ファイル | |
言語 |
英語
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属性 |
症例報告
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著者 |
知念 敏也
大平 洋司
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内容記述(抄録等) | An 80-year-old man was urgently transported because of unconsciousness. On admission, the chest electrocardiogram showed a negative T-wave; there was a high possibility of cardiac syncope. No disorder was detected on coronary angiography or on cardiac electrophysiological study. Although he was diagnosed as having coronary spastic angina, a loop recorder was implanted because syncope didn’t occur during acetylcholine load test. Syncope occurred again, a loop recorder detected increasing ST elevation and atrioventricular junctional rhythm without high infrequent pulse or tachyarrhythmia. Decreased blood pressure and syncope due to Bezold-Jarisch reflex with coronary vasospasm was strongly suspected. With benidipine and nicorandil, he was discharged without recurrence of syncope for 3 years thereafter.
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主題 | syncope
coronary spastic angina
Bezold-Jarisch reflex
implantable loop recorder
calcium channel blocker
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掲載誌名 |
Shimane Journal of Medical Science
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巻 | 36
|
号 | 1
|
開始ページ | 23
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終了ページ | 28
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ISSN | 03865959
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ISSN(Online) | 24332410
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発行日 | 2019-06
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NCID | AA00841586
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出版者 | Faculty of Medicine, Shimane University
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出版者別表記 | 島根大学医学部
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資料タイプ |
紀要論文
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ファイル形式 |
PDF
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権利関係 | Faculty of Medicine, Shimane University
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著者版/出版社版 |
出版社版
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部局 |
医学部
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他の一覧 |