A Case of Myocardial Infarction, Precipitated by Orthostatic Hypotension in the Presence of Essential Hypertension, with the Autopsy

Kohji TAMURA; Masahide INUI; Takashi TAMURA; Nobuyoshi FUKUHARA

doi:10.1536/ihj.8.661

Kohji TAMURA, Masahide INUI, Takashi TAMURA, Nobuyoshi FUKUHARA

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JOURNAL FREE ACCESS

1967 Volume 8 Issue 6 Pages 661-669

DOI https://doi.org/10.1536/ihj.8.661

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Published: 1967 Received: February 10, 1967 Available on J-STAGE: December 09, 2008 Accepted: - Advance online publication: - Revised: -
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Date of correction: December 09, 2008 Reason for correction: - Correction: ABSTRACT Details: Wrong : A case with orthostatic hypotension in the presence of essential hypertension was reported. The fluctuation of the blood pressure in this case might precipitate the occurrence of myocardial infarction. The pathophysiologic phenomena in this rare occurrence were discussed with the review of the literature.
Right : THE orthostatic hypotension in the presence of essential hypertension with the organic changes in the cardiovascular system is only rarely reported. The remarkable fluctuation of the blood pressure in this may be a precipitation factor of myocardial infarction as it was suggested by Dr. Mainzer. The complete postmortem study in this disorder has been reported only in a few cases.
In this case the death was caused by myocardial infarction that seemed to be precipitated by the orthostatic hypotension in the presence of essential hypertension and an autopsy was performed.

Date of correction: December 09, 2008 Reason for correction: - Correction: AFFILIATION Details: Wrong :
1) First Department of Internal Medicine, Niigata University School of Medicine
2) Kariwagun General Hospital

Right :
1) the First Department of Internal Medicine, Niigata University School of Medicine
2) Kariwagun General Hospital

Date of correction: December 09, 2008 Reason for correction: - Correction: CITATION Details: Wrong : 1. Drenick, E.J.: Ann. Int. Med. 47:124, 1957.
2. Goto, Y., et al.: Clinical Medicine and Pediatrics 14:1155, 1959 (in Japanese).
3. Kinishita, K., et al.: Diagnosis and Therapy 48:350, 1960 (in Japanese).
4. Yoshida, K., et al.: Jap. Clinics 19:1772, 1961 (in Japanese).
5. Mainzer, F.: Am. J. Cardiol. 5:113, 1960.
6. Schneider, P.B.: Arch. Int. Med. 110:240, 1962.
7. Schatz, I.G., et al.: J.A.M.A. 186:537, 1963.
8. Crost, E.A. and Friedlander, H.: Ann. Int. Med. 36:1343, 1952.
9. Marshall, R.J., et al.: Circulation 24:76, 1961.
10. Kobayashi, T.: Japanese Clinic 22:165, 1954 (in Japanese).
11. Fotino, S. and Raiciulescu, N.: Lancet 1:1182, 1964.
12. Barnett, A.G.: Am. Heart J. 50:412, 1958.
13. Eisenberg, S. and Wolf, P.C.: Arch. Int. Med. 115:17, 1965.
14. Johnson, R.H., et al.: Lancet 1:731, 1965.
15. Ellis, L.B. and Hynes, F.: Arch. Int. Med. 58:773, 1936.
16. Bellet, S. and Roman, L.: Circulation 33:117, 1966.
17. Lachman, A.B.: Circulation 31:557, 1965.
18. Corday, E.: Ann. Int. Med. 50:535, 1959.
19. Corday, E., et al.: Am. J. Cardiol. 662, 1959.
20. Georgopoulos, A.J., et al.: Circulation 23:982, 1961.
21. Weiss, M.M.: Am. Heart J. 17:103, 1939.

Right : 1. Drenick, E. J.: Ann. Int. Med. 47: 124, 1957.
2. Goto, Y., et al.: Clinical Medicine and Pediatrics 14: 1155, 1959 (in Japanese).
3. Kinishita, K., et al: Diagnosis and Therapy 48: 350, 1960 (in Japanese).
4. Yoshida, K., et al: Jap. Clinics 19: 1772, 1961 (in Japanese).
5. Mainzer, F.: Am. J. Cardiol. 5: 113, 1960.
6. Schneider, P. B.: Arch. Int. Med. 110: 240, 1962.
7. Schatz, I. G., et al: J. A. M. A. 186: 537, 1963.
8. Crost, E. A. and Friedlander, H.: Ann. Int. Med. 36: 1343, 1952.
9. Marshall, R. J., et al: Circulation 24: 76, 1961.
10. Kobayashi, T.: Japanese Clinic 22: 165, 1954 (in Japanese).
11. Fotino, S. and Raiciulescu, N.: Lancet 1: 1182, 1964.
12. Barnett, A. G.: Am. Heart J. 50: 412, 1958.
13. Eisenberg, S. and Wolf, P. C.: Arch. Int. Med. 115: 17, 1965.
14. Johnson, R. H., et al.: Lancet 1: 731, 1965.
15. Ellis, L. B. and Hynes, F.: Arch. Int. Med. 58: 773, 1936.
16. Bellet, S. and Roman, L.: Circulation 33: 117, 1966.
17. Lachman, A. B.: Circulation 31: 557, 1965.
18. Corday, E.: Ann. Int. Med. 50: 535, 1959.
19. Corday, E., et al: Am. J. Cardiol. 662, 1959.
20. Georgopoulos, A. J., et al: Circulation 23: 982, 1961.
21. Weiss, M. M.: Am. Heart J. 17: 103, 1939.

Date of correction: December 09, 2008 Reason for correction: - Correction: PDF FILE Details: -

Abstract

THE orthostatic hypotension in the presence of essential hypertension with the organic changes in the cardiovascular system is only rarely reported. The remarkable fluctuation of the blood pressure in this may be a precipitation factor of myocardial infarction as it was suggested by Dr. Mainzer. The complete postmortem study in this disorder has been reported only in a few cases.
In this case the death was caused by myocardial infarction that seemed to be precipitated by the orthostatic hypotension in the presence of essential hypertension and an autopsy was performed.

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