| Japanese |
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| Title | 血管外科手術症例における虚血性心疾患合併の術前評価法としてのdipyridamole負荷心筋シンチグラムの有用性 |
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| Subtitle | 原著 |
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| Authors | 安藤真一*, 芦原俊昭*, 安藤洋志*, 満岡渉*, 田川博章*, 樋口義洋*, 福岡富和*, 福山尚哉*, 藤永裕** |
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| Authors(kana) | |
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| Organization | *松山赤十字病院循環器科, **外科 |
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| Journal | 核医学 |
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| Volume | 29 |
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| Number | 11 |
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| Page | 1319-1324 |
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| Year/Month | 1992/11 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」閉塞性動脈硬化症や大動脈瘤の手術を予定された患者において, 術中, 術後の心筋梗塞等の虚血性心疾患の合併症を予防する目的で, 術前dipyridamole負荷心筋シンチグラムを施行した. 対象症例は, 当科に術前に紹介された18例(閉塞性動脈硬化症15例, 腹部大動脈瘤3例)とした. Dipyridamole負荷心筋シンチグラムにて6例で心筋虚血が疑われ, うち5例で冠動脈造影が施行された. 18例中, 手術中止となったものは4例であり, 手術を実施されたものは経皮的冠動脈形成術を施行した1例を含む14例であった. この14例中1例で, 心筋逸脱酵素の上昇をともなわないT波異常を認め, 他の1例で上室性頻拍を認めたが, 残る12例では心臓合併症は生じなかった. この結果からdipyridamole負荷心筋シンチグラムは, 血管外科手術前の虚血性心疾患の検出および手術適応の決定に有用であると考えられた. |
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| Practice | 臨床医学：一般 |
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| Keywords | Dipyridamole, Thallium scintigram, Ischemic heart disease, Vascular surgery, Preoperative evaluation. |
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| English |
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| Title | The Usefulness of Dipyridamole Stress Myocardial Scintigram as a Preoperative Test for Detecting Ischemic Heart Disease before Vascular Surgery |
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| Subtitle | Original Articles |
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| Authors | Shinichi ANDO*, Toshiaki ASHIHARA*, Hiroshi ANDO*, Wataru MITSUOKA*, Hirofumi TAGAWA*, Yoshihiro HIGUCHI*, Tomikazu FUKUOKA*, Takaya FUKUYAMA*, Yutaka FUJINAGA** |
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| Authors(kana) | |
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| Organization | *Department of Cardiology, **Department of Surgery, Matsuyama Red Cross Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 29 |
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| Number | 11 |
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| Page | 1319-1324 |
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| Year/Month | 1992/11 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary]We evaluated the usefulness of dipyridamole 201Tl myocardial scintigraphy (DS) for detecting myocardial ischemia in 18 candidate for vascular surgery. DS indicated significant thallium redistribution in 6 patients. Coronary angiography was performed in 5 of these 6 patients and revealed significant coronary artery disease in all patients. As a result, operation was cancelled in 4 patients with severe coronary artery disease. One of these cases died of acute myocardial infarction after being discharged from hospital. One other patient was operated after percutaneous transluminal coronary angioplasty. Another patient was operated knowing that he had significant but mild coronary artery disease. Subsequently, operations were performed in 14 patients. No serious cardiac event occured in these 14 patients except one case with T wave inversion without myocardial enzyme elevation. Thus, we concluded that DS was a useful method for detecting ischemic heart disease and prevent cardiac event associated with vascular surgery. |
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| Practice | Clinical medicine |
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| Keywords | Dipyridamole, Thallium scintigram, Ischemic heart disease, Vascular surgery, Preoperative evaluation. |
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