| Item type |
文献 / Documents(1) |
| 公開日 |
2016-05-27 |
| アクセス権 |
|
|
アクセス権 |
open access |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| タイトル |
|
|
タイトル |
Utility of Lower Limb Positive Pressure Test for Diagnosis of Diastolic Heart Failure : A Case Report |
| 著者 |
原, 知也
キシ タナカ, クミコ
岩瀬, 俊
山田, 博胤
赤池, 雅史
佐田, 政隆
|
| 抄録 |
|
|
内容記述 |
A 70-year-old woman with dyspnea on exertion was admitted to our hospital. She had a history of apical hypertrophic cardiomyopathy (HCM) and repeated hospitalization for heart failure. Results of physical examination were normal except for leg edema. Echocardiography showed apical HCM with preserved LV systolic function (LVEF=70%). Although dyspnea on exertion and leg edema improved rapidly with the use of diuretics, her symptoms soon worsened when daily activity was started again. In order to examine the effect of preload on hemodynamics, we performed a lower limb positive pressure test by compressing both legs using a household air leg massager. Echocardiography showed increases in mitral E velocity, E/A ratio and pulmonary venous D flow as well as decrease in stroke volume during the lower limb positive pressure test. Simultaneously-recorded pressure study also showed elevated LVEDP and increased v wave of pulmonary capillary wedge pressure. These results suggested that even a small increase in preload led to elevation of LVEDP and symptomatic worsening due to severe diastolic heart failure in the present case. The lower limb positive pressure test may be useful for assessing the effect of preload on hemodynamics in patients with diastolic heart failure. |
| キーワード |
|
|
主題 |
diastolic heart failure |
| キーワード |
|
|
主題 |
lower limb positive pressure test |
| キーワード |
|
|
主題 |
apical hypertrophic cardiomyopathy |
| 書誌情報 |
en : The journal of medical investigation : JMI
巻 61,
号 3-4,
p. 404-408,
発行日 2014-08
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| 収録物ID |
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|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13431420 |
| 収録物ID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11166929 |
| 出版者 |
|
|
出版者 |
The University of Tokushima Faculty of Medicine |
| EID |
|
|
識別子 |
276005 |
| 言語 |
|
|
言語 |
eng |
LID201605275005.pdf (472 KB)
