Hemodynamic and Clinical Significances of Atrial Fibrillation, Pulmonary Vascular Resistance and Left Ventricular Function in Rheumatic Mitral Stenosis
スポンサーリンク
概要
- 論文の詳細を見る
Seventy-four patients with rheumatic mitral stenosis were catheterized and hemodynamic and clinical significances of atrial fibrillation, pulmonary vascular resistance and left ventricular function were studied. These data were also compared to those in the 6 control cases.In addition to the correlation of mitral valve area to the functional classification of patients, significance of atrial fibrillation was also demonstrated. Patients with this arrhythmia had lower cardiac index than those with regular sinus rhythm by approximately 20%, throughout the range of mitral valve area observed. The lower average cardiac index was associated with a higher average left ventricular end-diastolic pressure in cases with atrial fibrillation than in cases without the arrhythmia, in the face of similar average heart rate and average mitral valve area.Average pulmonary vascular resistance correlated to the functional classification, but its systematic influence on the relation between mitral valve area and cardiac index was not observed.Abnormalities of left ventricular function were suggested frequently by various combinations of abnormal values in end-diastolic pressure, end-diastolic volume, ejection fraction, angiographically-measured circumferential fiber shortening velocity (Vcf), and pressure-derived maximal contractile element velocity (Vmax). Patients with enlarged left ventricle had significantly lower average cardiac index than those with normal ventricular size.
- International Heart Journal刊行会の論文
著者
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Uchida Yasumi
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Machida Kikuo
Department Of Radiology Saitama Medical Center Saitama Medical School
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Takabatake Yutaka
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo, Tokyo
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MOROOKA Shigenori
The Second Department of Internal Medicine,Faculty of Medicine,University of Tokyo
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OZEKI katsuhiko
The Second Department of Internal Medicine,Faculty of Medicine,University of Tokyo
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KAKIHANA Masaaki
The Second Department of Internal Medicine,Faculty of Medicine,University of Tokyo
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Nakajima Katsuhiko
The Second Department of Internal Medicine, University of Tokyo.
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Ito Iwao
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Koide Tadashi
The Second Department T Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Koide Tadashi
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Koide Tadashi
The 2nd Department Of Internal Medicine Faculty Of Medicine University Of Tokyo Tokyo
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Yasuda Hisakazu
Department Of Cardiology Hokkaido University School Of Medicine
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Ueda Keiji
Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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NAKANISHI Atsuo
Division of Cardiovascular Disease, Dokkyo Medical College
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SUGISHITA Yasuro
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Yasuda Hisakazu
Department O F Cardiovascular Medicine Hokkaido University School Of Medicine
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Takabatake Yutaka
The Second Department Of Internal Medicine University Of Tokyo
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Ueda Keiji
Department Of Cardiology Tokyo Metropolitan Geriatric Hospital
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KAKIHANA Masaaki
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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OZEKI Katsuhiko
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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MOROOKA Shigenori
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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NAKAJIMA Katsuhiko
The Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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UEDA Keiji
Department of Internal Medicine, Yoiku-in Hospital Tokyo Municipal Home for the Aged
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