We considered the relationship between maximum walking distance (MWD), lower limb hemodynamics, leg strength, and heart rate reserve before and after revascularization in 11 patients with peripheral arterial disease. Lower limb hemodynamics, HRR and MWD improved significantly but leg strength did not. MWD was significantly correlated with leg strength after surgery. Because leg strength didn’t improve in the short term after surgery, it was suggested that exercise include resistance training which was important to increase MWD after revascularization.
Purpose: The incidence of DVT in the perioperative period of digestive tract cancer was prospectively investigated under mechanical prophylaxis. Methods: Sixty patients (40 males and 20 females) were enrolled and compression ultrasonography was performed before, in the early postoperative period and 3 and 6 weeks after surgery. The primary endpoint was the incidence of DVT within 6 weeks after surgery. Secondary endpoint was the incidence of DVT in the perioperative period. Results: DVT was observed before surgery in 5 subjects (8.3%), and in 12 subjects (21.8%) within 6 weeks after surgery. Among these, 7 subjects (12.7%) developed DVT in the early postoperative period, 2 (4.3%) within 3 weeks, and 3 (6.8%) within 6 weeks after surgery. Among the 47 radical surgical subjects, DVT was observed before surgery in 3 (6.4%), and within 3 weeks after surgery in 8 (18.2%). At 6 weeks after surgery, DVT was not observed in the radical surgical group but in 3 out of 9 in the non-radical surgical subjects (P=0.0052). Conclusions: In digestive cancer, the influence of surgery on postoperative DVT was strongest in the early postoperative period and became weaker 3 or more weeks after surgery. More long-term attention to DVT was needed in the non-radical surgical group.
A 54-year-old woman was referred to our hospital for pneumonia-induced sepsis and acute exacerbation of chronic renal failure. No abnormality was observed in the electrocardiogram (ECG) and in transthoracic echocardiography (TTE) on admission. We diagnosed Tako-tsubo cardiomyopathy (TCM) on the 3rd hospital day evidenced by negative T-waves in leads II, III, aVF and V3 to V6 in the ECG and characteristic abnormal left ventricular (LV) wall motion in TTE. The ECG and TTE were normal on the 11th hospital day. However, similar changes on the ECG and TTE appeared on the 13th hospital day. The recurrence of TCM was diagnosed.