Transcription of 「私の考える拡張障害」 - jcc.gr.jp
1 J Cardiol Jpn Ed Vol. 2 No. 1 2008 44 1 X 1 CTR 54% + - 2 2 aVL Q II III aVF V5-6 T 3 RBC 355 104 l, Hb g/dl BNP 245 pg/ml 4 M 3 mm 45 mm 50 mm 34% E A G E-F slope F G F 1 B-B step P-Q LVEDP 4 EF 65% 5 E m/sec A m/sec E/A E>A E
2 G E DcT 230 msec IRT 105 msec 48 3 E cm/sec A cm/sec E E E/E E 48 2 A 5 apex cardiogram: ACG 3 765-8507 2-1-1E-mail: 48 156cm 58kg 56/ 146/88mmHg IV J Cardiol Jpn Ed 2008; 2: 44 49 Nobuo FUKUDA, MD, FJCC Vol.
3 2 No. 1 2008 J Cardiol Jpn Ed45 stiffness LVEDP 6 A A H A/H % 25% 15% A/H LVEDP 4 stiffness LVEDP 1 stiffness LVEDP 3 M G B-B step formation E
4 A 1 54% IIIIIIaVRaVLaVFV1V2V3V4V5V6 2 12 aVL Q II III aVF V5-6 T J Cardiol Jpn Ed Vol. 2 No. 1 2008 46 G G G 5,6 4 3 -galactosidase A -gal A 21 Agal IU 4 6 ACG A RF EAGE A 5 E>A E G E A Vol.
5 2 No. 1 2008 J Cardiol Jpn Ed47 X -gal A -gal A 2 1 E-F slope 7a 2 7b 1 2 E-F
6 Slope E-F G F A 7a 3 E-F 8a F G 8b 7 4 EAFEAEAEAab 7 a 76 E-F slope F E b 73 E A abJ Cardiol Jpn Ed Vol. 2 No. 1 2008 48 8 G a E-F N b F G E A a 7 9 a 83 E-F slope F G B-B step E b 73 F G E A abEAFNEAFGEAEAFEAFEAabGGababVol.
7 2 No. 1 2008 J Cardiol Jpn Ed49 stiffness DcT E-F slope F 9a F 9b E-F slope F 1 , , , , , , . echo F point . 1977; Fukuda N, Shinohara H, Soeki T, Sakabe K, Onose Y, Tamura Y.
8 Age-related changes in diastolic atrioventricular annular velocity: Studies using pulsed Doppler tissue imag-ing. J Med Ultrason 2001; 28(Autumn): Manolas J, Rutishauser W, Wirz P, Arbenz U. Time relation between apex cardiogram and left ventricular events using simultaneous high-fidelity tracings in man. Br Heart J 1975; 37: , , , , , , , . Jpn J Med Ultrasonics 1986; 13: Lam CSP, Han L, Ha JW, Oh JK, Ling LH. The mitral L wave: a marker of pseudonormal filling and predictor of heart failure in patients with left ventricular hypertrophy.
9 J Am Soc Echocardiogr 2005; 18: Ha JW, Ahn JA, Moon JY, Suh HS, Kang SM, Rim SJ, Jang Y, Chung N, Shim WH, Cho SY. Triphasic mitral inflow velocity with mid-diastolic flow: The presence of mid-dia-stolic mitral annular velocity indicates advanced diastolic dysfunction. Eur J Echocardiogr 2006; 7: , . : ; 1978. p. 181-194
