Dobutamine Stress Echocardiography Unmasks Acute Worsening of Mitral Regurgitation with Latent Left Ventricular Outflow Tract Obstruction Behind Diastolic Heart Failure in Hypertensive Heart Disease
スポンサーリンク
概要
- 論文の詳細を見る
In a 57-year-old woman who was referred as refractory diastolic heart failure, dobutamine stress echocardiography facilitated the diagnosis of acute worsening of mitral regurgitation accompanied with latent left ventricular outflow tract obstruction as a cause of recurrent flash pulmonary edema. Echocardiography revealed the presence of sigmoid septum and concentric left ventricular hypertrophy, being consistent with hypertensive heart disease. Dobutamine induced systolic anterior motion of the mitral valve (SAM) with massive mitral regurgitation, resulting in sudden hypotension with dyspnea. The class Ia antiarrhythmic drug, cibenzoline, reduced the SAM during a dobutamine stress test, followed by no recurrence of flash pulmonary edema.
- 社団法人 日本内科学会の論文
著者
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Kanzaki Hideaki
国立循環器病センター 心臓血管内科
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Kitakaze Masafumi
Cardiovascular Div. Of Medicine National Cardiovascular Center
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Hashimura Kazuhiko
Cardiovascular Division of Medicine, National Cardiovascular Center
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Kanzaki Hideaki
Cardiovascular Division of Medicine, National Cardiovascular Center
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Ohara Takahiro
Cardiovascular Division of Medicine
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KIM Jiyoong
Cardiovascular Division of the Department of Medicine, National Cardiovascular Center
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NAKATANI Satoshi
Cardiovascular Division of Medicine, National Cardiovascular Center
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Nakatani Satoshi
国立循環器病センター 心臓血管内科
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Tanaka Jun
Cardivasucular Divison of Internal Medicine, National Cardiovascular Center
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Nakatani Satoshi
Cardiology Division Of Medicine National Cardiovascular Center
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Ikeda Yoshihiko
Department of Pathology, National Cardiovascular Center
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Hashimura Kazuhiko
国立循環器病研究センター 心臓血管内科部門
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Fujino Masashi
Cardiovascular Division of Medicine, National Cardiovascular Center
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Ueda-Ishibashi Hatsue
Department of Pathology, National Cardiovascular Center
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Hashimura Kazuhiko
Cardiovascular Division Ishinkai Yao Hospital
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Ikeda Yoshihiko
Department Of Applied Chemistry Faculty Of Engineering Nagoya University
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Kanzaki Hideaki
Cardiovascular Division National Cardiovascular Center
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KITAKAZE Masafumi
Cardiovascular Division of Medicine, National Cardiovascular Center
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Kim Jiyoong
Cardiovascular Division of Medicine, National Cardiovascular Center
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Ohara Takahiro
Cardiovascular Division of Medicine, National Cardiovascular Center
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Tanaka Jun
Cardiovascular Division of Medicine, National Cardiovascular Center
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