Exercise Test in Variant Form of Angina Pectoris : Comparison of the Results with Spontaneous Attacks
スポンサーリンク
概要
- 論文の詳細を見る
Exercise tests were performed in 14 patients with untreated variant angina with frequent spontaneous attacks and in 15 patients after treatment abolished the attacks. (1) Anginal attacks associated with ST elevation were induced by exercise in 79% of untreated patients. By contrast, ST elevation was not observed in treated patients and ST depression was induced in 53% of the cases. (2) Exercise-induced ST elevation in untreated patients was shown in the same leads as the spontaneous attacks. (3) Exercise-induced ST elevation appeared initially during the recovery phase after exercise in 36% of untreated patients. Exercise-induced ST depression appeared during or immediately after exercise. (4) The reproducibility of exercise-induced ST elevation was low with repeated tests at different stages, but exercise-induced ST depression was consistently observed. (5) The exercise-induced ST depression and lack of ST changes in treated patients were highly suggestive of the presence and absence of organic coronary artery disease, respectively. However, the exercise-induced ST elevation in untreated patients did not differentiate between the presence or absence of organic stenosis of the coronary arteries. The results of exercise tests vary with the stage of variant angina. It is suggested that a coronary arterial spasm is a trigger mechanism for exercise-induced angina in cases of variant angina with frequent spontaneous attacks.
- International Heart Journal刊行会の論文
著者
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Kawakubo Kiyoshi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Kawahara Takashi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Mashima Saburo
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Murayama Masahiro
Second Department of Internal Medicine, St Marianna University School of Medicine
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MURAO Satoru
Second Department of Internal Medicine,University of Tokyo
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Kawahara Takashi
Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Murayama Masahiro
The Department Of Cardiology Kanto-teishin Hospital
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Ohshiro Masaya
Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Murao Satoru
Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Mashima Saburo
Second Department Of Internal Medicine University.
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UCHIYAMA Iwao
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Murayama Masahiro
Second Department Of Internal Medicine St Marianna University School Of Medicine
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Kawakubo Kiyoshi
Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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Maruyama Masahiro
The Second Department Of Internal Medicine Faculty Of Medicine University Of Tokyo
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OHSHIRO Masaya
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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