Comprehensive evaluation of the apex beat using 64-slice computed tomography: Impact of left ventricular mass and distance to chest wall.

Abstract:

OBJECTIVES:Although physicians frequently perform palpation of the apex beat to evaluate left ventricular (LV) size and hypertrophy, the clinical significance of apex beat palpation is still unclear. The introduction of multislice computed tomography (MSCT) has enabled assessment not only of coronary stenoses but also LV volume, mass, and distance from heart to chest wall. The aim of this study was to evaluate the relationships among presence, location, and sustained or double apical impulse of apex beat and LV function, volume, mass, and distance from heart to chest wall determined by MSCT. METHODS AND RESULTS:The study population consisted of 200 consecutive patients clinically indicated for MSCT angiography for coronary artery evaluation. Apex palpation was performed with the patients in the supine and left lateral decubitus positions. Multivariate analysis revealed that LV mass index (p<0.01), distance (p<0.005), and being male (p<0.005) remained independent factors associated with presence of apex beat in the supine position, and that LV mass index was also associated with location of apex beat. Furthermore, in patients with a palpable apex beat, LV mass index was an independent factor associated with patterns of sustained or double apical impulse. In the group of all patients, patterns of sustained or double apical impulse in the supine position had a sensitivity of 57%, specificity of 90%, positive predictive value of 68%, and negative predictive value of 85% as an indicator of LV hypertrophy. CONCLUSION:Palpation of the apex beat is a sensitive diagnostic maneuver for excluding patients with increased LV mass. We believe that our observations have important implications for bedside clinical examination.

journal_name

J Cardiol

journal_title

Journal of cardiology

authors

Ehara S,Okuyama T,Shirai N,Oe H,Matsumura Y,Sugioka K,Itoh T,Otani K,Hozumi T,Yoshiyama M,Yoshikawa J

doi

10.1016/j.jjcc.2009.11.008

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

256-65

issue

2

eissn

0914-5087

issn

1876-4738

pii

S0914-5087(09)00343-8

journal_volume

55

pub_type

杂志文章
  • Diagnostic ability of a newly developed system for recognition of cardiac arrests.

    abstract:BACKGROUND:Early recognition of cardiac arrest is essential for increasing the likelihood of successful resuscitation. However, many factors could obstruct the recognition of cardiac arrest and delay the delivery of cardiopulmonary resuscitation and automated external defibrillator use. We have developed a new system u...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2020.11.006

    authors: Hatakeyama T,Kobayashi D,Otani T,Nishimura T,Hidari H,Miyoshi H,Sakaida K,Kawamura T,Iwami T

    更新日期:2020-11-23 00:00:00

  • Overview of the pharmacological spasm provocation test: Comparisons between acetylcholine and ergonovine.

    abstract::The spasm provocation tests of ergonovine and acetylcholine have been employed in the cardiac catheterization laboratory. Ergonovine acts through the serotogenic receptors, while acetylcholine acts through the muscarinic cholinergic receptors. Different mediators may have the potential to cause different coronary resp...

    journal_title:Journal of cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jjcc.2016.09.012

    authors: Sueda S,Kohno H,Ochi T,Uraoka T,Tsunemitsu K

    更新日期:2017-01-01 00:00:00

  • Impact of smoking status on early and late outcomes after isolated coronary artery bypass graft surgery.

    abstract:BACKGROUND:There are limited data on the impact of smoking status on outcomes after isolated coronary artery bypass graft (CABG) surgery. METHODS:Data obtained prospectively between June 2001 and December 2009 by the Australian and New Zealand Society of Cardiac and Thoracic Surgeons Cardiac Surgery Database Program w...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2013.01.002

    authors: Saxena A,Shan L,Reid C,Dinh DT,Smith JA,Shardey GC,Newcomb AE

    更新日期:2013-05-01 00:00:00

  • [Clinical significance and mechanism of ST-segment changes during the post-exercise recovery period in male patients with coronary artery disease].

    abstract::The treadmill exercise test (TET) is evaluated by exercise-induced ST-segment depression (delta ST). However, the depression sometimes only appears during the post-exercise period. Depression appearing only during the post-exercise period may be as useful as depression during exercise to predict coronary artery diseas...

    journal_title:Journal of cardiology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Shinmura K,Suganuma Y,Hasegawa H,Tani M,Nakamura Y,Akaishi M,Ogawa S

    更新日期:1996-05-01 00:00:00

  • [Histopathological findings of coronary artery lesions resected by directional coronary atherectomy].

    abstract::Eleven directional coronary atherectomy procedures were performed in seven patients with angina pectoris and four patients with myocardial infarction, 10 men and 1 woman aged 41 to 69 years (mean 57 +/- 7 years). The onset of angina pectoris or myocardial infarction had occurred 2 months to 17 years previously. The pr...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Kebukawa K,Horie T,Sumiyoshi T,Magosaki N,Kawaguchi M,Tanino S,Hosoda S,Endo M

    更新日期:1994-05-01 00:00:00

  • Improved stratification of perioperative cardiac risk in patients undergoing noncardiac surgery using new indices of dobutamine stress echocardiography.

    abstract:OBJECTIVES:Prediction of perioperative cardiac events associated with noncardiac surgery remains difficult in patients whose functional capacity cannot be evaluated by exercise testing. Dobutamine stress echocardiography (DSE) has been used in these patients to improve risk stratification, but the results of standard D...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Yokoshima T,Honma H,Kusama Y,Munakata K,Takano T,Nakanishi K

    更新日期:2004-09-01 00:00:00

  • [Which time constant of left ventricular relaxation is the most sensitive measure in acute myocardial ischemia?].

    abstract::To investigate which time constant of isovolumic left ventricular pressure (LVP) decay is the most sensitive measure in acute myocardial ischemia, the time constant of isovolumic relaxation (IR) was calculated by two different models, the semilogarithmic model assuming a zero of LVP decline (TL) and an exponential mod...

    journal_title:Journal of cardiology

    pub_type: 临床试验,杂志文章

    doi:

    authors: Yamakado T,Oomichi C,Maeda M,Onishi T,Yamada N,Kakimoto H,Nakamura M,Teramura S,Nakano T

    更新日期:1994-09-01 00:00:00

  • Increased level of resistin predicts development of atrial fibrillation.

    abstract:BACKGROUND:Resistin is a peptide hormone that is secreted from lipid cells and is linked to type-2 diabetes, obesity, and inflammation. Being an important adipocytokine, resistin was proven to play an important role in cardiovascular disease. We compared resistin levels in patients with and without atrial fibrillation ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2013.10.008

    authors: Özcan KS,Güngör B,Altay S,Osmonov D,Ekmekçi A,Özpamuk F,Kemaloğlu T,Yıldırım A,Tayyareci G,Erdinler İ

    更新日期:2014-04-01 00:00:00

  • Impaired renal function is associated with recurrence after cryoballoon catheter ablation for paroxysmal atrial fibrillation: A potential effect of non-pulmonary vein foci.

    abstract:BACKGROUND:Atrial fibrillation (AF) and chronic kidney disease (CKD) are closely related. The present study aimed to evaluate the association between estimated glomerular filtration rate (eGFR) and outcomes after cryoballoon catheter ablation for AF. METHODS:We included a total of 110 patients (64.0±10.1 years, 64% me...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2016.07.008

    authors: Yanagisawa S,Inden Y,Kato H,Fujii A,Mizutani Y,Ito T,Kamikubo Y,Kanzaki Y,Ando M,Hirai M,Shibata R,Murohara T

    更新日期:2017-01-01 00:00:00

  • Relationship between the occurrence of late potential on the body surface ECG and cardiac performance in myocardial infarction.

    abstract::Comparative evaluations of the percent of the perimetric circumference of infarction and cardiac performance for the occurrence of late potential were performed in 12 normal subjects and 22 patients with old myocardial infarction (MI). All patients were in normal sinus rhythm without bundle branch block. Bipolar X, Y,...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Nakai K,Ito C,Koh E,Miyakawa T,Mizunuma Y,Ichikawa T,Motegi I,Suzuki T,Kato M,Takahashi T

    更新日期:1988-03-01 00:00:00

  • Impact of hypoalbuminemia, frailty, and body mass index on early prognosis in older patients (≥85 years) with ST-elevation myocardial infarction.

    abstract:BACKGROUND:The optimal treatment strategies for acute ST-elevation myocardial infarction (STEMI) in older patients are unclear because of the high risk of mortality in this population. Hypoalbuminemia, frailty, and body mass index (BMI) have been reported to worsen the prognosis of some older patients with cardiovascul...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2014.12.001

    authors: Sujino Y,Tanno J,Nakano S,Funada S,Hosoi Y,Senbonmatsu T,Nishimura S

    更新日期:2015-09-01 00:00:00

  • [End-systolic pressure-volume relationships obtained by conductance catheter and transient inferior vena caval occlusion: their clinical usefulness].

    abstract::Whether beneficial hemodynamic effects of cardiovascular drugs are due to changes in the inotropic or loading conditions has been difficult to determine in clinical settings. In this study, the end-systolic pressure-volume relationship, known as a load-independent measurement of cardiac contractility, was obtained by ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Kameyama T,Asanoi H,Ishizaka S,Nozawa T,Fujita M,Sasayama S

    更新日期:1991-01-01 00:00:00

  • [Percutaneous transvenous mitral commissurotomy in managing rheumatic mitral stenosis].

    abstract::From April 1987 to October 1989, 32 patients with mitral stenosis (MS) were treated, of whom percutaneous transvenous mitral commissurotomy (PTMC) was performed in 14. PTMC was indicated by the surgeons in 5 patients including 1) 2 patients who refused reoperation, 2) one with early gastric cancer, 3) one with severe ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Ishihara H,Hamanaka Y,Sueda T,Kanehiro K,Shikata H,Matsuura Y,Matsuura H,Okamoto M,Tsuchioka Y,Nakagawa H

    更新日期:1991-01-01 00:00:00

  • Impact of obstructive sleep apnea on left atrial functional and structural remodeling beyond obesity.

    abstract:BACKGROUND:To evaluate the left atrial (LA) volume and function of obese patients with/without obstructive sleep apnea (OSA) and its association with left ventricular (LV) diastolic function independent of obesity. METHODS:LA volumetric and functional parameters were measured by 2-dimensional and strain echocardiograp...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2012.07.007

    authors: Kim SM,Cho KI,Kwon JH,Lee HG,Kim TI

    更新日期:2012-12-01 00:00:00

  • Relationship of angiographically defined coronary artery disease with insulin sensitivity and secretion in subjects with different glucose tolerance.

    abstract:BACKGROUND:Most studies pay attention to the relationship between insulin resistance and coronary artery disease (CAD) in patients with abnormal glucose tolerance. But few studies have focused on the role of insulin secretion. The aim of this study was to investigate the association between insulin sensitivity, insulin...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2012.06.008

    authors: Wang H,Hu B,Lu W,Liu F,Feng B

    更新日期:2012-11-01 00:00:00

  • Novel driveline route for prevention from driveline infection: Triple tunnel method.

    abstract:BACKGROUND:The most prevalent and serious infection related to left ventricular assist devices (LVADs) is driveline infection (DLI). From 2014, we employed a revised surgical technique (triple tunnel method), which deployed a longer subfascial driveline (DL) route. METHODS AND PATIENTS:We retrospectively analyzed 34 p...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2018.04.003

    authors: Yoshitake S,Kinoshita O,Nawata K,Hoshino Y,Itoda Y,Kimura M,Yamauchi H,Ono M

    更新日期:2018-10-01 00:00:00

  • [Prognosis for medically treated elderly patients with coronary artery disease: analysis by the Cox model].

    abstract::The prognostic importance of age among well-known prognostic factors such as extent of coronary artery lesions, cardiac function, and myocardial ischemia was evaluated in 147 elderly patients with coronary artery disease aged 65 years or older who underwent dipyridamole perfusion scintigraphy and coronary angiography....

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Furuno T,Yamasaki F,Yabe T,Matsumura Y,Kitaoka H,Doi Y

    更新日期:1997-06-01 00:00:00

  • Association between smoking habits and the first-time appearance of atrial fibrillation in Japanese patients: Evidence from the Shinken Database.

    abstract:BACKGROUND:We previously reported a cross-sectional analysis regarding the relationship between smoking and atrial fibrillation (AF) in a single hospital-based cohort with Japanese patients, but the effect of cessation of smoking and/or total tobacco consumption were unclear. METHODS AND RESULTS:We used data from the ...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2014.09.010

    authors: Suzuki S,Otsuka T,Sagara K,Kano H,Matsuno S,Takai H,Kato Y,Uejima T,Oikawa Y,Nagashima K,Kirigaya H,Kunihara T,Yajima J,Sawada H,Aizawa T,Yamashita T

    更新日期:2015-07-01 00:00:00

  • [Effect of valve replacement on left ventricular function in chronic aortic regurgitation].

    abstract::To ascertain the optimal time for surgery in chronic aortic regurgitation (AR), 66 patients with and without surgical correction were reviewed from the standpoint of left ventricular (LV) function based on their serial echocardiographic studies. Aggravation of the clinical status was usually associated with enlarged L...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Ohta T,Kanda H,Sato H,Nishiwaki M,Okada M,Nakamura K,Yokota Y,Fukuzaki H

    更新日期:1987-09-01 00:00:00

  • Isoproterenol stress thallium scintigraphy for detecting coronary artery disease.

    abstract::The value of exercise thallium scintigraphy in detecting coronary artery disease is well established. However, there are at times situations in which the exercise test cannot be readily used. Isoproterenol (ISP) stress ECG (ISP-ECG) is reportedly a useful method in diagnosing coronary artery disease. In the present st...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Watanabe S,Ajisaka R,Masuoka T,Iida K,Sugishita Y,Ito I,Takeda T,Toyama H,Akisada M

    更新日期:1989-09-01 00:00:00

  • Recovery of atrioventricular block following steroid therapy in patients with cardiac sarcoidosis.

    abstract:BACKGROUND:Atrioventricular (AV) block is one of the main clinical manifestations in patients with cardiac sarcoidosis (CS). Although steroid therapy is considered to be effective for AV block, the efficacy has not been demonstrated in detail. METHODS AND RESULTS:Fifteen CS patients presenting with advanced or complet...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2013.07.007

    authors: Yodogawa K,Seino Y,Shiomura R,Takahashi K,Tsuboi I,Uetake S,Hayashi H,Horie T,Iwasaki YK,Hayashi M,Miyauchi Y,Shimizu W

    更新日期:2013-11-01 00:00:00

  • [Changes in diameter size and F-actin expression in the myocytes of patients with diabetes and streptozotocin-induced diabetes model rats].

    abstract::Diabetes mellitus may be an independent risk factor for disturbance of cardiac function, but the detailed mechanism remains unclear. In the present study, histological examinations were carried out on 25 hearts from diabetes model rats as well as myocardial biopsy materials from patients with diabetes (n = 25). The me...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Kawaguchi M,Asakura T,Saito F,Nemoto O,Maehara K,Miyake K,Sugai N,Maruyama Y

    更新日期:1999-12-01 00:00:00

  • [Effect of verapamil on myocardial ischemia in patients with hypertrophic cardiomyopathy: evaluation by exercise thallium-201 SPECT].

    abstract::The effect of verapamil on myocardial ischemia in patients with hypertrophic cardiomyopathy (HCM) was evaluated by exercise myocardial 201Tl SPECT (EX-Tl). EX-Tl was performed before and after 8.1 +/- 6.1 weeks of oral administration of verapamil (240 mg/day) on 20 patients with HCM who showed transient 201Tl perfusio...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Taniguchi Y,Sugihara H,Ohtsuki K,Umamoto I,Nakagawa T,Shiga K,Nakamura T,Azuma A,Kohno Y,Nakagawa M

    更新日期:1994-01-01 00:00:00

  • [Does dilatation of the sinotubular junction cause aortic regurgitation?: the use of the experimental model and preliminary result].

    abstract::This study investigated the mechanism of aortic regurgitation caused by dilatation of the sinotubular junction. The canine model of dilatation of the sinotubular junction was used to observe coaptation of the aortic valve using direct imaging by endoscopy. Five adult mongrel dogs (body weight: 20-25 kg) were anestheti...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Furukawa K,Ohteki H,Doi K,Ohnishi H,Narita Y,Cao ZL,Itoh T

    更新日期:1998-01-01 00:00:00

  • [Efficacy of combined therapy using coronary reperfusion and elective percutaneous transluminal coronary angioplasty for acute myocardial infarction].

    abstract::The effects of elective percutaneous transluminal coronary angioplasty (PTCA) performed one month after coronary reperfusion therapy in patients with acute myocardial infarction (AMI) were observed using exercise Tl-201 myocardial scintigraphy performed before and after PTCA. Myocardial perfusion in Tl-201 scintigraph...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Kubo H,Yano K,Hasegawa N,Toma M,Yoshimura H,Nakamura M,Nomura H,Degawa T,Hirai H,Machii K

    更新日期:1990-01-01 00:00:00

  • Recent advances and future perspectives in therapeutic strategies for pulmonary arterial hypertension.

    abstract::Since the innovation of epoprostenol, a prostacyclin analog, providing treatment for pulmonary arterial hypertension (PAH) in the 1990s, two types of oral drugs, endothelin receptor antagonists (ERAs) and phosphodiesterase V inhibitors, have further improved therapy for PAH. In contrast, it has become clear that the e...

    journal_title:Journal of cardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jjcc.2012.08.009

    authors: Yao A

    更新日期:2012-11-01 00:00:00

  • [Infusion therapy at outpatient clinic in chronic end-stage heart failure].

    abstract:OBJECTIVES:To determine whether drug infusions at ambulatory clinic in patients with end stage congestive heart failure are safe and reduce the period of hospitalization. METHODS:Between May 2000 and November 2006, 21 ambulatory patients with end stage congestive heart failure were treated with infusions of the natriu...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Nishi K,Sato Y,Miyamoto T,Taniguchi R,Matsuoka T,Kuwabara Y,Isoda K,Yamane K,Hatakenaka T,Fujinaga K,Fujiwara H,Takatsu Y

    更新日期:2007-05-01 00:00:00

  • [Clinical investigation of inhomogeneity of washout rate in dipyridamole stress thallium scintigraphy: implication of new parameter for the indication of coronary intervention].

    abstract:OBJECTIVES:The standard deviation of the washout rate in dipyridamole stress thallium-201 myocardial single photon emission computed tomography (SPECT) was correlated with the severity of coronary artery lesions and the viability of ischemic myocardium to provide a new quantitative parameter for judging indications for...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Arao M,Setsuta K,Seino Y,Takano T

    更新日期:2000-11-01 00:00:00

  • [Efficacy of intravenous myocardial contrast echocardiography for assessment of perfusion area of the heart in mice].

    abstract:BACKGROUND AND OBJECTIVES:Intravenous myocardial contrast echocardiography is used clinically, but use in small animals has not been evaluated. The conditions for myocardial opacification and the feasibility of myocardial contrast echocardiography were examined in mice. METHODS:Closed chest mice were examined. The lef...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:

    authors: Hirayama H,Ishikura F,Okuda K,Hirano T,Kobayashi H,Beppu S

    更新日期:2003-11-01 00:00:00

  • The serum uric acid level in females may be a better indicator of metabolic syndrome and its components than in males in a Japanese population .

    abstract:BACKGROUND:Although the level of uric acid (UA) is higher in males, increased UA level in females was reported to be closely associated with prevalence of metabolic syndrome (Mets) leading to atherosclerotic cardiovascular disease (ASCVD). Few data exist regarding the gender diferences in relationship between the serum...

    journal_title:Journal of cardiology

    pub_type: 杂志文章

    doi:10.1016/j.jjcc.2020.01.011

    authors: Tani S,Matsuo R,Imatake K,Suzuki Y,Takahashi A,Yagi T,Matsumoto N,Okumura Y

    更新日期:2020-07-01 00:00:00