発作時に標準12誘導心電図上虚血性変化を伴わなかった狭心症の1例
66才男性.自然あるいは運動負荷にて誘発された胸痛発作時に心電図上虚血性変化は認められず,心筋梗塞(後下壁梗塞)を発症した. PTCRを施行し,右冠動脈Segment 2は90%に疎通した.慢性期の運動負荷試験でも胸痛は出現したが心電図変化は認められず,運動負荷心筋シンチでは後下壁領域に虚血が認められたためPTCAを施行,その後虚血は消失した.標準12誘導心電図では虚血ベクトル自体がdetectされにくかったと考えられた....
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| Published in | 日本内科学会雑誌 Vol. 78; no. 7; pp. 976 - 977 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本内科学会
1989
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| Online Access | Get full text |
| ISSN | 0021-5384 1883-2083 |
| DOI | 10.2169/naika.78.976 |
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| Abstract | 66才男性.自然あるいは運動負荷にて誘発された胸痛発作時に心電図上虚血性変化は認められず,心筋梗塞(後下壁梗塞)を発症した. PTCRを施行し,右冠動脈Segment 2は90%に疎通した.慢性期の運動負荷試験でも胸痛は出現したが心電図変化は認められず,運動負荷心筋シンチでは後下壁領域に虚血が認められたためPTCAを施行,その後虚血は消失した.標準12誘導心電図では虚血ベクトル自体がdetectされにくかったと考えられた. |
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| AbstractList | 66才男性.自然あるいは運動負荷にて誘発された胸痛発作時に心電図上虚血性変化は認められず,心筋梗塞(後下壁梗塞)を発症した. PTCRを施行し,右冠動脈Segment 2は90%に疎通した.慢性期の運動負荷試験でも胸痛は出現したが心電図変化は認められず,運動負荷心筋シンチでは後下壁領域に虚血が認められたためPTCAを施行,その後虚血は消失した.標準12誘導心電図では虚血ベクトル自体がdetectされにくかったと考えられた. |
| Author | 天沼, 澄子 粉川, 純子 癸生川, 恵一 孫崎, 信久 |
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| References | 5) Haiat R, et al: Angine de poitrine sans amonalie per-critique de la ripolarisation: unnouveau concept de 1' ischemie miocardique chez le coronarien. Coeur 13: 179, 1982. 7) Pasquale GD, et al: Effort angina pectoris without electrocardiographic changes in coronary disease patients: Correlations between scintigraphic and coroary angiographic findings. Intern J Cardiol 12: 243, 1986. 4) Davies G, et al: Positive ergometrine test without ECG changes (Abstract). Amer J Cardiol 49: 954, 1982. 3) Whittle JL, et al: Variability of electrocar-diographic responses to repeated ergonovine provocation in variant angina patients with coronary artery spasm. Amer Heart J 103: 161, 1982. 8) Mori K, et al: Reverse redistribution in dipyridamole-loding thallium-201 images using single photon emission computed tomography. J Cardiogr 16: 309, 1986. 1) Lesbre JP, et al: Le valeur diagnostique de 1' electrocardiogramme per-critique dams l'angor: un dogme a reviser. Nouv Press Med 7: 1752, 1978. 2) Feldman RL, et al: How useful is the electrocardiogram as an indicator of coronary artery spasm? (Abstract). Amer J Cardiol 47: 449, 1981. 6) Waters DD, et al: Exercise testing in patients with variant angina; results correlations with clinical and angiographic features and prognostic significance. Circulation 65: 265, 1982. |
| References_xml | – reference: 6) Waters DD, et al: Exercise testing in patients with variant angina; results correlations with clinical and angiographic features and prognostic significance. Circulation 65: 265, 1982. – reference: 2) Feldman RL, et al: How useful is the electrocardiogram as an indicator of coronary artery spasm? (Abstract). Amer J Cardiol 47: 449, 1981. – reference: 5) Haiat R, et al: Angine de poitrine sans amonalie per-critique de la ripolarisation: unnouveau concept de 1' ischemie miocardique chez le coronarien. Coeur 13: 179, 1982. – reference: 1) Lesbre JP, et al: Le valeur diagnostique de 1' electrocardiogramme per-critique dams l'angor: un dogme a reviser. Nouv Press Med 7: 1752, 1978. – reference: 3) Whittle JL, et al: Variability of electrocar-diographic responses to repeated ergonovine provocation in variant angina patients with coronary artery spasm. Amer Heart J 103: 161, 1982. – reference: 8) Mori K, et al: Reverse redistribution in dipyridamole-loding thallium-201 images using single photon emission computed tomography. J Cardiogr 16: 309, 1986. – reference: 4) Davies G, et al: Positive ergometrine test without ECG changes (Abstract). Amer J Cardiol 49: 954, 1982. – reference: 7) Pasquale GD, et al: Effort angina pectoris without electrocardiographic changes in coronary disease patients: Correlations between scintigraphic and coroary angiographic findings. Intern J Cardiol 12: 243, 1986. |
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| Snippet | 66才男性.自然あるいは運動負荷にて誘発された胸痛発作時に心電図上虚血性変化は認められず,心筋梗塞(後下壁梗塞)を発症した. PTCRを施行し,右冠動脈Segment... |
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| Title | 発作時に標準12誘導心電図上虚血性変化を伴わなかった狭心症の1例 |
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