Pathohistological Studies on the Conduction System in 8 Cases of Complete Left Bundle Branch Block
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概要
- 論文の詳細を見る
Conduction system was histologically examined in a total of 8 cases of complete left bundle branch block (LBBB). All 8 cases showed excellent correlation between electrocardiogram (ECG) and pathological changes in the left bundle branch (LBB), though the mode of interruption had rather wide variety. Seven cases had fibrotic interruptions of the LBB, one case had interruption by fatty metamorphosis in its anterior radiation and one case showed acute interstitial edema.Concerning the pathogenesis, degeneration and extension of the central fibrous body (CFB) at the left side which was associated with myocardial hypertrophy were assumed to produce secondary damages to the conduction cells in 3 cases. Coexistence of ischemic septal fibrosis advocated for effects of ischemia itself on the LBB, or increased mechanical strain on the LBB in sandwiched state between fibrous tissues in other 3 cases. The other 2 cases were idiopathic cardiomegaly and uremia, respectively.
- International Heart Journal刊行会の論文
著者
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Sugiura Masaya
Department Of Cardiology Tokyo Metropolitan Hiroo General Hospital
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Ohkawa Shinichiro
Department Of Cardiology Tokyo Metropolitan Geriatric Hospital
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Shimada Hiroyuki
Department Of Geriatrics And Neurology Osaka City University Graduate School Of Medicine
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Okada Ryozo
Department Of Cardiology Juntendo University School Of Medicine
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OKADA Ryozo
Departments of Internal Medicine and Pathology, Yoiku-in Hospital
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SHIMADA Hiroyuki
Departments of Internal Medicine and Pathology, Yoiku-in Hospital
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SUGIURA Masaya
Departments of Internal Medicine and Pathology, Yoiku-in Hospital
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OHKAWA Shinichiro
Departments of Internal Medicine and Pathology, Yoiku-in Hospital
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SHIMADA Hiroyuki
Department of Clinical Pathology, Tokyo Metropolitan Institute of Gerontology
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