第5回 体表心臓微小電位研究会 高血圧患者におけるリシノプリルの左室肥大退縮の加算平均心電図による検討

【目的】高血圧性心臓病患者でACE阻害薬による心肥大退縮と致死的不整脈の基質となる遅延電位との関係を検討した.【方法】高血圧患者32名を心肥大群(H群),非心肥大群(N群)に分け,H群を肥大改善群(HI群),肥大非改善群(HF群)に分けリシノプリル(LIS)投与後加算平均心電図で検討した.【結果】1)RMS40はH群67±50,N群38±21μV(p<0.04)とH群で有意に高値であり,さらにHI群39±11,HF群86±57μV(p=0,07)とHI群は低値の傾向であった.2)HI群でRMSはLIS投与後39±11から43±19μVと増加し,HF群では86±58から65±47μVと減少...

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Published in心臓 Vol. 27; no. Supplement7; pp. 42 - 45
Main Authors 脇山, 哲史, 諸江, 一男, 宮脇, 龍一郎, 三好, 恵, 占部, 嘉男, 広木, 忠行
Format Journal Article
LanguageJapanese
Published 公益財団法人 日本心臓財団 1995
Online AccessGet full text
ISSN0586-4488
2186-3016
DOI10.11281/shinzo1969.27.Supplement7_42

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Abstract 【目的】高血圧性心臓病患者でACE阻害薬による心肥大退縮と致死的不整脈の基質となる遅延電位との関係を検討した.【方法】高血圧患者32名を心肥大群(H群),非心肥大群(N群)に分け,H群を肥大改善群(HI群),肥大非改善群(HF群)に分けリシノプリル(LIS)投与後加算平均心電図で検討した.【結果】1)RMS40はH群67±50,N群38±21μV(p<0.04)とH群で有意に高値であり,さらにHI群39±11,HF群86±57μV(p=0,07)とHI群は低値の傾向であった.2)HI群でRMSはLIS投与後39±11から43±19μVと増加し,HF群では86±58から65±47μVと減少した.【総括】LIS投与によりHI群でRMS値が増加したことは伝導遅延の改善,間質の線維化の縮小を示唆するものかもしれない.
AbstractList 【目的】高血圧性心臓病患者でACE阻害薬による心肥大退縮と致死的不整脈の基質となる遅延電位との関係を検討した.【方法】高血圧患者32名を心肥大群(H群),非心肥大群(N群)に分け,H群を肥大改善群(HI群),肥大非改善群(HF群)に分けリシノプリル(LIS)投与後加算平均心電図で検討した.【結果】1)RMS40はH群67±50,N群38±21μV(p<0.04)とH群で有意に高値であり,さらにHI群39±11,HF群86±57μV(p=0,07)とHI群は低値の傾向であった.2)HI群でRMSはLIS投与後39±11から43±19μVと増加し,HF群では86±58から65±47μVと減少した.【総括】LIS投与によりHI群でRMS値が増加したことは伝導遅延の改善,間質の線維化の縮小を示唆するものかもしれない.
Author 諸江, 一男
三好, 恵
占部, 嘉男
広木, 忠行
脇山, 哲史
宮脇, 龍一郎
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References 11) Rials SJ, Wu Y, Ford N, et al : Effect of left ventricular hypertrophy and its regression on ventricular electrophysiology and vulnerability to inducible arrhythmia in the feline heart. Circulation 1995 ; 91 : 426-430
9) Kowey PR, Friehling TD, Sewter J, et al : Electrophysiological effects of left ventricular hypetrophy : effect of calcium and potasium channel blockade. Circulation 1991 ; 83 : 2067-2075
4) Messerli FH, Ventura HO, Elizardi DJ, Dunn FG, Frohlich ED : Hypertension and sudden death ; increases ventricular ectopic activity in left ventricular hypertrophy. Am J Med 1984 ; 77 : 18-22
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8) Nagano M, Higaki J, Nakamura F, et al : Role of cardiac angiotensin II in isoproterenol-induced left ventricular hypertrophy. Hypertension 1992 ; 19 : 708-712
7) Baker KM, Chernin MI, Wixson SK, Aceto JF : Renin-angiotensin system involvement in pressure-overload cardiac hypertrophy in rats. Am J Physiol 1990 ; 259 : H 324-H 332
1) Kannel WB, Abbott RD : A prognostic comparison of asymptomatic left ventricular hypertrophy and unrecognized myocardial infarction : the Framingham study. Am Heart J 1986 ; 111 : 391-397
6) Dostal DE, Baker KM : Angiotensin II stimulation of left ventricular hypertrophy in adult rat heart. Am J Hypertens 1992 ; 5 : 276-280
10) Kowey PR, O'Brien R, Wu Y, et al : Effect of gallopamil on electrophysiologic abnormalities and ventricular hypertrophy in the feline heart. Am Heart J 1992 ; 124 : 898-905
2) Levy ID, Garrison RJ, Savage DD, Kannel WB, Castelli WP : Prognostic implications of echocardiographically determined left ventricular mass in the Framingham study. N Engl I Med 1990 ; 322 : 1561-1566
5) McLenachan JM, Henderson E, Morris KI, Dargie HJ : Ventricular arrhythmias in patients with hypertensive left ventricular hypertrophy. N Engl J Med 1987 ; 317 : 787-792
References_xml – reference: 8) Nagano M, Higaki J, Nakamura F, et al : Role of cardiac angiotensin II in isoproterenol-induced left ventricular hypertrophy. Hypertension 1992 ; 19 : 708-712
– reference: 4) Messerli FH, Ventura HO, Elizardi DJ, Dunn FG, Frohlich ED : Hypertension and sudden death ; increases ventricular ectopic activity in left ventricular hypertrophy. Am J Med 1984 ; 77 : 18-22
– reference: 10) Kowey PR, O'Brien R, Wu Y, et al : Effect of gallopamil on electrophysiologic abnormalities and ventricular hypertrophy in the feline heart. Am Heart J 1992 ; 124 : 898-905
– reference: 1) Kannel WB, Abbott RD : A prognostic comparison of asymptomatic left ventricular hypertrophy and unrecognized myocardial infarction : the Framingham study. Am Heart J 1986 ; 111 : 391-397
– reference: 2) Levy ID, Garrison RJ, Savage DD, Kannel WB, Castelli WP : Prognostic implications of echocardiographically determined left ventricular mass in the Framingham study. N Engl I Med 1990 ; 322 : 1561-1566
– reference: 7) Baker KM, Chernin MI, Wixson SK, Aceto JF : Renin-angiotensin system involvement in pressure-overload cardiac hypertrophy in rats. Am J Physiol 1990 ; 259 : H 324-H 332
– reference: 11) Rials SJ, Wu Y, Ford N, et al : Effect of left ventricular hypertrophy and its regression on ventricular electrophysiology and vulnerability to inducible arrhythmia in the feline heart. Circulation 1995 ; 91 : 426-430
– reference: 3) Ghali JK, Kiao Y, Simmons B, Castaner A, Cao G, Cooper RS : The prognostic role of left ventricular hypertrophy in patients with or without coronary artery disease. Ann Intern Med 1992 ; 117 : 831-836
– reference: 5) McLenachan JM, Henderson E, Morris KI, Dargie HJ : Ventricular arrhythmias in patients with hypertensive left ventricular hypertrophy. N Engl J Med 1987 ; 317 : 787-792
– reference: 6) Dostal DE, Baker KM : Angiotensin II stimulation of left ventricular hypertrophy in adult rat heart. Am J Hypertens 1992 ; 5 : 276-280
– reference: 9) Kowey PR, Friehling TD, Sewter J, et al : Electrophysiological effects of left ventricular hypetrophy : effect of calcium and potasium channel blockade. Circulation 1991 ; 83 : 2067-2075
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Snippet 【目的】高血圧性心臓病患者でACE阻害薬による心肥大退縮と致死的不整脈の基質となる遅延電位との関係を検討した.【方法】高血圧患者32名を心肥大群(H群),非心肥大群(N群)に...
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Title 第5回 体表心臓微小電位研究会 高血圧患者におけるリシノプリルの左室肥大退縮の加算平均心電図による検討
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