Acute Reversible Myocardial Depression Associated with Sepsis
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概要
- 論文の詳細を見る
A 30-year-old man was admitted to our hospital for left lobar pneumonia with septic shock. Acute left-sided heart failure became evident as sepsis developed. Echocardiography revealed diffuse severe hypokinesis of the left ventricle (LV) and a pulmonary artery catheter showed Forrester subset II hemodynamics. Along with amelioration of sepsis and decrease of the serum concentrations of tumor necrosis factor-α and interleukin-6, LV hypokinesis improved. It is suggested that the patients heart failure may have been due to functional depression of myocardial contractility resulting from a direct effect of the cytokines towards the cardiomyocytes, the so-called "septic myocardial depression".(Internal Medicine 42: 60-65, 2003)
- 社団法人 日本内科学会の論文
- 2003-01-01
著者
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Yasuma Keiichi
The Department Of Cardiology Tsuruga Municipal Hospital
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Shimizu Miho
The Department Of Gastroenterology And Nephrology
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Shimizu Miho
The Department Of Internal Medicine Tsuruga Municipal Hospital
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Izumiya Yoshiaki
The Department Of Internal Medicine Tsuruga Municipal Hospital
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Ikeda Takayuki
The Department Of Cardiology Tsuruga Municipal Hospital
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Inada Akira
The Department Of Internal Medicine Tsuruga Municipal Hospital
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Kontani Makoto
The Department Of Cardiology Tsuruga Municipal Hospital
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Ohta Hajime
The Department Of Gastroenterology Tsuruga Municipal Hospital
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