Pseudo-Knock Sound in a Patient with Nephrotic Syndrome and Massive Ascites
スポンサーリンク
概要
- 論文の詳細を見る
A patient with markedly elevated diaphragm due to massive ascites secondary to nephrotic syndrome demonstrated an intense early diastolic sound with low- and medium-pitch. This abnormal sound coincided closely with the "D" point of the anterior mitral valve echogram. This sound remarkably diminished in intensity during inspiration with lowering of diaphragm, and after removing ascites it completely disappeared. Noninvasive study with phonoechocardiograms showed neither constrictive pericarditis nor large pericardial effusion. These findings lead us to believe that the sound may be related to an abnormal ventricular recoil striking the extracardiac structures at the end of the isovolumetric relaxation time. To our knowledge, the fact that the elevated diaphragm itself can produce an early diastolic sound ("pseudo-knock sound") has not been previously reported.
- International Heart Journal刊行会の論文
著者
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KUROIWA Akio
Second Department of Internal Medicine
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Takasugi Masayuki
Second Department Of Internal Medicine School Of Medicine University Of Occupational And Environment
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Nakashima Yasuhide
Second Depadment Of Internal Medicine University Of Occupational And Environmental Health
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ICHIYASU Hirofumi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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NABEYAMA Shozo
Second Department of Internal Medicine, School of Medicine, University of Occupational and Environme
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Nakashima Yasuhide
Second Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health
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KUROIWA Akio
Second Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health
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TAKASUGI Masayuki
Second Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health
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ICHIYASU Hirofumi
Second Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health
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NABEYAMA Shozo
Second Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health
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