Abstract:
:Heart muscle perfusion was studied by exertion scintigraphy Tal-201 in 24 patients, 16M and 8F, aged 16-45 years, means--28 +/- 7.4 years with hypertrophic cardiomyopathy. The relationship between perfusion disturbances and sudden death risk factors occurring in this group of patients was evaluated. Disturbances of heart muscle perfusion were found in 20 pts (83%); 2 pts had permanent perfusion defects, in 18 pts these defects were completely or partially reversible at rest. Only 4 pts (17%) had normal heart muscle perfusion. In patients with perfusion disturbances there was found a significantly more frequent occurrence of the following sudden death risk factors: 1. syncope (p less than .01) 2. ventricular arrhythmia of IV b class according to Lown (p less than .01) 3. advanced hypertrophy of intraventricular septum (p less than .01) 4. sudden death in patients families (p less than .05) The evaluation of the heart muscle perfusion confirmed the occurrence of myocardial ischemia in most of the examined patients. Normal coronaro-angiography in all the patients over 35 years as well as the young age of the other patients exclude atherosclerosis as the cause of myocardiac ischemia in the group under study. This is a confirmation of nonatherosclerotic etiology of myocardiac ischemia in hypertrophic cardiomyopathy patients. The correlation between perfusion disturbances and sudden death risk factors points to the role of ischemia in the natural course of disease and the value of exertion scintigraphy TI-201 in prognosing patients with hypertrophic cardiomyopathy.
journal_name
Kardiol Poljournal_title
Kardiologia polskaauthors
Chojnowska L,Szumilak B,Piotrowska J,Michalak E,Popławska W,Dabrowski M,Ruzyłło Wsubject
Has Abstractpub_date
1991-01-01 00:00:00pages
75-82issue
8eissn
0022-9032issn
1897-4279journal_volume
35pub_type
杂志文章abstract::24 endomyocardial biopsies were performed in children aged 4-18 (x = 12.9) without any complications. The endomyocardial biopsy was performed in 12 patients with the heart failure of unknown origin (6 - restrictive heart disease, 4 - dilated cardiomyopathy with arrhythmias, 2-post-inflammatory dilated cardiomyopathy),...
journal_title:Kardiologia polska
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更新日期:1989-01-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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journal_title:Kardiologia polska
pub_type: 杂志文章
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更新日期:1993-12-01 00:00:00
abstract::Twenty-five years after the first publication of the strong natriuretic effect of rat cardiac atria extract, natriuretic peptides play an important part in everyday, not only cardiological, practice. In the current review the authors briefly describe the role of natriuretic peptides (ANP, BNP, and CNP) in clinical pra...
journal_title:Kardiologia polska
pub_type: 杂志文章,评审
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journal_title:Kardiologia polska
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journal_title:Kardiologia polska
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更新日期:2011-01-01 00:00:00
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更新日期:2009-02-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
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更新日期:1993-03-01 00:00:00
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pub_type: 杂志文章
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journal_title:Kardiologia polska
pub_type: 杂志文章
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2005-03-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-10-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2010-07-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:1990-01-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2008-05-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2012-01-01 00:00:00
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journal_title:Kardiologia polska
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doi:
更新日期:2010-05-01 00:00:00
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更新日期:2010-10-01 00:00:00
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更新日期:2009-06-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2004-09-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2009-12-01 00:00:00
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pub_type: 杂志文章
doi:
更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2002-11-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
doi:
更新日期:2003-07-01 00:00:00
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journal_title:Kardiologia polska
pub_type: 杂志文章
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