Table 1 Blood pressure, SV1+RV5 and mean electrical axis in resting ECG. Table 2 ST-T pattern in resting ECG(cases). Table 3 Heart rate before and aft
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2 Table 1 Blood pressure, SV1+RV5 and mean electrical axis in resting ECG. Table 2 ST-T pattern in resting ECG(cases). Table 3 Heart rate before and after the double two-step test. Mean }SD Significant difference from heart rates before exercise;** P<0.001 * P<0.02 Fig.1 Percent changes of heart rate in positivetest gro up (left) and negative-test group (right) follow ing the exercise.
3 Fig. 2 Relationship between the magnitude and the duration of ST depression following the exercise. before Fig. 3 Electrocardiograms which showed ventricular prem ature beats, bigeminy, immediately after the exercise.
4 before immediately after Fig. 4 An actual case of positive-test. ST segment in lead V5 was slightly depressed even in the control electrocardiogram (left). Immediate ly after the exercise ST segment was further depr essed 0.15mV in the same lead (right).
5
6 1) WHO technical report series, No. 231, ) Master, A. M. and Rosenfeld, I: The "two-step" exercise test broght up to date. N. Y. St ate J. Med., 61: 1850, ) Master, A. M. and Rosenfeld, I: Criteria for the clinical application of the "two-step" exe rcise test. Obviation of false-negative and false-positive responses. F. A. M. A., 178: 4) Cohn, P. F. Vokonas, P. S., Herman, M. V. and Gorlin, R.: Postexercise electrocardiogram in patients with abnormal resting electrocardiogram. Circulation, 43: 648, ) Kaplan, M. A., Harris, C. N., Aronow, W. S., Parker, D. P. and Ellestad, M. H.: Inability of the submaximal treadmill stress test to predict the location of coronary disease. Circ ulation, 42: 250, ) Borer, J. S., Bresike, J. F., Redwood, D. R, Itscoitz, S. B., Passamani, E. R., Stone, N. J., Richardson, J. M., Levy, R. I., and Epstein, S. E.: Limitations of electrocardiographic resp onse to exercise in predicting coronary-artery disease. New. Eng. J. Med., 293: 367, ) Roitman, D., Jones, W. B. and Sheffield, L. T.: Comparison of submaximal exercise ECG test with coronary cineangiocardiogram. Ann Intern. Med., 72: 641, ) McConahay, D. R., McCallister, B. D. and Smith, R. E.: Postexercise electrocardiography: Co rrelations with coronary arteriography and left ventricular hemodynamics. Am. J. Cardiol., 28: 1, ) Saito D., Haraoka, S., Hirano, K., Ueda, M., Fujimoto, T., Ogino, Y. and Yoshida, H.: Effect of coronary constriction on the flow reserve in regional myocardium of the dog. Cir 10) Lepeschkin, E. and Surawicz B.: Characteristics of true-positive and false-positive results of electrocariographic Master two-step exercise tests. New. Engl. J. Med., 258: 511, ) Wood, P., McGregor, M., Magidson, O. and Whittaker, W.: The effort test in angina pec toris. Brit. Heart J., 12: 363, ) Evans, W. and Swann, P.: Lone auricular fibrillation. Brit. Heart J., 16: 189, ) Wegria. R., Frank, C. W., Misrahy, G. A., Sioussat, R. S., Sommer, L. S. and McCormack, G. H., Jr.: The effect of auricular fibrillation on cardiac output, coronary flow and arterial blood pressure. J. Clin. Invest., 29: 851, ) Wegria, R., Keatiry, R. P., Ward, H. P., Dreyfuss, F., Frank, C. W. and Blumenthal, M. R. : Effect of auricular fibrillation on the coronary blood flow. Am. J. Physiol., 160: 177, ) Wegria, R., Frank, C. W., Misrahy, G. A., Sioussat, R. S., Sommer, L. S. and McCormack, G. H., Jr.: Effect of auricular fibrillation on cardiac output, coronary blood flow and mean arterial blood pressure. Am. J. Physiol., 163: 135, ) Corday, E., Cold, H., DeBera, L. B., Williams, J. H. and Fields, J.: Effect of the cardiac arrhythmias on the coronary circulation. Ann Intern. Med., 50: 535, ) Tauchert, M., Strauer, B. E., Heiss, H. W. and Kochsiek, K.: On the influence of atrial fibrillation on coronary hemodynamics in patients with mitral stenosis. Europ. J. Clin. Inv est., 1: 393, ) Tauchert M., Heiss, H. W., Strauer, B. E., Cott, L. and Kochsiek, K.: Der Einfluss von
7 Vorhofflimmern auf die Coronarreserve bei Patienteu mit Mitralvitien. Klin. Wochenschrift., 49: 559, ) Saito, D., Haraoka, S., Ueda, M., Yoshida, M., Ogino, Y. and Yoshioka, N.: Effect of atrial fibrillation on coronary circulation and blood flow distribution across the left ventr 21) Martin, R. H., Lim, S. T. and Citters, R. L. V.: Atrial fibrillation in the intact unanesthetized dog: hemodynamic effects during rest, exercise, and beta-adrenergic blockade. J. Clin. Inv est., 46: 205, ) Benchimol, A., Ellis, J. G., Dimond, E. G. and Wu, T.: Hemodynamic consequences of atrial and ventricular arrhythmias in man. Am. Heart J., 70: 775, ) Hansen W. R., McClendon, R. L. and Kinsman. J. M.: Auricular fibrillation: hemodynamic studies before and after conversion with quinidine. Am. Heart J., 44: 499, ) Broch, O. J. and MUller, O.: Hemodynamic studies during auricular fibrillation and after restoration of sinus rhythm. Brit. Heart J. 19: 222, ) Simonson, E.: Electrocardiographic stress tolerance testing. Prog. Cardiovasc. Dis., 13 : 269, Bruce, R. A. and Hornstein, T. R.: Exercise stress testing in evaluation of patients with ischemic heart disease. Prog. Cardiovasc. Dis., 11: 371, 1969.
8 Exercise test in atrial fibrillation Shoichi HARAOKA, Daiji SAITO, Minoru UEDA, Yasuhiro OGINO, Shunichi KUSUHARA and Hideki YOSHIDA The First Department of Internal Medicine, Okayama University Medical School (Director: Prof. Hideo Nagashima The exercise electrocardiogram was studied in the patients with atrial fibrillation who were presumably free of hyperthyroidism, severe pulmonary disease or valvular disease. Thirty one patients with atrial fibrillation, 25 male and 6 female, were subjected to a double Master's two-step exercise test. Seventeen out of thirty-one patients (54.8%) had abnormal electrocardiograms (positive test) according to our criteria after the double two-step test. Heart rate responding to the exercise increased much more than controls reported previously form our laboratory. It was assumed that in atrial fibrillation, an abnormally excess response of heart rate to exercise caused a marked rise in myocardial oxygen demands according to an increase in cardiac work and a decrease in effective coronary perfusion time. Furthermore, atrial fibrillation, probably absolutely irregular ventricular rate, might decrease coronary flow reserve responding to in crease in oxygen demand. These suggest that abnormal hemodynamic responses to the exercise result in positive test even in the cases without coronary artery disease.
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Title 外傷性脊髄損傷患者の泌尿器科学的研究第 3 報 : 上部尿路のレ線学的研究並びに腎機能について Author(s) 伊藤, 順勉 Citation 泌尿器科紀要 (1965), 11(4): Issue Date URL
Title 外傷性脊髄損傷患者の泌尿器科学的研究第 3 報 : 上部尿路のレ線学的研究並びに腎機能について Author(s) 伊藤, 順勉 Citation 泌尿器科紀要 (1965), 11(4): 278-291 Issue Date 1965-04 URL http://hdl.handle.net/2433/112732 Right Type Departmental Bulletin Paper
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