Histopathological Study on the Conduction System of Complete Right Bundle Branch Block : With Special References to Configuration of QRS Complex
スポンサーリンク
概要
- 論文の詳細を見る
Eleven autopsy cases (average age of 71 years) with complete right bundle branch block were examined histologically with serial sectioning of the conduction system. The results were as follows: 1) moderate to severe reduction of conducting cells in the right bundle branch (RBB) by fibrous replacement in all 11 cases, 2) a preponderance of main lesions in the first portion of the RBB in cases with R configuration in leads V1 and V2, and in the second to the third portion without significant lesion of the Purkinje cell network in the right ventricle in cases with rsR, rSR, and RSR configuration in these leads, 3) as to the etiology, 1 case was assumed to have had rheumatic myocarditis and an another case, 1 chronic ischemia. In cases in which the cause could not be clearly established, reduction of the conducting cells in the first portion of the RBB was thought to be due to fibrosis of the upper ventricular septum. Lesions in the second portion of the RBB may be due to mechanical strain effected by muscle crossing of the trabecula septomarginalis and RBB.
- International Heart Journal刊行会の論文
著者
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Nakata Yasuro
Department of Cardiology, Juntendo University Izunagaoka Hospital
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Nakata Yasuro
Department Of Cardiology Juntendo University Urayasu Hospital
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Okada Ryozo
Department of Cardiovascular Pathology and Cardiology, Juntendo University
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Fukuda Keisuke
Dept. of Intern. Med. and Path
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Fukuda Keisuke
The Second Department of Internal Medicine Fukuoka University School of Medicine
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TAKAGI Toshitaka
Department of Orthopaedic Surgery, Yokohama City University School of Medicine
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Fukuda Keisuke
Department of Internal Medicine, School of Medicine, Fukuoka University
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Fukuda Keisuke
Department Of Internal Medicine School Of Medicine Fukuoka University
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Takagi Toshitaka
Department Of Orthopaedic Surgery Yokohama City University School Of Medicine
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Okada Ryozo
Department Of Cardiology Juntendo University School Of Medicine
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FUKUDA Keisuke
Department of Internal Medicine, Cardiology, Juntendo University School of Medicine
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NAKATA Yasuro
Department of Internal Medicine, Cardiology, Juntendo University School of Medicine
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