Atypical Response of Intermittent Continuous Murmur of Patent Ductus Arteriosus to Vasoactive Agents, With Particular Reference to the External and Intracardiac Phonocardiography
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概要
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A 20-year-old female with proved patent ductus arteriosus of insignificant left-to-right shunt and intermittent continuous murmur was reported. Once auscultation and phonocardiography revealed a typical continuous murmur, but this was responded unusually by amyl nitrite and methoxamine. Amyl nitrite inhalation initially caused usual response (attenuation of the murmur), but it was followed by unusual intensification. Intravenous administration of methoxamine caused, contrary to the expectation, decrease (first test) or disappearance (second test) of the murmur. The cause of these unusual findings is discussed.
- International Heart Journal刊行会の論文
著者
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Takabatake Yutaka
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Sakamoto Tsuguya
2nd Dept Of Intern Med. Facul. Of Med. Univ. Of Tokyo
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SAKAMOTO Tsuguya
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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UOZUMI Zenichiro
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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KAWAI Nobuyoshi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Sakamoto Tsuguya
Second Department Of Internal Medicine University Of Tokyo
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TAKABATAKE Yutaka
Second Department of Internal Medicine, Faculty of Medicine University of Tokyo
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