The effects of isosorbide dinitrate on exercise-induced ST-segment elevation at the infarcted area in old myocardial infarction.
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概要
- 論文の詳細を見る
To clarify the clinical significance and therapeutic implication of exercise-induced ST elevation at the infarcted area in old myocardial infarction (OMI), 30 patients with exercise-induced ST elevation underwent treadmill exercise testing. The patients with transient perfusion defects at the infarcted area on thallium-201 stress myocardial scintigraphy (group I:n=12) revealed a decreased rate of ST elevation expressed as ΔST/ΔHR×102 after 10mg of isosorbide dinitrate (ISDN), compared to the results of treadmill exercise testing under no medication (3.1±2.5 vs. 4.7±2.6, p<0.001). Exercise capacity and anginal threshold were improved after ISDN in group I. In contrast, the patients without transient perfusion defects (group II:n=18) revealed an increased rate of ST elevation after ISDN (2.4±1.1 vs. 2.0±0.8, p<0.05). It is concluded from the above results that if exercise-induced ST elevation at the infarcted area reflects transient myocardial ischemia, ISDN can decrease it by its antianginal effect. Additionally, treadmill exercise testing with ISDN is a useful means of clarifying the underlying pathophysiology and management in OMI cases with this effect on exercise-induced ST elevation at the infarcted area.
- International Heart Journal刊行会の論文
著者
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Fukuzaki Hisashi
First Department Of Internal Medicine Kobe University
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KOBAYASHI Katsuya
First Department of Internal Medicine, Kobe University School of Medicine
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TANIZAKI Toshiro
First Department of Internal Medicine, Kobe University School of Medicine
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