An Unusual Pattern of the Mitral Echocardiogram Observed in Cases of Congestive Cardiomyopathy and Other Myocardial Diseases

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概要

• 論文の詳細を見る

• (1) Narrowness of the early-diastolic and presystolic peaks on the echo curve of the anterior mitral leaflet and an abnormal step formation at the middle or higher level on the descending limb of the presystolic peak were observed in 7 cases with congestive cardiomyopathy or myocardial fibrosis, 1 case with myocardial infarction, and I case with cardiomyopathy due to progressive muscular dystrophy.(2) This abnormal pattern is considered to be closely related to the myocardial condition in the above-mentioned diseases.(3) Probable mechanisms for this pattern formation are considered as folllows: (i) a sudden reduction of distensibility of the left ventricle after filling of the ventricle over a certain limit near full-filling, and impaired ventricular contractility, (ii) restriction in the mobility of the mitral valve and its chordae due to their inability to adapt themselves to a de-veloped dilatation of the left ventricle.(4) A similar presystolic step formation on the echo curve of the anterior mitral leaflet was observed in 3 of 25 cases of hypertrophic cardiomyopathy of Goodwins sense. Differences between the myocardial state in congestive cardiomyopathy or in similar myocardial diseases and that in hypertrophic cardiomyopathy were also discussed.

• International Heart Journal刊行会の論文

著者

• Abe Hiroshi

  First Dept, of Med., Osaka Univ. Sch. of Med. and Osaka Keisatsu Hospital

• SAKAKIBARA Hiroshi

  First Dept. of Medicine, Osaka University

• NIMURA Yasuharu

  First Dept. of Medicine, Osaka University

• Matsuo Hirohide

  Central Lab., Osaka Univ. Hosp

• Matsumoto Masayuki

  First Department Of Surgeny Osaka University Medical School

• Nimura Yasuharu

  Research Institute And Division Of Cardiology National Cardiovascular Center

• Nimura Yasuhara

  1st Dept. Of Med. Osaka Univ. Med. School

• Yamada Yoshio

  Department Of Agricultural Chemistry Faculty Of Agriculture Kyushu University

• NAGATA Seiki

  First Department of Medicine, Osaka University Medical School.

• BEPPU Shintaro

  First Department of Medicine, Osaka University Medical School.

• Yamada Yoshio

  Department Of Agricultural Chemistry Faculty Of Agriculture

• Abe Hiroshi

  First Department Of Pathology Juntendo University School Of Medicine

• Nimura Yasuharu

  First Department Of Medicine Osaka University Medical School

• NIMURA Yasuharu

  First Department of Internal Medicine, Faculty of Medicine, University of Osaka

• NIMURA Yasuharu

  First Department of Medicine, Osaka University Medical School.

• SAKAKIBARA Hiroshi

  First Department of Internal Medicine, Faculty of Medicine, University of Osaka

• SAKAKIBARA Hiroshi

  First Department of Medicine, Osaka University Medical School.

• MATSUMOTO Masayuki

  First Department of Medicine, Osaka University Medical School.

• ABE Hiroshi

  First Department of Internal Medicine, Osaka University, Medical School

• ABE Hiroshi

  First Department of Medicine, Osaka University Medical School.

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