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Vol.44 No.6 >

Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/1755

Title: 独歩来院にもかかわらず治療に難渋した右室梗塞の一例
Other Titles: A CASE OF RIGHT VENTRICULAR INFARCTION PRESENTING WITH DIFFICULTIES IN MANAGEMENT DESPITE AMBULANT CONDITION AT ADMISSION
Authors: 吉田, 佳嗣
鎌田, 喜太郎
松本, 宗明
北岡, 健
森本, 淳詞
Keywords: right ventricular infarction
PTCR
PTCA
reperfusion therapy
Issue Date: 31-Dec-1993
Publisher: 奈良医学会
Citation: 奈良医学雑誌 Vol.44 No.6 p.336-340
Abstract: A 76-year-old man was admitted with the complaint of prolonged chest oppressive sensation. Initially, his condition was evaluated as mild because of his coming to the hospital on foot. Coronary arteriography on admission revealed total occlusion of the right coronary artery orifice and a normal left coronary system. Recanalization could not be accomplished by PTCR or PTCA. After admission, blood pressure decreased gradually and profound shock stage persisted. Right ventricular infarction was diagnosed and volume expansion therapy with use of large amounts of catecholamine was initiated. In spite of these treatments, shock stage persisted. On the 6th day, hemodynamic findings were recovering and clinical conditions were also improved. Subsequently, the patient spent a smooth clinical course and was discharged.
URI: http://hdl.handle.net/10564/1755
ISSN: 04695550
13450069
Appears in Collections:Vol.44 No.6

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