Japanese Heart Journal
Online ISSN : 1348-673X
Print ISSN : 0021-4868
ISSN-L : 0021-4868
6 巻, 4 号
選択された号の論文の10件中1~10を表示しています
  • F. Horace SMIRK
    1965 年 6 巻 4 号 p. 289-293
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
  • Hideo UEDA, Tsuguya SAKAMOTO, Nobuyoshi KAWAI, Hiroshi WATANABE, Zen'i ...
    1965 年 6 巻 4 号 p. 294-312
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    Based on 15 autopsy cases including 13 of isolated aortic insufficiency and 2 of dissecting aortic aneurysm, the phonocardiogram of the Austin Flint murmur was analysed and the patho-anatomical determinant was investigated.
    The Austin Flint murmur was not infrequent in cases of severe aortic insufficiency, and the phonocardiogram as well as the auscultation revealed this murmur in all 15 cases. This murmur was composed of both mid-diastolic and presystolic (atrio-systolic) components of low-pitched vibration. The former was the essential component, which was following the third heart sound and had a decrescendo configuration. The latter showed little tendency of presystolic crescendo, and was not the essential component in some cases. The earlier appearance of the peak amplitude of the atrio-systolic component was illustrated and the importance of this graphic characteristic to differential diagnosis from organic mitral stenosis was suggested.
    Based on the patho-anatomy, the possibility of several assumptions advocated as to the cause of the Austin Flint murmur was discussed. In this respect, the importance of aortic regurgitant jet on the ventricular surface of the anterior leaflet of the mitral valve was stressed as a cause of this particular functional mitral stenosis.
  • Klaus HOLLDACK, Shozo YOSHIMURA, Tetsuo OKAMURA, Hans ZAPFE
    1965 年 6 巻 4 号 p. 313-317
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    A "functional diastolic murmur" was observed in a patient with 2:1 A-V block. It was characterized by dominant low frequency components. With the reinstatement of sinus rhythm the murmur was replaced by its component III and IV sounds. Because of its duration it should not be designated as "summation" gallop, but rather as a "follow-up" gallop. It seems probable to us, that such a gallop may occur not only with A-V block but also with simple tachycardia.
  • Kiyoshi HOSONO
    1965 年 6 巻 4 号 p. 318-324
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    (1) Myocardial hypoxia in the left ventricle exists at rest in the most cases of cor pulmonale, which is not due to decrease in arterial O2 saturation.
    (2) In some cases of cor pulmonale, myocardial hypoxia in the left ventricle develop because of the disturbance of coronary circulation during exercise.
    (3) Residual blood volume and residual ratio of left ventricle tended to increase in cases of cor pulmonale.
    (4) From the foregoing facts, it can be said that the case of cor pulmonale is in the latent phase of left heart failure.
  • Hideo UEDA, Akio EBIHARA, Masao ISHII, Tadanao TAKEDA, Takao IKEDA
    1965 年 6 巻 4 号 p. 325-334
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    1) Effects of chronic electrical simulation of the diencephalon on the aortic wall were studied in rabbits with or without unilateral renal artery constriction.
    2) A kind of aortic sclerosis was observed in high incidence in animals with the diencephalic stimulation and the renal artery clamping in combination.
    (3) Histological examination of the aorta revealed that lesions were mainly located in the medial layer, in which degeneration of smooth muscle cells and discurling, elongation and fragmentation of elastic fibers were observed.
    (4) Small doses of epinephrine were repeatedly injected to rabbits and changes of the aortic wall were examined. The changes were more cospicuous in animals with unilateral renal artery constriction and were found to be histologically similar to that observed in above mentioned animals.
    (5) It was assumed that chronic diencephalic stimulation or repeated injections of epinephrine and the presence of an ischemic kidney might act synergetically to induce aortic sclerosis in rabbits.
  • Shingo AOYAMA
    1965 年 6 巻 4 号 p. 335-345
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    The effects of the so-called "Vasodilators" on adrenaline, noradrenaline and dopamine concentrations of the normal and the infarcted area of the dog left ventricular muscle were studied. Vasodilators used were theophylline ethylenediamine, Persantin, nitroglycerine, Segontin, Niamide and Nardil.
    (1) Niamide and Nardil which are MAO inhibitors, increased the myocardial catecholamine concentrations. Noradrenaline concentration of the infarcted area was greater than that of normal area after the administration of MAO inhibitors. However, the administration of a large dose of Nardil caused a decrease in myocardial adrenaline concentrations. This is a distinct contrast to the administration of a small dose of Nardil.
    (2) Segontin decreased the myocardial catecholamine concentration, especially noradrenaline concentrations of the infarcted area. This decrease was a sharp contrast to the increase in noradrenaline concentration after the administration of Nardil.
    (3) Nitroglycerine increased the myocardial concentration of noradrenaline and dopamine. However, the mechanism of nitroglycerine on the catecholamine metabolism remained to be investigated.
    (4) Theophylline ethylenediamine, Persantin did not seem to affect profoundly on the myocardial catecholamine concentration.
  • Akira NONOGAWA
    1965 年 6 巻 4 号 p. 346-366
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    (1) Some improvements of the original method of VGG reconstruction were attempted.
    (2) The potential differences between some pairs of lead-points in a human torso model were experimentally measured and compared with those calculated through the use of formula introduced by Wilson. By this comparison, some coefficients, i.e. the correction coefficients, were obtained and were used to multiply the calculated value to approximate it to the measured value.
    (3) Using the calculated potential differences thus corrected by the correction coefficients, the VCGs in a hypothetical case of normal heart were reconstructed. For purposes of comparison, the VCGs in the same case were also reconstructed through the use of the non-corrected calculated potential differences. The former was found to be much more similar in configuration to the VCGs actually recorded in a healthy person than the latter. This is considered to give the reconstruction method more reliability in its application to the explanation of the changes in VCG or EGG.
    (4) The reconstructed VGGs in Frank's, SVEC III, and P III lead systems, were compared with the projection VCG and the former was very close in configuration to the latter. Thus, it may be considered, also from the view-point of the reconstruction method, that the VCG lead systems as proposed on the basis of the principle of "lead vector" are good lead systems to obtain a VCG with least distortion.
  • Supplementary Report
    Katuyasu ASAI
    1965 年 6 巻 4 号 p. 367-369
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    The incidence of electrocardiographical abnormalities was compared between the two groups; rheumatoid arthritis and healthy control. ST-T changes of electrocardiogram were significantly less frequently observed in the control group than in rheumatoid patient group.
  • Fujio TERASAWA, Sho YOSHIDA, Kizuku KURAMOTO
    1965 年 6 巻 4 号 p. 370-375
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    A case of congenital quadricuspid pulmonary valve complicated by severe mitral stenosis is reported. Basal diastolic murmur in the present case was different from ordinary Graham-Steell murmur in character, Quadricuspid pulmonary valve played a role in the genesis of pulmonary insufficiency as well as mitral stenosis.
  • Kohji TAMURA, Rhoji KIKUTA, Hiroshi KANEKO
    1965 年 6 巻 4 号 p. 376-383
    発行日: 1965年
    公開日: 2008/12/09
    ジャーナル フリー
    A case of medionecrosis aortae cystica idiopathica (Erdheim) with congenital hypoplasia of the myocardium is presented with the pathological studies. A review of the literature disclosed no similar case.
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