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1.

図書

図書
田村雄助
出版情報: 新潟 : 新潟大学医学部, [1996]
シリーズ名: 新潟大学学位論文 ; 新大医博 || シンダイ イハク ; 1351
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2.

論文(リポジトリ)

論文(リポジトリ)
樋口, 浩太郎 ; 竹本, 稔 ; 井田, 徹 ; 今野, 拓 ; 松原, 琢 ; 田村, 雄助 ; 山添, 優 ; 相沢, 義房
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  111  pp.123-123,  1997-02.  新潟医学会
本文リンク: http://hdl.handle.net/10191/44488
3.

論文(リポジトリ)

論文(リポジトリ)
松原, 琢 ; 山添, 優 ; 田村, 雄助 ; 田辺, 恭彦 ; 相崎, 俊哉 ; 堀, 知行 ; 樋口, 浩太郎 ; 今野, 拓 ; 斉藤, 玲子 ; 落合, 幸江
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  110  pp.188-188,  1996-05.  新潟医学会
本文リンク: http://hdl.handle.net/10191/43067
4.

論文(リポジトリ)

論文(リポジトリ)
斉藤, 玲子 ; 堀, 知行 ; 松原, 琢 ; 田村, 雄助 ; 田辺, 恭彦 ; 相崎, 俊哉 ; 樋口, 浩太郎 ; 今野, 拓 ; 落合, 幸江 ; 山添, 優
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  110  pp.188-188,  1996-05.  新潟医学会
本文リンク: http://hdl.handle.net/10191/43069
5.

論文(リポジトリ)

論文(リポジトリ)
田村, 雄助
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  110  pp.100-115,  1996-03.  新潟医学会
本文リンク: http://hdl.handle.net/10191/42952
概要: The purpose of this study was to clarify the appropriate methods and diagnostic criteria for coronary artery spasm provocative tests. Acetylcholine (Ach) was administered into 302 coronary arteries (the left coronary artery was counted as one) of 168 patients (pts) and ergonovine maleate (EM) into 433 arteries of 247 pts. A coronary constriction with a flow of TIMI (Thrombolysis in Myocardial Infarction) grade 0 to 2, and a diffuse severe constriction with a TIMI-3 flow that accompanies ischemic ECG changes were considered positive. Among pts with documented variant angina, Ach was positive in 27 (90%) of 30 pts evaluated, while EM was positive in 33 (97.1%) of 34. EM was positive in the 3 pts in whom Ach was negative. By the artery-based analysis, Ach was positive in 28 (63.6%) of 44 arteries and EM in 40 (74.1%) of 55. In angina at rest, Ach was positive in 22 (52.4%) of 42 pts and EM in 31 (51.7%) of 60 pts. In atypical chest pain Ach was positive in 6 (15.4%) of 39 pts (8 of 79 arteries), but EM in only one of 61 pts (one of 124 arteries). In pts with other clinical diagnoses, Ach was positive in 17 (30.1%) of 55 pts and in 23 (23.2%) of 99 arteries and EM in 16 (20.5%) of 78 pts and in 17 (11.7%) of 145 arteries (difference statistically significant by the artery-based analysis). Diffuse severe coronary constriction was induced by Ach in 13 arteries of 11 pts and by EM in 6 arteries of 5 pts. In atypical chest pain, 7 arteries of 5 pts showed diffuse severe constriction by Ach but none by EM. In variant angina no artery showed diffuse constriction with Ach and two with EM. However, the catheter had wedged into the coronary ostium in these two. When the 263 arteries of 151 pts that received both agents were analyzed, the results were similar. In these pts, 46 arteries were positive to both Ach and EM, 25 to only Ach and 11 only to EM. In variant angina 18 arteries were positive to both, 6 were positive to EM alone and 2 to Ach alone. in pts other than variant angina, by contrast, the number of arteries that was positive to Ach alone was larger than that of arteries positive to EM alone. The differences still existed even if diffuse severe constriction was not considered positive. These results suggest that EM is more appropriate than Ach as a spasm inducing agent, and that a diffuse severe constriction with a TIMI-3 flow, which is more often induced by Ach, should not be considered to be a positive response. 続きを見る
6.

論文(リポジトリ)

論文(リポジトリ)
田村, 雄助
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  106  pp.153-160,  1992-03.  新潟医学会
本文リンク: http://hdl.handle.net/10191/39578
概要: The severity of myocardial ischemia cannot always be predicted by coronary arteriography alone. The clinical methods for the evaluation of myocardial ischemia can be classified as follows: electrocardiography, measures of coronary blood flow or myocardial perfusion, assessment of cardiac mechanical function, and detection of metabolic derangement. Among these, resting and exercise electrocardiography, echocardiographic or angiographic assessment of left ventricular wall motion, and thallium-201 myocardial perfusion imaging combined with exercise or dipyridamole are routinely used today. Although none of these does not have complete accuracy, myocardial ischemia and viability can be evaluated with acceptable reliability by combining these examinations. Newer methods of cardiac imaging may further improve the diagnostic accuracy. 続きを見る
7.

論文(リポジトリ)

論文(リポジトリ)
山添, 優 ; 田村, 雄助 ; 五十嵐, 裕 ; 松原, 琢 ; 田辺, 恭彦 ; 堀, 知行 ; 柴田, 昭
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  109  pp.61-66,  1995-02.  新潟医学会
本文リンク: http://hdl.handle.net/10191/42191
概要: Percutameous transvenous mitral commissurotomy (PTMC) using Inoue balloon catheter was attempted in 61 patients with sym ptomatic rheumatic mitral stenosis. There were 49 women and 12 men (mean age 50±11 years). PTMC was performed using a stepwise dilatation technique. After PTMC the mean mitral valve pressure gradient decreased from 11.2±5.6 mmHg to 5.6±2.8 mmHg (p<0.0001) and the mitral valve area (Gorlin formula) increased from 1.1±0.3 cm^2 to 1.8±0.5 cm^2 (p<0.0001). Mitral regurgitation increased by one grade in 15 patients (24.6 %), two grades in 5 (8.2 %) and three grades in 1 (1.6 %). Fifty-nine patients (96.7 %) were symptomatically improved. No patients required cardiac surgery or had major complications. At mean follow-up of 7.4 months the mean mitral valve area was 1.6±0.5 cm^2 (Gorlin formula). We concluded that PTMC, using the Inoue balloon, is safe and effective in the treatment of mitral stenosis and a stepwise dilatation technique is useful for preventing the creation of severe mitral regurgitation. 続きを見る
8.

論文(リポジトリ)

論文(リポジトリ)
今野, 拓 ; 井田, 徹 ; 堀, 知行 ; 内藤, 直木 ; 田村, 雄助 ; 和泉, 徹 ; 柴田, 昭
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  108  pp.921-921,  1994-12.  新潟医学会
本文リンク: http://hdl.handle.net/10191/40535
9.

論文(リポジトリ)

論文(リポジトリ)
堀, 知行 ; 加藤, 公則 ; 田中, 吉明 ; 藤田, 俊夫 ; 田辺, 恭彦 ; 五十嵐, 裕 ; 田村, 雄助 ; 山添, 優 ; 高橋, 芳右 ; 和泉, 徹 ; 柴田, 昭
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  108  pp.922-922,  1994-12.  新潟医学会
本文リンク: http://hdl.handle.net/10191/40542
10.

論文(リポジトリ)

論文(リポジトリ)
水野, 研一 ; 落合, 幸江 ; 堺, 勝之 ; 田村, 雄助 ; 諸, 久永
出版情報: 新潟医学会雑誌 = 新潟医学会雑誌.  118  pp.141-142,  2004-02.  新潟医学会
本文リンク: http://hdl.handle.net/10191/2961