Reversed Splitting of the Second Heart Sound in Arterial Stenotic Lesions
スポンサーリンク
概要
- 論文の詳細を見る
The behavior of the splitting of the second heart sound was analyzed in 78 cases with peripheral arterial stenosis, including 51 of "aortitis syndrome" (Takayasus arteritis). Reversed or paradoxical splitting was observed in 10 cases of aortitis syndrome and 1 case with renal artery stenosis. Frequent occurrence of the reversed splitting was observed in "extensive" form of aortitis syndrome (8 out of 18 cases, i.e. 44%). Correlative study disclosed that the reversed splitting was frequently associated with gallop rhythm and exaggerated "a" wave as well as systolic bulge in the precordial low-frequency tracing (particularly the apex cardiogram). Frequent coincidence between the reversed splitting and aortic regurgitation was observed in aortitis syndrome (8 out of 17 cases with aortic insufficiency). Cardiac enlargement on the chest roentgenogram and the electrocardiographic left ventricular hypertrophy and ischemic change as well as QT prolongation were frequently present in cases with reversed splitting. The mechanism of the reversed splitting in peripheral arterial stenotic lesion was discussed.
- International Heart Journal刊行会の論文
著者
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Sakamoto Tsuguya
2nd Dept Of Intern Med. Facul. Of Med. Univ. Of Tokyo
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Ueda Hideo
Second Dept. Of Intern. Med. University Of Tokyo School Of Med.
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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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CHANG Sheng
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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YAMADA Tetsuro
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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NAKAMURA Hidezo
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
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Ueda Hideo
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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