| Japanese |
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| Title | タリウム心筋シンチグラフィにて特異な所見を呈し, 剖検と対比できた心筋症の一例 |
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| Subtitle | 症例報告 |
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| Authors | 松尾剛志*,†, 西村恒彦*, 植原敏勇*, 林田孝平*, 千葉博*, 三谷勇雄*, 永田正毅**, 由谷親夫*** |
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| Authors(kana) | |
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| Organization | *国立循環器病センター放射線診療部, **心臓内科, ***病理, †現;宮崎医科大学第一内科 |
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| Journal | 核医学 |
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| Volume | 25 |
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| Number | 8 |
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| Page | 801-807 |
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| Year/Month | 1988/8 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」特異なタリウム心筋シンチグラフィ所見を呈する肥大型心筋症例を経験した. 症例は, 45歳, 女性. 肥大型心筋症の家族歴を持ち, 心不全症状を主訴に当院に入院した. CTRは, 70%と増大し, 心エコー上, 両心室の拡張と壁運動低下を呈し拡張型心筋症に類似した臨床所見であった. タリウム心筋シンチグラフィでは, 広範な欠損と心尖部心肥大を認めた. 剖検では, 心筋細胞の広範な線維化と錯綜配列を認め, 拡張相肥大型心筋症と診断された. タリウム心筋シンチグラフィ所見が, 肥大型心筋症の線維化の程度を評価するのに有用であった. 「I. はじめに」最近, 肥大型心筋症(Hypertrophic cardiomyopathy, 以下, HCM)の中で経過とともに心室の拡張を示し, あたかも拡張型心筋症(Dilated cardiomyopathy, 以下, DCM)に類似した病態を示す症例が報告されてきている. |
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| Practice | 臨床医学：一般 |
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| Keywords | Thallium-201 myocardial scintigraphy, Hypertrophic cardiomyopathy. |
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| English |
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| Title | An Autopsied Case of Cardiomyopathy Demonstrated Specific Findings by Thallium-201 Myocardial Scintigraphy |
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| Authors | Takeshi MATSUO, Tsunehiko NISHIMURA, Toshiisa UEHARA, Kohei HAYASHIDA, Hiroshi CHIBA, Isao MITANI, Seiki NAGATA, Chikao YUTANI |
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| Organization | Department of Radiology, Cardiology and Pathology, National Cardiovascular Center |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 25 |
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| Number | 8 |
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| Page | 801-807 |
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| Year/Month | 1988/8 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | A few cases showing dilatation and decreased contraction of the left ventricle at the terminal stage of hypertrophic cardiomyopathy (dilated-HCM) have been reported. Recently, we experienced a case of dilated-HCM and compared thallium-201 myocardial scintigraphic findings with histological findings. Thallium-201 myocardial scintigraphic findings resembled that of dilated cardiomyopathy (dilated biventricle and large perfusion defect). But, histological findings revealed large fibrosis and disarray of myocardial cells. These observation from thallium-201 myocardial scintigraphy was useful for the assessment of myocardial fibrosis of hypertrophic cardiomyopathy. |
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| Practice | Clinical medicine |
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| Keywords | Thallium-201 myocardial scintigraphy, Hypertrophic cardiomyopathy. |
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