-429 A novel approach to quantify diffusely diseased coronary arteries : ECG-gated 3D intravascular ultrasound (IVUS) reconstruction method(Intravascular Endoscopy/Intravascular Ultrasound 4 (I) : PJ72)(Poster Session (Japanese))
- PJ-301 Can aggressive lipid-lowering therapy stabilize unstable plaque? : Integrated backscatter intravascular ultrasound study(Atherosclerosis, Clinical 5 (IHD) : PJ51)(Poster Session (Japanese))
- PJ-286 Relationship between LDL cholesterol level and Coronary artery Calcification(Atherosclerosis, Clinical 3 (IHD) : PJ48)(Poster Session (Japanese))
- PJ-067 Coronary lesion characteristics of acute coronary syndrome in young adults evaluated by intravascular ultrasound(Acute Coronary Syndrome, Basic/Clinical 1 (IHD) : PJ12)(Poster Session (Japanese))
- PE-416 Variability in 3D quantitative measurements of coronary artery by intravascular ultrasound (IVUS) : Comparison with ECG-gated and non-gated reconstruction images(Intravascular Endoscopy/Intravascular Ultrasound 6 (I) : PE71)(Poster Session (English
- PJ-774 Comparison of Angioscopic Findings and Virtual Histology Intravascular Ultrasound Finfings in Patients in Coronary Artery Disease(Intravascular endoscopy/Intravascular ultrasound-7 (I) PJ135,Poster Session (Japanese),The 70th Anniversary Annual Sci
- PJ-233 Features of Neointimal Formation After Drug-eluting Stent Implantations at One Year Follow Up Evaluated by Angioscopy(Intravascular endoscopy/Intravascular ultrasound-5 (I) PJ39,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeti
- PJ-230 Features of Yellow Plaques Observed by Coronary Angioscopy in Comparison with Virtual Histology(Intravascular endoscopy/Intravascular ultrasound-5 (I) PJ39,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Cir
- OJ-364 Accuracy of Multislice Computed Tomography for the Assessment of Coronary Artery Plaque : Comparison with Intravascular Ultrasound and Coronary Angioscopy(CT/DSA-2 (I) OJ61,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting
- OJ-289 CD34 Positive Cells in the Coronary Circulation Increase with Cytokines Induced by Ischemic Condition(Acute coronary syndrome, basic/clinical-3 (IHD) OJ49,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese C
- FRS-090 Multislice Computed Tomographic Findings of the Anomalous Origin of the Right Coronary Artery : Evaluation of Possible Causes of Myocardial Ischemia(New Cardiovascular Imagings-2 (I) FRS18,Featured Research Session (English),The 70th Anniversary A
- Effects of a Distal Protection Device during Primary Stenting in Patients with Acute Myocardial Infarction : Observation by Intravascular Ultrasound(Acute Myocardial Infarction, Clinical (Diagnosis/Treatment) 5 (IHD), The 69th Annual Scientific Meeting of
- Twice-a-Day Regimen of Long-Acting ACE-Inhibitor Has Better Effects on Neurohumoral Factors Compared with Once-a-Day Administration in Heart Failure Patients
- -0721-DOES REDISTRIBUTION IN EXERCISE THALLIUM-201 SINGLE PHOTON EMISSION COMPUTERIZED TOMOGRAPHY REPRESENT RESIDUAL ISCHEMIA IN OLD MYOCARDIAL INFARCTION?
- -0593-HIBERNATING MYOCARDIUM IN INFARCTED AREA : ASSESSMENT AFTER PTCA AT CHRONIC STAGE
- -0221-THE EFFECT OF ATRIAL CONTRACTION AND SYNCHRONEITY OF CARDIAC CONTRACTION ON VENTRICULO-ARTERIAL COUPLING AND MECHANICAL ENERGY EFFICIENOY
- -0006-VALUE OF THE INTRACORONARY ELECTROCARDIOGRAM TO DETECT MYOCARDIAL ISCHEMIA DURING ATRIAL PACING STRESS TEST : COMPARISON WITH MYOCARDIAL LACTATE METABOLISM
- PE-194 Normalized Parametric Image With Stress Contrast Echocardiography for the Detection of Myocardial Ischemia(Echo/Doppler 9 (I) : PE33)(Poster Session (English))
- Value of Real Time 1.5 Harmonic Contrast Echo for Assessing Myocardial Vascular Damage after Reperfusion in Myocardial Infarction
- Advanced 1.5 Harmonic Imaging Can Make Possible a Visual Subtraction Image of Myocardial Perfusion
- Coronary Tree Assessed With Contrast Harmonic Imaging
- Superiority of 1.5th harmonic to 2nd Harmonic for assessment of myocardial perfusion
- Real time myocardial perfusion imaging may be possible with 1.5th harmonic imaging in human
- -0828-BIPHASIC RELEASE OF CARDIAC MYOSIN LIGHT CHAIN II IN PATIENTS OF ACUTE MYOCARDIAL INFARCTION WITH SUCCESSFUL RECANALIZATION : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -0777-HYPEREMIC FLOWSRESPONSE AFTER PTCA CAUSES A TRANSIENT IMPAIRMENT OF CORONARY FLOW RESERVE
- PJ-701 Simple Risk Index and Metabolic Score as Predictors for Inhospital and 6-month Cardiac Events in Acute Myocardial Infarction-EACS study-(Preventive medicine/Epidemiology/Education-5, The 71st Annual Scientific Meeting of the Japanese Circulation So
- OE-201 Significant Collateral Circulation and Death after Discharge in Patients with Acute Myocardial Infarction(Coronary circulation, basic/clinical(01)(IHD),Oral Presentation(English),The 72nd Annual Scientific Meeting of the Japanese Circulation Societ
- Predictors of Length of Hospital Stay After Acute Myocardial Infarction in Japan
- Circadian Variation of the Onset of Acute Myocardial Infarction in the Osaka Area, 1998-1999 : Characterization of Morning and Nighttime Peaks
- PJ-799 Peak Longitudinal Myocardial Systolic Velocity is Attenuated in Heart Failure with Preserved Ejection Fraction Independent of Ventricular Hypertrophy(PJ134,Echo/Doppler (Peripheral/Vascular) (I),Poster Session (Japanese),The 73rd Annual Scientific
- Echocardiographic progression of a subepicardial aneurysm after inferior myocardial infarction
- Elevation of the ratio of transmitral E velocity to early diastolic mitral annular velocity continues even after recovery from acute stage in patients with diastolic heart failure
- Intracoronary Nicorandil Relieves Multiple Coronary Vasospasm With Hemodynamic Collapse
- PJ-495 Elevation of E/E' Ratio Continues Even after Recovery from Acute Stage in Patients with Diastolic Heart Failure(Heart failure, clinical-14, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-070 Can Myocardial Contrast Echocardiography Detect Unstable Angina without Stress Testing?(Myocardial ischemia/reperfusion, basic/clinical-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-309 Can Follow-up Coronary Angiography after Coronary Bypass Surgery be Replaced by Transthoracic Doppler Assessment for Internal Mammary Artery Flow?(Restenosis, basic/clinical-4 (IHD) PE52,Poster Session (English),The 70th Anniversary Annual Scientif
- Acute Myocardial Infarction Caused by "Malignant" Anomalous Right Coronary Artery Detected by Multidetector Row Computed Tomography
- Assessment of Myocardial Perfusion with Subtracted 3D Contrast Echocardiography(New Ultrasound Technique (I), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Clinical Feasibility of Brain Natriuretic Peptide to Assess the Propensity for Congestive Heart Failure in Patients with Diastolic Dysfunction
- Effect of Successful Percutaneous Coronary Intervention on 30-Day Mortality in Elderly Patients with Acute Myocardial Infarction
- Extracellular Matrix Remodeling as a Determinant of Transition to Diastolic Heart Failure in Hypertensive Hearts : Its Diagnostic and Therapeutic Approach
- Assessment of subendocardial myocardial perfusion with intravenous myocardial contrast echocardiography in human
- A Simple Risk Score for Predicting In-hospital Mortality in Patients with Acute Myocardial Infarction who Underwent Emergency Coronary Angiography
- -0332-CHANGES IN VENTRICULO-ARTERIAL COUPLING AND MECHANICAL ENERGY EFFICIENCY AT ADMINISTRATION OF CATECHOLAMINE IN HUMAN FAILING HEART
- OJ-403 Is yellow plaque vulnerable? : Results evaluated by coronary angioscopy and intravascular ultrasound(Intravascular Endoscopy/Intravascular Ultrasound 5 (I) : OJ49)(Oral Presentation (Japanese))
- OJ-401 Does angioscopic yellow plaque represent lipid-rich plaque? : Comparison with angioscopic findings and integrated backscatter with intravascular ultrasound(Intravascular Endoscopy/Intravascular Ultrasound 5 (I) : OJ49)(Oral Presentation (Japanese))
- OJ-356 Usefulness of Intravascular Ultrasound (IVUS) and Angioscopy to Predict the Coronary Embolization(Coronary Revascularization, PTCA/Stent/DCA/Rotablator/New Device 9 (IHD) : OJ43)(Oral Presentation (Japanese))
- Efficacy of Multislice Computed Tomography for the Detection of Acute Coronary Syndrome in the Emergency Department
- -1107-VISUALIZATION OF MYOCARDIAL PERFUSION BY RETROGRADE MYOCARDIAL CONTRAST ECHOCARDIOGRAPHY DURING ACUTE CORONARY ARTERY OCCLUSION IN HUMAN : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- SUSTAINED ACTIVITY OF TISSUE PLASMINOGEN ACTIVATOR : A CAUTION TO EMERGENT BYPASS SURGERY AFTER THROMBOLYSIS IN ACUTE MYOCARDIAL INFARCTION : Myocardial Metabolism, Biochemistry : 53 Annual Scientific Meeting, Japanese Circulation Society
- -454-AGING-RELATED DECREASE IN VASODILATORY CAPACITY IN CORONARY MICRO-CIRCULATION ESTIMATED BY CORONARY DOPPLER CATHETER : Ischemic Heart Disease I : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION
- -317-A NOVEL APPROACH TO MYOCARDIAL ISCHEMIA IN THE INFARCT AREA : AN EVALUATION BY INTRACORONARY VEIN ELECTROCARDIOGRAM : ECG, Mapping : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -206-CORONARY FLOW RESERVE BY DOPPLER CATHETER : COINCIDENCE WITH EXERCISE TOLERANCE : Coronary Circulation : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Serial Transcardiac Lactate Metabolism in Post-reperfused Stunned Myocardium in Evolving Myocardial Infarction : 54th Annual Scientific Session of the Japanese Circulation Society
- -0859-ULTRASTRUCURAL STUDY OF THE SITE OF RESTENOSIS AFTER DIRECT PTCA AND PTCR & A : DIFFERENCE BETWEEN DIRECT PTCA AND PTCR & A : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -0584-SILENT ISCHEMIA DURING CORONARY OCCLUSION PRODUCED BY TWICE BALLOON INFLATIONS : RELATION TO LACTATE METABOLISM
- -0055-ENHANCED ADENOSINE RELEASE AS A POSSIBLE MECHANISM OF WARM UP PHENOMENON
- -302-EFFECT OF NITROGLYCERIN ON CORONARY COLLATERAL FUNCTION DURING EXERCISE : Excercise Test : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -253-LACK OF EFFECT OF ANTI-PLATELET AGENTS ON THE PREVENTION OF RESTENOSIS AFTER PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY : PTCA, CABG : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Computed Tomography Assessment of the Regression of an Atherosclerotic Coronary Artery Plaque
- -17-ROLE OF ADENOSINE IN REGULATION OF CORONARY BLOOD FLOW IN PATIENTS WITH EFFORT ANGINA
- EFFECT OF OPC-8212 (2(1H)-QUINOLINONE), A NEW INOTROPIC AGENT, ON MYOCARDIAL ENERGY METABOLISM IN PATIENTS WITH CORONARY HEART DISEASE
- -P81-EVALUATION OF TRANSMURAL MYOCARDIAL BLOOD FLOW DISTRIBUTION IN MYOCARDIAL INFARCTION BY MYOCARDIAL CONTRAST ECHOCARDIOGRAPHY : Echocardiography, Pulsed Doppler : FREE COMMUNICATIONS(III) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPA
- 5 Aggressive lipid-lowering therapy for second prevention in patients with acute coronary syndrome : Volumetric and echogenicity analysis using intravascular ultrasound(Plenary Session 1 (PL1) (IHD) : ACS : Prevention to Treatment)(Special Program)
- Fourteen Month Follow-up Angioscopic Findings of a Sirolimus-Eluting Stent Implanted in a 15-Year-Old Saphenous Vein Graft
- The Impact of Plaque Characterization Assessed by Intravascular Ultrasound on Myocardial Perfusion After Primary Angioplasty in Patients With ST-Segment Elevation Myocardial Infarction