アワヤ　トオル   Awaya Toru   粟屋　徹    所属   東邦大学  医学部 医学科（大橋病院）    職種   准修練医
論文種別	原著
言語種別
査読の有無	査読なし
表題	A case of transient apical hypertrophy associated with coronary vasospasm.
掲載誌名	正式名：Journal of cardiology cases
著者・共著者	Awaya T,Moroi M,Takagi T,Hashimoto G,Araki T,Hara H,Suzuki M,Nakamura M,Sugi K
担当区分	筆頭著者,責任著者
発行年月	2016/10/17
概要	A 49-year-old woman was admitted to our hospital because of repeated loss of consciousness. On arrival, she was in cardiopulmonary arrest associated with arrhythmia of Torsades de pointes, and recovered from it after cardiopulmonary resuscitation and defibrillation. The administration of a β-blocker and amiodarone was initiated to prevent ventricular tachycardia. On day 2, coronary angiography revealed non-obstructive coronary artery, and left ventriculography (LVG) exhibited hypokinesis in the anterior and apical wall. On day 20, an acetylcholine provocation test revealed a multivessel vasospasm, and LVG showed "spade-shaped left ventricle" in end-diastole because of apical hypertrophy. Transthoracic echocardiography (TTE) also showed apical wall thickness. Subsequent apical wall thickness gradually decreased and returned to normal on day 51 as observed on the TTE. Thus, we report a case of transient apical hypertrophy associated with coronary vasospasm, which was demonstrated by both the TTE and LVG. <Learning objective: A case of transient apical hypertrophy associated with coronary vasospasm was reported with serial left ventriculography and possible mechanisms.>.
DOI	10.1016/j.jccase.2016.09.003
ORCIDのPut Code	149766775
PMID	30524574
PermalinkURL	https://europepmc.org/articles/PMC6262105