| Japanese |
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| Title | 経食道心房ペーシング (Transesophageal atrial pacing) による頻脈負荷心筋SPECTの試み |
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| Subtitle | 《症例報告》 |
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| Authors | 間島寧興*, 石永隆成**, 小松親義**, 川上憲司*** |
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| Organization | *東京都老人医療センター核医学診断科, **東京慈恵会医科大学第四内科, ***放射線科 |
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| Journal | 核医学 |
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| Volume | 27 |
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| Number | 8 |
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| Page | 877-881 |
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| Year/Month | 1990/8 |
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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」経食道心房ペーシングによる頻脈負荷心筋SPECTを, 胸痛を有する患者に施行し, 有用な所見を得ることが出来たので報告する. 本法による心房ペーシングは, 負荷に使用した全てのペーシング(50〜100/min)に対し確実に規則正しく施行することが出来た. 負荷ペーシング量が少ないのにもかかわらず, 労作性虚血部位と梗塞部位の所見を見いだすことが出来, 本ペーシング法によるTl-201心筋負荷SPECTは心筋虚血の評価に有用な検査法になることが示唆された. 特に高齢者, 下肢障害者の心筋虚血の評価に有用と考えられた. 「I. はじめに」Tl-201負荷心筋SPECT(single photon emission computed tomography)は, 臨床に広く応用されており, その負荷方法はおもに運動負荷法が用いられている. この方法は心拍・血圧の増加を惹起させ, 労作性狭心症における心筋虚血の所見を見いだすのに, 理想的な負荷を与えることが出来る. |
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| Practice | 臨床医学：一般 |
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| Keywords | transesophageal atrial pacing, Tl-201 myocardial imaging, SPECT. |
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| English |
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| Title | Diagnostic Value of the Transesophageal Atrial Pacing Stress for Tl-201 Myocardial SPECT |
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| Subtitle | - Case Reports - |
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| Authors | Yasuoki MASHIMA*, Takanari ISHINAGA**, Chikayoshi KOMATSU**, Kenji KAWAKAMI*** |
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| Authors(kana) | |
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| Organization | *Department of Nuclear Medicine and Radiological Sciences, Tokyo Metropolitan Geriatric Hospital, **Department of the Fourth Internal Medicine, ***Department of Radiology, Jikei University School of Medicine |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 27 |
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| Number | 8 |
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| Page | 877-881 |
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| Year/Month | 1990/8 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | The stress study for Tl-201 myocardial SPECT (single photon emission computed tomography) of a patient with old myocardial infarction, who had occasionally felt a chest pain for the last 8 months was performed with the transesophageal atrial pacing. The examination was fastly started and regular pacing rates were completely obtained for every pacing rate (50-100/min). In spite of a little amount of the pacing stress, the finding of stress induced ischemia and MI were obtained on this patient. This result suggests that the transesophageal atrial pacing stress might be useful for the evaluation of ischemic heart disease by Tl-201 myocardial SPECT, and is easily applied to the old and the patient with disorder of leg movement. |
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| Practice | Clinical medicine |
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| Keywords | transesophageal atrial pacing, Tl-201 myocardial imaging, SPECT. |
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