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図書 |
図書
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田村雄助
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| 2.
論文(リポジトリ) |
論文(リポジトリ)
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金子, 夏美 ; 堺, 勝之 ; 渡辺, 達 ; 田村, 雄助 ; 曽川, 正和 ; 福田, 卓也 ; 諸, 久永 ; 田山, 雅雄
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| 3.
論文(リポジトリ) |
論文(リポジトリ)
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橋本, 喜文 ; 堺, 勝之 ; 飯嶋, 賢一 ; 廣野, 崇 ; 田村, 雄助 ; 福田, 卓也 ; 曽川, 正和 ; 諸, 久永
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| 4.
論文(リポジトリ) |
論文(リポジトリ)
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小村, 悟 ; 池主, 雅臣 ; 飯嶋, 賢一 ; 岡田, 慎輔 ; 保坂, 幸男 ; 古嶋, 博司 ; 小玉, 誠 ; 相澤, 義房 ; 堺, 勝之 ; 田村, 雄助
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| 5.
論文(リポジトリ) |
論文(リポジトリ)
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太田, 久幸 ; 中村, 彰 ; 堺, 勝之 ; 田村, 雄助 ; 小山, 覚 ; 石原, 法子
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| 6.
論文(リポジトリ) |
論文(リポジトリ)
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宮林, 貴大 ; 阿部, 暁 ; 中村, 彰 ; 堺, 勝之 ; 田村, 雄助 ; 諸, 久永 ; 田山, 雅雄
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| 7.
論文(リポジトリ) |
論文(リポジトリ)
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水野, 研一 ; 落合, 幸江 ; 堺, 勝之 ; 田村, 雄助 ; 諸, 久永
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| 8.
論文(リポジトリ) |
論文(リポジトリ)
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山添, 優 ; 田村, 雄助 ; 五十嵐, 裕 ; 松原, 琢 ; 田辺, 恭彦 ; 堀, 知行 ; 柴田, 昭
概要:
Percutameous transvenous mitral commissurotomy (PTMC) using Inoue balloon catheter was attempted in 61 patients with sym
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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.
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| 9.
論文(リポジトリ) |
論文(リポジトリ)
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今野, 拓 ; 井田, 徹 ; 堀, 知行 ; 内藤, 直木 ; 田村, 雄助 ; 和泉, 徹 ; 柴田, 昭
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| 10.
論文(リポジトリ) |
論文(リポジトリ)
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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
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| 11.
論文(リポジトリ) |
論文(リポジトリ)
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高橋, 涼子 ; 堺, 勝之 ; 廣野, 崇 ; 田村, 雄助 ; 曽川, 正和 ; 諸, 久永 ; 田山, 雅雄 ; 石原, 法子
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| 12.
論文(リポジトリ) |
論文(リポジトリ)
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吉田, 敬之 ; 中村, 彰 ; 堺, 勝之 ; 田村, 雄助
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| 13.
論文(リポジトリ) |
論文(リポジトリ)
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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
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| 14.
論文(リポジトリ) |
論文(リポジトリ)
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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
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| 15.
論文(リポジトリ) |
論文(リポジトリ)
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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
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| 16.
論文(リポジトリ) |
論文(リポジトリ)
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田村, 雄助
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
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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.
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| 17.
論文(リポジトリ) |
論文(リポジトリ)
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田村, 雄助
概要:
The severity of myocardial ischemia cannot always be predicted by coronary arteriography alone. The clinical methods for
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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.
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| 18.
論文(リポジトリ) |
論文(リポジトリ)
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斉藤, 正明 ; 池主, 雅臣 ; 佐伯, 牧彦 ; 山口, 利夫 ; 五十嵐, 裕 ; 田村, 雄助 ; 和泉, 徹 ; 柴田, 昭 ; 宮村, 治男
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| 19.
論文(リポジトリ) |
論文(リポジトリ)
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高橋, 稔 ; 田村, 雄助 ; 松原, 琢 ; 五十嵐, 裕 ; 山崎, ユウ子 ; 山添, 優 ; 和泉, 徹
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| 20.
論文(リポジトリ) |
論文(リポジトリ)
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小池, 隆司 ; 五十嵐, 裕 ; 松原, 琢 ; 山崎, ユウ子 ; 田村, 雄助 ; 山添, 優 ; 和泉, 徹
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| 21.
論文(リポジトリ) |
論文(リポジトリ)
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大島, 満 ; 松原, 琢 ; 田辺, 恭彦 ; 山崎, ユウ子 ; 石黒, 淳司 ; 笹川, 康夫 ; 五十嵐, 裕 ; 田村, 雄助 ; 山添, 優 ; 和泉, 徹 ; 三井田, 努 ; 小田, 弘隆 ; 佐藤, 広則 ; 樋熊, 紀雄
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| 22.
論文(リポジトリ) |
論文(リポジトリ)
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田村, 雄助
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| 23.
論文(リポジトリ) |
論文(リポジトリ)
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石黒, 淳司 ; 小玉, 誠 ; 土屋, 厚 ; 矢沢, 良光 ; 宮島, 静一 ; 田村, 雄助
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| 24.
論文(リポジトリ) |
論文(リポジトリ)
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五十嵐, 裕 ; 山添, 優 ; 田村, 雄助 ; 松原, 琢 ; 田辺, 恭彦 ; 宮島, 武文 ; 山崎, ユウ子 ; 和泉, 徹 ; 柴田, 昭 ; 渡辺, 賢一 ; 鈴木, 薫
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| 25.
論文(リポジトリ) |
論文(リポジトリ)
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小山, 仙 ; 松原, 琢 ; 五十嵐, 裕 ; 田辺, 恭彦 ; 田村, 雄助 ; 山添, 優 ; 和泉, 徹 ; 宮島, 静一 ; 矢沢, 良光
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| 26.
論文(リポジトリ) |
論文(リポジトリ)
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大島, 満 ; 田村, 雄助 ; 山添, 優 ; 和泉, 徹 ; 横田, 英治 ; 土谷, 厚 ; 矢沢, 良光
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| 27.
論文(リポジトリ) |
論文(リポジトリ)
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田村, 雄助 ; 矢沢, 良光 ; 土谷, 厚 ; 蒲原, 壮夫 ; 山添, 優 ; 松原, 琢
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| 28.
論文(リポジトリ) |
論文(リポジトリ)
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五十嵐, 裕 ; 松原, 琢 ; 山添, 優 ; 和泉, 徹 ; 柴田, 昭 ; 田村, 雄助
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| 29.
論文(リポジトリ) |
論文(リポジトリ)
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土谷, 厚 ; 田村, 雄助 ; 塚田, 徳昌 ; 矢沢, 良光 ; 蒲沢, 壮夫
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| 30.
論文(リポジトリ) |
論文(リポジトリ)
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各務, 博 ; 三間, 聡 ; 佐藤, 誠 ; 鈴木, 栄一 ; 来生, 哲 ; 荒川, 正昭 ; 谷, 啓充 ; 田村, 雄助
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| 31.
論文(リポジトリ) |
論文(リポジトリ)
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五十嵐, 裕 ; 田村, 雄助 ; 松原, 琢 ; 田辺, 恭彦 ; 藤田, 俊夫 ; 山添, 優 ; 柴田, 昭
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| 32.
論文(リポジトリ) |
論文(リポジトリ)
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田村, 雄助
概要:
Records of 504 patients (male/female=412/92; age24～77, mean 56years) with known or suspected ischemic heart disease who
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underwent his or her first coronary arteriography were reviewed. They were divided into elderly (age 60 or more, n=189) and younger (age less than 60, n=315) groups. One hundred fifty nine patients had no or less than 50% coronary stenosis, 42 had 50 to 74% stenosis, and 303 had significant (75% or more) stenosis. The prevalence of multivessel disease was higher in the elderly than in the younger group. Left ventricular ejection fraction (EF) did not differ between the 2 age groups. More patients with 3 vessel disease had severely depressed EF than the others. Prevalence of hypertension, hypercholesterolemia, diabetes mellitus and smoking habit did not differ between the 2 age groups. More patients in the elderly group, however, had no or only one risk factor. Among 303 with significant stenosis, 42 (23%) of 180 in the younger group and 40 (33%) of 123 in the elderly group underwent coronary artery surgery. Four patients from each group died. Only one of 18, however, died among those with age 65 or older. PTCA, which was performed on 36 patients, was unsuccessful in 5 with multivessel disease in the elderly group. In conclusion, elderly patients had high prevalence of multivessel disease despite less risk factors. Age per se does not preclude the indication for coronary surgery or PTCA.
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| 33.
論文(リポジトリ) |
論文(リポジトリ)
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伊藤, 徹 ; 太田, 毅 ; 細井, 牧 ; 田島, 俊児 ; 寺田, 正樹 ; 田村, 雄助
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| 34.
論文(リポジトリ) |
論文(リポジトリ)
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木村, 新平 ; 清水, 博 ; 田村, 雄助
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| 35.
論文(リポジトリ) |
論文(リポジトリ)
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長谷川, 順紀 ; 木村, 新平 ; 清水, 博 ; 田村, 雄助
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