| Japanese |
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| Title | 急性心筋梗塞に対する緊急CABGの周術中管理 |
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| Subtitle | 原著 |
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| Authors | 堀部まゆみ*, 山野上敬夫*, 和泉博通*, 田中裕之*, 望月高明**, 土谷太郎** |
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| Authors(kana) | |
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| Organization | *あかね会土谷総合病院麻酔科, **あかね会土谷総合病院心臓血管外科 |
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| Journal | 循環制御 |
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| Volume | 11 |
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| Number | 1 |
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| Page | 101-106 |
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| Year/Month | 1990/ |
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| Article | 原著 |
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| Publisher | 日本循環制御医学会 |
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| Abstract | 「要旨」急性心筋梗塞に対する緊急CABG(AMI群 ; 35例)における問題点について, 不安定狭心症に対する準緊急CABG(UA群 ; 11例)を対照とし, 検討を行なった. AMI群ではUA群と同等の心拍出量, 血圧を得るためにカテコラミン・IABPの循環補助, 有意に高い前負荷を必要とした. 周術期を通じてAMI群の心機能は変動しやすく, 術後低心拍出量状態が遷延し, 経過が長期にわたる症例があった. 以上よりAMI症例では虚血による心機能低下が著しく, また再潅流後も心機能回復が遅れる症例があり, その回復に合わせた慎重な周術期管理が必要と思われた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | acute myocardial infarction, emergency coronary artery bypass grafting, ventricul function |
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| English |
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| Title | Emergency Coronary Artery Bypass Grafting for Acute Myocardial Infarction |
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| Subtitle | |
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| Authors | Mayumi Horibe, Takao Yamanoue, Hiromichi Izumi, Hiroyuki Tanaka, Takaaki Mochizuki, Taro Tsuchiya |
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| Authors(kana) | |
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| Organization | Department of anesthesia and cardiovascular surgery Akane kai Tsuchiya general hospital |
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| Journal | Circulation Control |
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| Volume | 11 |
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| Number | 1 |
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| Page | 101-106 |
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| Year/Month | 1990/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | Perioperative hemodynamics during emergency coronary artery bypass grafting (CABG) for acute myocardial infarction were compared with those for unstable angina. Because of myocardial ischemia, hypothermic cardiac arrest and reperfusion, AMI patients had severely depressed ventricular function. To know the time course of recovery of myocardium salvaged by reperfusion is important for managing the patients of emergency CABG for AMI. |
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| Practice | Basic medicine |
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| Keywords | acute myocardial infarction, emergency coronary artery bypass grafting. ventricular function |
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