Effects of nifedipine on left ventricular systolic and diastolic function in patients with ischemic heart disease. Radionuclide angiocardiographic studies at rest and during exercise.:Radionuclide Angiocardiographic Studies at Rest and during Exercise

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概要

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• The purpose of this study was to evaluate the acute effects of sublingual nifedipine (10mg) on left ventricular systolic function (ejection fraction, peak ejection rate, time to peak ejection rate) and diastolic function (peak filling rate, time to peak filling rate, filling fraction during rapid filling) at rest and during exercise using radionuclide angiography in 17 patients with ischemic heart disease. The results of the study were as follows. Diastolic indexes in the patient group were significantly different from the values in the control group at rest and during exercise. Peak filling rate and filling fraction improved significantly after nifedipine administration. These values did not show significant differences from the values in normal subjects which were obtained before nifedipine administration. The peak filling rate during exercise after nifedipine administration increased significantly, although the value was lower than that in the control group. At rest, systolic indexes in the patient group showed abnormal values, although the differences from the control values were not significant. Ejection fraction and peak ejection rate were significantly lower than those in the control group during exercise. After nifedipine administration, peak ejection rate at rest and during exercise, and ejection fraction at rest in the patient group improved significantly. Seven of 17 achieved the same exercise workloads as control conditions without symptoms or ECG changes. These data suggest that nifedipine improved left ventricular systolic and diastolic dysfunction, as well as exercise tolerance in patients with ischemic heart disease.

• International Heart Journal刊行会の論文

著者

• Matsuda Mitsuo

  Department Of Cardiology Kishiwada City Hospital

• Ito Iwao

  Department Of Internal Medicine Institute Of Clinical Medicine Institute Of Basic Medicine Tsukuba U

• Sugishita Yasuro

  Department Of Intensive Care Anesthesiology Surgery And Internal Medicine Univ.of Tsukuba

• Takeda Toru

  Department Of Agricultural Chemistry Faculty Of Agriculture Hokkaido Universty:(present Office)kansa

• Iida Kaname

  Department Of Internal Medicine Institute Of Clinical Medicine University Of Tsukuba

• Ajisaka Ryuichi

  Department Of Cardiology Graduate School Of Comprehensive Human Sciences University Of Tsukuba

• AKISADA Masayoshi

  Department of Radiology, Institute of Clinical Medicine, University of Tsukuba

• IIDA Kaname

  Department of Internal Medicine Institute of Clinical Medicine, University of Tsukuba

• TAKEDA Toru

  Department of Internal Medicine Institute of Clinical Medicine, University of Tsukuba

• OOSHIMA Motoo

  Department of Radiology, Institute of Clinical Medicine, University of Tsukuba

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