| English |
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| Title | Changes in the Plasma Levels of ANP, BNP, and Adrenomedullin after Left Ventriculoplasty |
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| Authors | Ayumi Fukushima*, Ryu Okutani*, Toshihiko Saga**, Ryusuke Ueki*, Tetsuo Tsuji***, Hideki Ohata***, Chikara Tashiro* |
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| Organization | *Intensive Care Unit,Hyogo College of Medicine, **Department of Cardiovascular Surgery,Hyogo College of Medicine, ***Diagnostics Science Division,Shionogi & Co.,Lt |
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| Journal | Circulation Control |
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| Volume | 21 |
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| Number | 1 |
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| Page | 84-87 |
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| Year/Month | 2000/ |
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| Article | Report |
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| Publisher | Japan Society of Circulation Control |
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| Abstract | 「Introduction」 On the basis that a marked increase of preload due to dilatation of the heart is a cause of the deterioration of cardiac function, surgical reduction of left ventricular size (Batista's procedure) is expected to improve cardiac function by decreasing the internal diameter of the left ventricle1〜3). Plasma levels of atrial natriuretic peptide (ANP)4〜6), brain natriuretic peptide (BNP)7〜11) and adrenomedullin (AM) are reported to reflect the severity of cardiac failure and its prognosis. The effect of Batista's procedure on ANP, BNP or AM has not been reported previously. Here we report the postoperative course of a patient who underwent this operation for the treatment of dilated myocardiopathy.「Case report」 The patient was a 61-year-Old woman with a height of 153cm and a weight of 43kg. Present illness:She had been treated for 6 year history of asthma because of cough. 1 year before admission, she was admitted to a local clinic as an emergency for nocturnal dyspnea. By myocardial biopsy, she was diagnosed as having dilated myocardiopathy. |
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| Practice | Basic medicine |
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| Keywords | Left ventriculoplasty, ANP, BNP, Adrenomedullin |
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