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GINMU >
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031 Journal of Nara Medical Association >
Vol.49 No.6 >
Please use this identifier to cite or link to this item:
http://hdl.handle.net/10564/481
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| Title: | THE SIGNIFICANCE OF EXERCISE-INDUCED NORMALIZATION OF INVERTED T WAVE IN PATIENTS WITH OLD MYOCARDIAL INFARCTION |
| Authors: | Inoue, Fumitaka Hashimoto, Toshio Nakajima, Tamio Uemura, Shirou Dohi, Kazuhiro Fujimoto, Shinichi |
| Keywords: | coronary microvascular circulation inverted T wave old myocardial infarction treadmill exercise test |
| Issue Date: | 31-Dec-1998 |
| Publisher: | 奈良医学会 |
| Citation: | Journal of Nara Medical Association Vol.49 No.6 p.465-477 |
| Abstract: | The purpose of this study was to investigate the significance of exercise-
induced normalization of inverted T wave in patients with old myocardial infarction (MI).
The subjects of the present study were eighteen patients with old anterior MI. The
treadmill exercise test (TMT) was performed 8±1 months after MI onset. Based on the
results of the TMT, these patients were divided into two groups: those who showed
normalization of inverted T wave during exercise (Group Ⅰ), and those who did not show
normalization of inverted T wave during exercise (Group Ⅱ). Between the two groups, the
following elements were compared : patient characteristics (age, gender, max CK, coronary
risk factor) ; left ventricular abnormal contraction segment (ACS) ; and coronary flow
reserve (CFR), which represent coronary microvascular circulation as measured by the
Doppler guide wire. There were no differences between the two groups in patient character-
istics except the max CK. In Group Ⅰ, the max CK was higher (p<0.05), the ACS was
higher (p<0.01), and the CFR was lower (p<0.05), as compared with those of Group Ⅱ.
According to these results, the area of MI was more extensive and the disturbance of
coronary microcirculation was more remarkable in Group Ⅰ in comparison with Group Ⅱ.
It is suggested that the exercise-induced normalization of inverted T wave can reflect the
extent of MI and the disturbance of coronary microvascular circulation. |
| URI: | http://hdl.handle.net/10564/481 |
| ISSN: | 13450069 |
| Appears in Collections: | Vol.49 No.6
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Files in This Item:
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| 465-477p.THE SIGNIFICANCE OF EXERCISE-INDUCED NORMALIZATION.pdf | | 1337Kb | Adobe PDF | View/Open |
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