PROGRESSION OF ELECTROCARDIOGRAPHIC, VECTORCADIOGRAPHIC AND SCINTIGRAPHIC ABNORMALITIES IN AN AUTOPSIED CASE OF DILATED CARDIOMYOPATHY
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概要
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Serial examination of the electrocardiograms of a 69-year-old man with autopsy proven dilated cardiomyopathy revealed gradual prolongation of the PR interval and development of Q waves in leads II III and aV<SUB>F</SUB> over the post last 3 years. On the vectorcardiogram, the QRS loop was gradually distorted and displaced posteriorly in the horizontal plane during the follow up period. Thallium-201 myocardial scintigram revealed perfusion defect of the entire left ventricle, except the lateral wall, consistent with diffuse myocardial fibrosis at autopsy. We thought that gradual loss of electromotive force of the left ventricle resulting from extensive myocardial fibrosis and progression of the intraventricular conduction disturbance might be responsible for the serial electrocardiographic and vectorcardiographic changes in this case.
- 北関東医学会の論文
北関東医学会 | 論文
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