A Case of Platypnea Orthodeoxia Syndrome: A Persistent History Taking was the Key to the Diagnosis
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概要
- 論文の詳細を見る
A 79-year-old woman who had been suffering from dyspnea on effort for more than 50 years was admitted for further examination and treatment. On the screening respiratory examinations, the A-aDO2 was elevated but none of diffusion disturbance, ventilation-perfusion ratio inequality nor right-to-left shunt was detected. Finally, the fact that the dizziness occurred only in sitting or standing position was revealed by persistent history taking. Transesophageal echocardiography in recumbent and sitting positions revealed the platypnea orthodeoxia syndrome associated with atrial septal defect. This case highlights the necessity of awareness of this syndrome and the occult atrial septal defect.
著者
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Okura Hiroyuki
Department Of Cardiology Kawasaki Medical School
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Obase Kikuko
Department Of Cardiology Kawasaki Medical School
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Kobashi Yoshihiro
Department Of Clinical Infectious Disease Showa University School Of Medicine
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Yoshida Kiyoshi
Department Of Applied Chemistry And Biotechnology Faculty Of Engineering Fukui University
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Ikeda Masaki
Department Of Neurology Graduate School Of Medicine And Dentistry Okayama Univeristy
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Hayashida Akihiro
Department Of Cardiology Kawasaki Medical School
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Obase Yasushi
Department of Respiratory Medicine, Kawasaki Medical School
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Oka Mikio
Department of Life Science and Biotechnology, Faculty of Life and Environmental Science, Shimane University
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Ikeda Masaki
Department of Respiratory Medicine, Kawasaki Medical School, Japan
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Obase Kikuko
Department of Cardiology, Kawasaki Medical School, Japan
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Ohfuji Takashi
Department of Respiratory Medicine, Kawasaki Medical School, Japan
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Yoshida Kiyoshi
Department of Cardiology, Kawasaki Medical School, Japan
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