| Japanese |
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| Title | リハビリテーションによるPTCAの適応拡大 - 運動負荷心筋シンチグラフィによる検討 - |
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| Subtitle | ≪症例報告≫ |
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| Authors | 山家智之*, 武田久尚*, 海野金次郎*, 村田裕二**, 島貫義久***, 伊藤久雄***, 松本直晃****, 吉田聖二郎****, 近内利明****, 田所正路****, 目黒泰一郎*****, 仁田新一******, 田中元直****** |
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| Authors(kana) | |
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| Organization | *宮城県立瀬峰病院循環器科, **小児循環器科, ***放射線科, ****心臓血管外科, *****東北厚生年金病院循環器科, ******東北大学抗酸菌病研究所電子医学 |
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| Journal | 核医学 |
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| Volume | 26 |
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| Number | 6 |
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| Page | 781-786 |
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| Year/Month | 1989/6 |
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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」左室造影(LVG), 運動負荷心筋スキャン(EX-Tl)にて心筋のviabilityが否定的でありながら血行再建により左室壁運動の改善の認められる心筋梗塞の症例がしばしば経験される. 今回われわれは積極的リハビリテーションによる側副血行路の発達により, 心筋のviabiiityをより精密に判定する方法を考案し臨床例に試みたので報告する. 症例は58歳の心筋梗塞の男性で左前下行枝(LAD)に著しい造影遅延を伴う99%の狭窄を認め, LVGとEX-Tlにて前壁のviabilityは否定的であった. しかしエルゴメータによるリハビリテーションを加えたところ2週間後のEX-Tlにて再分布が認められ, viabilityの残存の可能性が出てきたのでPTCAを施行したところ, 慢性期の左室造影にて前壁の動きの改善が認められた. LVG, EX-Tlにてviabilityが否定的でも, リハビリテーションを加えた後のEX-Tl再検で, viabilityの残存が検出できる症例にはPTCAの適応を拡大することができるものと考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Viability, PTCA, Rehabilitation, Stress Tl-201 myocardial scintigraphy, SPECT. |
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| English |
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| Title | Expanded indication of Percutaneous Transluminal Coronary Angioplasty to the Infarcted Zone - Using Thallium-201 Exercise Scintigram after Rehabilitation - |
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| Subtitle | - Case Reports - |
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| Authors | Tomoyuki YAMBE*, Hisanao TAKEDA*, Kinjiroh UNNO*, Yuuji MURATA*, Yoshihisa SHIMANUKI**, Hisao ITOH**, Naoaki MATSUMOTO***, Seijiroh YOSHIDA***, Toshiaki KONNAI***, Masamichi TADOKORO***, Tai-ichiroh MEGURO****, Shin-ichi NITTA*****, Motonao TANAKA***** |
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| Authors(kana) | |
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| Organization | *Department of Cardiology, **Department of Radiology, ***Department of Cardiovascular Surgery, Miyagi Prefectural Semine Hospital, ***Department of Cardiology, Tohoku Kou-seinenkin Hospital, *****Department of Medical Engineering and Cardiology, Research Institute for Chest Diseases and Cancer, Tohoku University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 26 |
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| Number | 6 |
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| Page | 781-786 |
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| Year/Month | 1989/6 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] In some cases of old myocardial infarction (OMI), left ventricular wall motion was improved after revascularization, though viability of the infarcted myocardium was not detected by left ventriculography (LVG) and exercise thallium-201 myocardial scintigraphy (EX-Tl). So to obtain more correct information of the viability, EX-Tl was performed again after ergometer rehabilitation for an OMI patient whose myocardial viability of the infarcted zone could not detected by LVG and EX-Tl. Incomplete ml in was showed in the EX-Tl after rehabilitation. So percutaneous transluminal coronary angioplasty (PTCA) was performed. Left ventricular wall motion was improved after three months. EX-Tl after rehabilitation is useful to evaluate the viability that could not detected by LVG and EX-Tl. |
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| Practice | Clinical medicine |
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| Keywords | Viability, PTCA, Rehabilitation, Stress Tl-201 myocardial scintigraphy, SPECT. |
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