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1.

論文(リポジトリ)

論文(リポジトリ)
土田, 圭一 ; 小山, 仙 ; 宮島, 静一 ; 小熊, 文昭 ; 春谷, 重孝
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  115  pp.6-12,  2001-01.  新潟医学会
本文リンク: http://hdl.handle.net/10191/48033
概要: Left ventricular pseudoaneurysm is a rare complication of acute myocardial infarction. It occurs as a consequence of rupture of the ventricular free wall and is confined by a portion of pericardium. Early surgical intervention is recommended because there is a risk of rupture. We encountered a 62-year old male who admitted to our hospital under the diagnosis of acute inferior myocardial infarction. The patient had emergent coronary angioplasty to the totally occluded left circumflex artery. Three months after infarction, the left ventriculogram demonstrated a pseudoaneurysm that originated from the posterior wall of the left ventricle. Surgical resection of pseudoaneurysm was performed without complication. Early diagnosis and surgical intervention is mandatory for management of the disease. 続きを見る
2.

論文(リポジトリ)

論文(リポジトリ)
大塚, 英明 ; 佐伯, 牧彦 ; 本間, 信生 ; 土谷, 厚
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  105  pp.819-826,  1991-12.  新潟医学会
本文リンク: http://hdl.handle.net/10191/39440
概要: During the past 7 years (1984~1990) 391 patients with acute myocardial infarction (MI) admitted to our hospital. These p atients were divided into the following 3 groups by the therapy which performed within 24 hours of the onset of MI. (1) Conservative therapy group: 239 patients who received neither ICT nor PTCA; 66±11y.o., M/F=2.2 (2) ICT group: 81 patients who received intracoronary thrombolysis (ICT) without rescue PTCA; 61±10y.o., M/F=4.1 (3) PTCA group: 71 patients who received PTCA (56 patients as rescue PTCA after unsuccessful ICT, 15 patients as direct PTCA); 63±10y.o., M/F=7.9 In patients received ICT, PTCA and conservative therapy, hospital mortality at 4 weeks after the admission was 7.4%, 5.6% and 20.9% respectively. During these admission additional intervention (ICT, PTCA or CABG) were performed in 18 patients (22.2%) of ICT group, 5 patients (7.0%) of PTCA group and in 25 patients (10.5%) of the group who treated conservatively. Therefore, recanalization therapy (both ICT and PTCA) for acute MI appeared to reduce the early mortality (p<0.01). And also PTCA reduce the necessity of the additional intervention as compared with ICT (p<0.01). 続きを見る
3.

論文(リポジトリ)

論文(リポジトリ)
渡辺, 賢一 ; 宮北, 靖 ; 小山, 仙 ; 政二, 文明 ; 柴田, 昭
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  104  pp.933-941,  1990-11.  新潟医学会
本文リンク: http://hdl.handle.net/10191/35096
概要: Serum cardiac myosin light chain I (LC I) levels were quantitated with radioimmunoassay kit in patients admitted to the division of Cardiology. In this study there were 14 patients with acute myocardial infarction (AMI), 32 with angina pectoris (8 with unstable angina pectoris), 3 with myocarditis, 6 with old myocardial infarction, 5 with dilated cardiomyopathy, 16 with congestive heart failure, 3 with (myo) pericarditis, 1 with convulsion and 16 with other diseases. The 14 patients with AMI all had elevated LC I (average 56.2±102.9ng/ml; range 7.6 to 419.0ng/ml). Serum LC I levels rose rapidly and stayed elevated long after AMI (average 16±8days; range 5 to 37 days). AMI could be retrospectively diagnosed in one patient who admitted to a hospital with epigastralgia. Regression analysis showed good correlation between left ventricular ejection fraction and LC I (r=0.65, p<0.01). Three patients with unstable angina pectoris had elevated LC I but lower than 12.0 ng/ml. Detection of serum LC I is a useful method since it can be applied to the diagnosis of AMI at the early as well as late stage and peak serum LC I correlates well with the left ventricular ejection fraction. 続きを見る
4.

論文(リポジトリ)

論文(リポジトリ)
大塚, 英明 ; 加藤, 秀徳 ; 高橋, 正 ; 岡部, 正明 ; 松岡, 東明 ; 片桐, 幹夫 ; 春谷, 重孝 ; 坂下, 勲
出版情報: 新潟医学会雑誌 — 新潟医学会雑誌.  102  pp.764-769,  1988-12.  新潟医学会
本文リンク: http://hdl.handle.net/10191/41062
概要: In 123 patients aged 34 to 86 years with acute myocardial infarction, emergency coronary angioplasty was performed as re perfusion therapy. Coronary angioplasty was performed after intracoronary thrombolysis in 18 patients, and also as primary therapy in others. Overall, angioplasty was successful in 85 patients (69.1%). Repeated coronary angiography was performed in all of 78 patients who had successful angioplasty and survived hospitarization without requiring emergency bypass surgery; restenosis was found in 15 patients (19.2%), and angioplasty was repeated in 4 patients, and elective bypass surgery was performed in 3 patients. Hospital mortality (within 4 weeks after admission) was 11.4%, with 3 out of 14 deaths occurring in patients with cardiac free wall rupture. Hospital mortality was 7.1% for patients who had successful angioplasty as compared with 21.1% for patients with unsuccessful angioplasty (p<0.05). Tl-201 myocardial scintigraphy (SPECT) was performed in 84 (77.1%) of 109 patients who survived hospitarization; 39 (62.9%) of 62 patients who had successful angioplasty showed successful myocardial salvage as compared with 27.3% with unsuccessful angioplasty (p<0.01). Therefore, successful emergency coronary angioplasty for acute myocardial infarction appears to salvage ischemic myocardium and to result in a low hospital mortality. 続きを見る