| Japanese |
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| Title | MAZE手術後の心房調律の獲得と予後 |
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| Subtitle | |
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| Authors | 村井則之*, 今関隆雄*, 斉藤政仁*, 汐口壮一*, 権重好*, 吉田浩紹*, 秦一剋*, 木山宏*, 佐野英基*, 片山康* |
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| Authors(kana) | |
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| Organization | *獨協医科大学越谷病院心臓血管外科 |
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| Journal | 循環制御 |
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| Volume | 20 |
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| Number | 4 |
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| Page | 415-418 |
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| Year/Month | 1999/ |
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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」MAZE手術を施行した32例を対象とし, 洞調律の獲得を術前因子より検討し, また術中採取した病理所見よりその適応を検討した. 心房細動の罹病期間/最大F波高, 心房細動罹病期間, 最大F波高, 術前左房経, 術前心胸郭比(CTR)が洞調律を獲得した群としなかった群との間に有意差を示した. 病理変化の著明なものは心房細動の罹病期間/最大F波高も高く, 洞調律の獲得はなかった. 心房細動の罹病期間が長く, F波が低い症例では病理変化も著明で心房細動も残存しやすいという結果を得た. 心房細動の罹病期間が長く, F波が低い症例で, 薬物により血栓の心配が少なく, 心拍数のコントロールが出来ている場合はMAZE手術の対象から除外しても良いと思われた. |
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| Practice | 基礎医学・関連科学 |
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| Keywords | |
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| English |
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| Title | Sinus Rhythm Restoration and Prognosis after MAZE Procedure |
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| Subtitle | |
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| Authors | Noriyuki Murai*, Takao Imazeki*, Masahito Saito*, Souichi Shioguchi*, Shigeyoshi Gon*, Hirotsugu Yoshida*, Ikkoku Hata*, Hiroshi Kiyama*, Eiki Sano*, Yasushi Katayama* |
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| Authors(kana) | |
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| Organization | *Department of Cardiovascular and Thoracic Surgery, Dokkyo University Koshigaya Hospital |
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| Journal | Circulation Control |
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| Volume | 20 |
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| Number | 4 |
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| Page | 415-418 |
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| Year/Month | 1999/ |
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| Article | Original article |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | The purpose of this study was to identify the predictors of sinus rhythm restoration after a MAZE operation and be investigate the relationships between sinus rhythm restoration and structural changes in the atrial myocardium. We retrospectively evaluated 32 consecutive patients who underwent the maze procedure. The duration of atrial fibrillation (duration), the magnitude of the atrial fibrillatory (M of Af wave, ratio of duration/ M of Af, left atrial diameter and cardiothoracic ratio were related to sinus rhythm restoration. Structural changes were correlated with duration/ M of Af. Cases with predominantly structural changes did not show sinus rhythm restoration. |
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| Practice | Basic medicine |
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| Keywords | MAZE, Atrial fibrillation, Duration of atrial fibrillation, Magnitude of atrial fibrillatory wave, Myocardial structure |
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