第3度房室ブロック罹患犬の基礎心疾患と房室伝導系病変
犬の第3度房室ブロック(AVB)症例の基礎心疾患と房室伝導系病変との関連性を明らかにするため，当該ブロック罹患犬36例の心臓を病理学的に検索した。基礎心疾患として，13例にリンパ球性非化膿性心筋炎(LyMy群)，12例に房室弁心内膜症(AtEn群)，各2例に先天性異常(CoAn群)，心臓腫瘍(CaTu群)，心房中隔下部への重度脂肪浸潤(FaIn群)が認められた。しかし，残りの5例に明らかな病的変化は見いだされなかった。房室結節アプローチ部(AVNap)，房室結節(AVN)，ヒス束貫通部(HisP)および分岐部(HisB)，左脚(LBB)および右脚(RBB)からなる房室伝導系の組織学的検索では，...
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| Published in | Dōbutsu no junkanki Vol. 55; no. 1; pp. 15 - 28 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本獣医循環器学会
2022
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0910-6537 1883-5260 |
| DOI | 10.11276/jsvc.55.15 |
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| Abstract | 犬の第3度房室ブロック(AVB)症例の基礎心疾患と房室伝導系病変との関連性を明らかにするため，当該ブロック罹患犬36例の心臓を病理学的に検索した。基礎心疾患として，13例にリンパ球性非化膿性心筋炎(LyMy群)，12例に房室弁心内膜症(AtEn群)，各2例に先天性異常(CoAn群)，心臓腫瘍(CaTu群)，心房中隔下部への重度脂肪浸潤(FaIn群)が認められた。しかし，残りの5例に明らかな病的変化は見いだされなかった。房室結節アプローチ部(AVNap)，房室結節(AVN)，ヒス束貫通部(HisP)および分岐部(HisB)，左脚(LBB)および右脚(RBB)からなる房室伝導系の組織学的検索では，基礎心疾患を有していなかった5例を除く31例すべてに伝導系細胞の脱落・消失が種々の程度に観察された。重度傷害がみられた部位は以下の通りである：LyMy群-AVNapからLBB/RBBまでのほぼ全域；AtEn群-HisPおよびHisB；CoAn群-HisP；CaTu群-AVNap，AVN，HisPおよび/あるいはHisB；FaIn群-AVNap。このように，犬における第3度AVB発生の形態学的基盤をなしていたのは，房室伝導系内の1箇所あるいは複数箇所における伝導系細胞の脱落・減数であり，これには房室接合部領域に重度の器質的障害をもたらす各種心疾患が密接に関わっていた。 |
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| AbstractList | 犬の第3度房室ブロック(AVB)症例の基礎心疾患と房室伝導系病変との関連性を明らかにするため，当該ブロック罹患犬36例の心臓を病理学的に検索した。基礎心疾患として，13例にリンパ球性非化膿性心筋炎(LyMy群)，12例に房室弁心内膜症(AtEn群)，各2例に先天性異常(CoAn群)，心臓腫瘍(CaTu群)，心房中隔下部への重度脂肪浸潤(FaIn群)が認められた。しかし，残りの5例に明らかな病的変化は見いだされなかった。房室結節アプローチ部(AVNap)，房室結節(AVN)，ヒス束貫通部(HisP)および分岐部(HisB)，左脚(LBB)および右脚(RBB)からなる房室伝導系の組織学的検索では，基礎心疾患を有していなかった5例を除く31例すべてに伝導系細胞の脱落・消失が種々の程度に観察された。重度傷害がみられた部位は以下の通りである：LyMy群-AVNapからLBB/RBBまでのほぼ全域；AtEn群-HisPおよびHisB；CoAn群-HisP；CaTu群-AVNap，AVN，HisPおよび/あるいはHisB；FaIn群-AVNap。このように，犬における第3度AVB発生の形態学的基盤をなしていたのは，房室伝導系内の1箇所あるいは複数箇所における伝導系細胞の脱落・減数であり，これには房室接合部領域に重度の器質的障害をもたらす各種心疾患が密接に関わっていた。 |
| Author | 町田, 登 佐々木, 崇文 |
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| References | 15） Liu, P. P. and Schultheiss, H. Myocarditis. (2008): In: Braunwald’s Heart Disease, a textbook of cardiovascular medicine, 8th ed. Libby, P., Bonow, R. O., Mann, D. L., and Zipes, D. P. eds. WB Saunders, Philadelphia. pp. 1775–1792. 14） Van Vleet, J. F. and Ferrans, V. J. (2007): Cardiovascular system. In: Pathologic Basis of Veterinary Disease, 4th ed. McGavin, M. D. and Zachary, J. F. eds. Mosby, St. Louis. pp. 559–612. 1） Oyama, M. A., Sisson, D. D. and Lehmkuhl, L. B. (2001): Practices and outcome of artificial cardiac pacing in 154 dogs. J. Vet. Intern. Med., 15, 229–239. 16） Rose, N. R. (2009): Myocarditis: infection versus autoimmunity. J. Clin. Immunol., 29, 730–737. 7） Kaneshige, T., Machida, N., Yamamoto, S. Nakao, S. and Yamane, Y. (2007): A histological study of the cardiac conduction system in canine cases of mitral valve endocardiosis with complete atrioventricular block. J. Comp. Pathol., 136, 120–126. 23） Bharati, S. (2001): Pathology of the conduction system. In: Cardiovascular Pathology, 3rd ed. Silver, M. D., Gotlib, A. I. and Schoen, F. J. eds. Churchill Livingsotne, New York, pp. 607–628. 12） Kittleson, M. D. (1998): Diagnosis and treatment of arrhythmias (dysrhythmias). In: Small Animal Cardiovascular Medicine, Kittleson, M. D. and Kienle, R. D. eds. Mosby, St. Louis. pp. 449–494. 34） Waller, B. F., Gottdiener, J. S., Virmani, R. and Roberts, W. C. (1980): The “charcoal heart”; melanoma to the cor. Chest, 77, 671–676. 3） Côté, E. (2010): Electrocardiography and cardiac arrhythmias. In: Textbook of Veterinary Internal Medicine, 7th ed. Ettinger, S. J. and Feldman, E. C. eds. Saunders Elsevier, St. Louis. pp. 1159–1187. 11） Church, W. M., Sisson, D. D., Oyama, M. A., and Zachary, J. F. (2006): Third degree atrioventricular block and sudden death secondary to acute myocarditis in a dog. J. Vet. Cardiol., 9, 53–57. 18） Badorff, C., Lee, G. H., Lamphear, B. J., Martone, M. E., Campbell, K. P., Rhoads, R. E. and Knowlton, K. U. (1999): Enteroviral protease 2Aa cleaves dystrophin: evidence of cytoskeletal disruption in an acquired cardiomyopathy. Nat. Med., 5, 320–326. 19） Chau, D. H., Yuan, J., Zhang, H., Cheung, P., Lim, T., Liu, Z., Sall, A. and Yang, D. (2007): Coxsackievirus B3 proteases 2A and 3C induce apoptotic cell death through mitochondrial injury and cleavage of eIF4GI but not DAP5/p97/NAT1. Apoptosis, 12, 513–524. 27） Lev, M. Cuadros, H. and Paul, M. H. (1971): Interruption of the atrioventricular bundle with congenital atrioventricular block. Circulation, 43, 703–710. 5） James, T. N, and Robertson, B. T., Waldo, A. L. and Branch, C. E. (1975): De Subitaneis Mortibus. XV. Hereditary stenosis of the His bundle in Pug dogs. Circulation, 52, 1152–160. 6） James, T. N. and Darke, E. H. (1968): Sudden death in Doberman Pinschers. Ann. Intern. Med., 68, 821–829. 10） 田中茂喜，佐々木崇文，石黒奈央，浦野孝太郎，小山秀一，木村勇介，町田, 登(2019)：悪性黒色腫の心臓転移により完全房室ブロックをきたした犬の1例．日獣会誌，72, 162–166. 24） Lev, M. (1964): The normal anatomy of the conduction system in man and its pathology in atrioventricular block. Ann. New York Acad. Sci., 111, 817–829. 8） Sasaki, T., Saeki, C., Hirakawa, A., and Machida, N. (2020): Pathological features of complete atrioventricular block in dogs with lymphocytic myocarditis. J. Comp. Pathol., 174, 18–25. 28） Machida, N., Katsuda, S., Kobayashi, Y. and Mitsumori, K. (2005): A histological study of the cardiac conduction system in a heifer with complete atrioventricular block. J. Comp. Pathol., 133, 68–72. 33） Schuller, S., Van Israël, N. and Else, R. W. (2007): Third degree atrioventricular block and accelerated idioventricular rhythm associated with a heart base chemodectoma in a syncopal Rottweiler. J. Vet. Med. A Physiol. Pathol. Clin. Med., 54: 618–623. 20） Huang, C. H., Vallego, J. G., Kollias, G. and Mann, D. L. (2009): Role of the innate immune system in acute viral myocarditis. Basic Res. Cardiol., 104, 228–237. 17） Yajima, T. and Knowlton, K. U. (2009): Viral myocarditis: from the perspective of the virus. Circulation, 119, 2615–2624. 29） Bharati, S., Rosen, K. M., Milter, R. A. and Lev, M. (1974): Conduction system examination in a case of spontaneous heart block in a dog. Am. Heart J., 88, 596–600. 13） Kaneshige, T., Machida, N., Nakao, S., Doiguchi, O., Katsuda, S and Yamane, Y. (2007): Complete atrioventricular block associated with lymphocytic myocarditis of the atrioventricular node in two young adult dogs. J. Comp. Pathol., 137, 146–150. 25） 岡田了三(1994)：刺激伝導系の病理．現代病理学大系11A，心臓・脈管I（飯島宗一，石川栄世，影山圭三，島峰徹郎，森 亘編）．中山書店，東京．pp. 341–356. 30） Miguel, C. E. and Bestetti, R. B. (2010): Primary cardiac lymphoma. Int. J. Cardiol., 149, 358–363. 31） Stern, J. A., Tobias, J. R. and Keene, B. W. (2012): Complete atrioventricular block secondary to cardiac lymphoma in a dog. J. Vet. Cardiol., 14, 537–539. 32） Gallay, J., Bélanger, M. C., Hélie, P., Côté, E., Johnson, T. O. and Peters, M. E. (2011): Cardiac leiomyoma associated with advanced atrioventricular block in a young dog. J. Vet. Cardiol., 13, 71–77. 2） Johnson, M. S., Matrin, M. W. S. and Henley, W. (2007): Results of pacemaker implantation in 104 dogs. J. Small Anim. Pract., 48, 4–11. 26） Lev, M. and Bharati, S. (1975): Atrioventricular and intraventricular conduction disease. Arch. Intern. Med., 135, 405–410. 35） Ozyuncu, N., Sahin. M., Altin, T., Karaoguz, R., Gulda, M. and Akyurek, O. (2006): Cardiac metastasis of malignant melanoma: A rare cause of complete atrioventricular block. Europace, 8, 545–548. 9） Sasaki, T., Kimura, Y., Imai, T. and Machida, N. (2018): Complete atrioventricular block due to primary cardiac lymphoma in a dog. Jpn. J. Vet. Res., 66, 305–310. 22） Fuse, K., Kodama, M., Ito, M., Okura, Y., Kato, K., Hanawa, H., Aoki, S. and Aizawa, Y. (2003): Polarity of helper T cell subsets represents disease nature and clinical course of experimental autoimmune myocarditis in rats. Clin. Exp. Immunol., 134, 403–408. 4） Liu, S. K., Hsu, F. S. and Lee, R. C. T. (1989): Diseases of conduction system. In: An Atlas of Cardiovascular Pathology, Liu, S. K. ed. Pig Research Institute of Taiwan, Tainan, pp. 293–298. 21） Kaya, Z., Katus, H. A., Rose, N. R. (2010): Cardiac troponins and autoimmunity: Their role in the pathogenesis of myocarditis and of heart failure. Clin. Immunol., 134: 80–88. 36） Cheng, G., Newberg, A. B. and Alavi, A. (2011): Metastatic melanoma causing atrioventricular block—the role of FDG PET/CT in diagnosis. Clin. Imag., 35, 312–314. |
| References_xml | – reference: 10） 田中茂喜，佐々木崇文，石黒奈央，浦野孝太郎，小山秀一，木村勇介，町田, 登(2019)：悪性黒色腫の心臓転移により完全房室ブロックをきたした犬の1例．日獣会誌，72, 162–166. – reference: 15） Liu, P. P. and Schultheiss, H. Myocarditis. (2008): In: Braunwald’s Heart Disease, a textbook of cardiovascular medicine, 8th ed. Libby, P., Bonow, R. O., Mann, D. L., and Zipes, D. P. eds. WB Saunders, Philadelphia. pp. 1775–1792. – reference: 16） Rose, N. R. (2009): Myocarditis: infection versus autoimmunity. J. Clin. Immunol., 29, 730–737. – reference: 25） 岡田了三(1994)：刺激伝導系の病理．現代病理学大系11A，心臓・脈管I（飯島宗一，石川栄世，影山圭三，島峰徹郎，森 亘編）．中山書店，東京．pp. 341–356. – reference: 26） Lev, M. and Bharati, S. (1975): Atrioventricular and intraventricular conduction disease. Arch. Intern. Med., 135, 405–410. – reference: 8） Sasaki, T., Saeki, C., Hirakawa, A., and Machida, N. (2020): Pathological features of complete atrioventricular block in dogs with lymphocytic myocarditis. J. Comp. Pathol., 174, 18–25. – reference: 30） Miguel, C. E. and Bestetti, R. B. (2010): Primary cardiac lymphoma. Int. J. Cardiol., 149, 358–363. – reference: 27） Lev, M. Cuadros, H. and Paul, M. H. (1971): Interruption of the atrioventricular bundle with congenital atrioventricular block. Circulation, 43, 703–710. – reference: 36） Cheng, G., Newberg, A. B. and Alavi, A. (2011): Metastatic melanoma causing atrioventricular block—the role of FDG PET/CT in diagnosis. Clin. Imag., 35, 312–314. – reference: 35） Ozyuncu, N., Sahin. M., Altin, T., Karaoguz, R., Gulda, M. and Akyurek, O. (2006): Cardiac metastasis of malignant melanoma: A rare cause of complete atrioventricular block. Europace, 8, 545–548. – reference: 4） Liu, S. K., Hsu, F. S. and Lee, R. C. T. (1989): Diseases of conduction system. In: An Atlas of Cardiovascular Pathology, Liu, S. K. ed. Pig Research Institute of Taiwan, Tainan, pp. 293–298. – reference: 23） Bharati, S. (2001): Pathology of the conduction system. In: Cardiovascular Pathology, 3rd ed. Silver, M. D., Gotlib, A. I. and Schoen, F. J. eds. Churchill Livingsotne, New York, pp. 607–628. – reference: 34） Waller, B. F., Gottdiener, J. S., Virmani, R. and Roberts, W. C. (1980): The “charcoal heart”; melanoma to the cor. Chest, 77, 671–676. – reference: 18） Badorff, C., Lee, G. H., Lamphear, B. J., Martone, M. E., Campbell, K. P., Rhoads, R. E. and Knowlton, K. U. (1999): Enteroviral protease 2Aa cleaves dystrophin: evidence of cytoskeletal disruption in an acquired cardiomyopathy. Nat. Med., 5, 320–326. – reference: 28） Machida, N., Katsuda, S., Kobayashi, Y. and Mitsumori, K. (2005): A histological study of the cardiac conduction system in a heifer with complete atrioventricular block. J. Comp. Pathol., 133, 68–72. – reference: 5） James, T. N, and Robertson, B. T., Waldo, A. L. and Branch, C. E. (1975): De Subitaneis Mortibus. XV. Hereditary stenosis of the His bundle in Pug dogs. Circulation, 52, 1152–160. – reference: 17） Yajima, T. and Knowlton, K. U. (2009): Viral myocarditis: from the perspective of the virus. Circulation, 119, 2615–2624. – reference: 19） Chau, D. H., Yuan, J., Zhang, H., Cheung, P., Lim, T., Liu, Z., Sall, A. and Yang, D. (2007): Coxsackievirus B3 proteases 2A and 3C induce apoptotic cell death through mitochondrial injury and cleavage of eIF4GI but not DAP5/p97/NAT1. Apoptosis, 12, 513–524. – reference: 1） Oyama, M. A., Sisson, D. D. and Lehmkuhl, L. B. (2001): Practices and outcome of artificial cardiac pacing in 154 dogs. J. Vet. Intern. Med., 15, 229–239. – reference: 2） Johnson, M. S., Matrin, M. W. S. and Henley, W. (2007): Results of pacemaker implantation in 104 dogs. J. Small Anim. Pract., 48, 4–11. – reference: 3） Côté, E. (2010): Electrocardiography and cardiac arrhythmias. In: Textbook of Veterinary Internal Medicine, 7th ed. Ettinger, S. J. and Feldman, E. C. eds. Saunders Elsevier, St. Louis. pp. 1159–1187. – reference: 29） Bharati, S., Rosen, K. M., Milter, R. A. and Lev, M. (1974): Conduction system examination in a case of spontaneous heart block in a dog. Am. Heart J., 88, 596–600. – reference: 13） Kaneshige, T., Machida, N., Nakao, S., Doiguchi, O., Katsuda, S and Yamane, Y. (2007): Complete atrioventricular block associated with lymphocytic myocarditis of the atrioventricular node in two young adult dogs. J. Comp. Pathol., 137, 146–150. – reference: 31） Stern, J. A., Tobias, J. R. and Keene, B. W. (2012): Complete atrioventricular block secondary to cardiac lymphoma in a dog. J. Vet. Cardiol., 14, 537–539. – reference: 6） James, T. N. and Darke, E. H. (1968): Sudden death in Doberman Pinschers. Ann. Intern. Med., 68, 821–829. – reference: 24） Lev, M. (1964): The normal anatomy of the conduction system in man and its pathology in atrioventricular block. Ann. New York Acad. Sci., 111, 817–829. – reference: 33） Schuller, S., Van Israël, N. and Else, R. W. (2007): Third degree atrioventricular block and accelerated idioventricular rhythm associated with a heart base chemodectoma in a syncopal Rottweiler. J. Vet. Med. A Physiol. Pathol. Clin. Med., 54: 618–623. – reference: 11） Church, W. M., Sisson, D. D., Oyama, M. A., and Zachary, J. F. (2006): Third degree atrioventricular block and sudden death secondary to acute myocarditis in a dog. J. Vet. Cardiol., 9, 53–57. – reference: 32） Gallay, J., Bélanger, M. C., Hélie, P., Côté, E., Johnson, T. O. and Peters, M. E. (2011): Cardiac leiomyoma associated with advanced atrioventricular block in a young dog. J. Vet. Cardiol., 13, 71–77. – reference: 7） Kaneshige, T., Machida, N., Yamamoto, S. Nakao, S. and Yamane, Y. (2007): A histological study of the cardiac conduction system in canine cases of mitral valve endocardiosis with complete atrioventricular block. J. Comp. Pathol., 136, 120–126. – reference: 21） Kaya, Z., Katus, H. A., Rose, N. R. (2010): Cardiac troponins and autoimmunity: Their role in the pathogenesis of myocarditis and of heart failure. Clin. Immunol., 134: 80–88. – reference: 9） Sasaki, T., Kimura, Y., Imai, T. and Machida, N. (2018): Complete atrioventricular block due to primary cardiac lymphoma in a dog. Jpn. J. Vet. Res., 66, 305–310. – reference: 22） Fuse, K., Kodama, M., Ito, M., Okura, Y., Kato, K., Hanawa, H., Aoki, S. and Aizawa, Y. (2003): Polarity of helper T cell subsets represents disease nature and clinical course of experimental autoimmune myocarditis in rats. Clin. Exp. Immunol., 134, 403–408. – reference: 14） Van Vleet, J. F. and Ferrans, V. J. (2007): Cardiovascular system. In: Pathologic Basis of Veterinary Disease, 4th ed. McGavin, M. D. and Zachary, J. F. eds. Mosby, St. Louis. pp. 559–612. – reference: 20） Huang, C. H., Vallego, J. G., Kollias, G. and Mann, D. L. (2009): Role of the innate immune system in acute viral myocarditis. Basic Res. Cardiol., 104, 228–237. – reference: 12） Kittleson, M. D. (1998): Diagnosis and treatment of arrhythmias (dysrhythmias). In: Small Animal Cardiovascular Medicine, Kittleson, M. D. and Kienle, R. D. eds. Mosby, St. Louis. pp. 449–494. |
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| Snippet | 犬の第3度房室ブロック(AVB)症例の基礎心疾患と房室伝導系病変との関連性を明らかにするため，当該ブロック罹患犬36例の心臓を病理学的に検索した。基礎心疾患として，13... |
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| StartPage | 15 |
| SubjectTerms | atrioventricular conduction system dog third-degree atrioventricular block underlying heart disease |
| Title | 第3度房室ブロック罹患犬の基礎心疾患と房室伝導系病変 |
| URI | https://www.jstage.jst.go.jp/article/jsvc/55/1/55_15/_article/-char/ja https://agriknowledge.affrc.go.jp/RN/2030945671 |
| Volume | 55 |
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| ispartofPNX | 動物の循環器, 2022, Vol.55(1), pp.15-28 |
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