PJ3-039 Electrocardiography Reflects Properly the Changes of Right-Sided Heart Overload in Patients with Chronic Pulmonary Thromboembolism Treated by Percutaneous Transluminal Pulmonary Angioplasty

Nobuhiko Shimura, Masaharu Kataoka, Takumi Inami, Ryoji Yanagisawa, Hiroki Taguchi, Hanako Kikuchi, Kentaro Hayashida, Hideaki Yoshino, Toru Satoh

研究成果: Article

抄録

Background: Chronic pulmonary thromboembolism (CPTE) leads to pulmonary arterial hypertension (PAH). The electrocardiography (ECG) of the patients with CPTE reflects the right-sided heart overload due to PAH. Recently, percutaneous transluminal pulmonary angioplasty (PTPA) has been demonstrated to be effective for some patients with CPTE. The purpose was to investigate the changes of ECG in patients underwent PTPA. Methods: We performed PTPA to 18 patients with CPTE. ECG was recorded before and after PTPA. Hemodynamic variables through right heart catheterization were determined at the same time. Results: The hemodynamics after PTPA was significantly improved compared to the baseline (mean pulmonary arterial pressure, 46.4 mmHg vs. 34.4 mmHg; pulmonary vascular resistance, 14.2 wood units vs. 7.8 wood units). The P amplitude in lead II was significantly decreased (2.7 mV vs. 2.0 mV). The electrical axis of QRS waves went leftward significantly (102.6° vs. 89.9°). The R/S in lead V5 was significantly increased (1.5 vs. 2.7). Conclusions: Our results suggest that the changes of ECG reflect properly the changes of right-sided heart overload by PTPA. The evaluation of ECG is a simple and easy method to assess the treatment efficacy of PTPA.

元の言語English
ジャーナルJournal of Arrhythmia
27
DOI
出版物ステータスPublished - 2011
外部発表Yes

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Pulmonary Embolism
Angioplasty
Electrocardiography
Lung
Pulmonary Hypertension
Hemodynamics
Cardiac Catheterization
Vascular Resistance
Arterial Pressure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

これを引用

PJ3-039 Electrocardiography Reflects Properly the Changes of Right-Sided Heart Overload in Patients with Chronic Pulmonary Thromboembolism Treated by Percutaneous Transluminal Pulmonary Angioplasty. / Shimura, Nobuhiko; Kataoka, Masaharu; Inami, Takumi; Yanagisawa, Ryoji; Taguchi, Hiroki; Kikuchi, Hanako; Hayashida, Kentaro; Yoshino, Hideaki; Satoh, Toru.

:: Journal of Arrhythmia, 巻 27, 2011.

研究成果: Article

Shimura, Nobuhiko ; Kataoka, Masaharu ; Inami, Takumi ; Yanagisawa, Ryoji ; Taguchi, Hiroki ; Kikuchi, Hanako ; Hayashida, Kentaro ; Yoshino, Hideaki ; Satoh, Toru. / PJ3-039 Electrocardiography Reflects Properly the Changes of Right-Sided Heart Overload in Patients with Chronic Pulmonary Thromboembolism Treated by Percutaneous Transluminal Pulmonary Angioplasty. :: Journal of Arrhythmia. 2011 ; 巻 27.
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abstract = "Background: Chronic pulmonary thromboembolism (CPTE) leads to pulmonary arterial hypertension (PAH). The electrocardiography (ECG) of the patients with CPTE reflects the right-sided heart overload due to PAH. Recently, percutaneous transluminal pulmonary angioplasty (PTPA) has been demonstrated to be effective for some patients with CPTE. The purpose was to investigate the changes of ECG in patients underwent PTPA. Methods: We performed PTPA to 18 patients with CPTE. ECG was recorded before and after PTPA. Hemodynamic variables through right heart catheterization were determined at the same time. Results: The hemodynamics after PTPA was significantly improved compared to the baseline (mean pulmonary arterial pressure, 46.4 mmHg vs. 34.4 mmHg; pulmonary vascular resistance, 14.2 wood units vs. 7.8 wood units). The P amplitude in lead II was significantly decreased (2.7 mV vs. 2.0 mV). The electrical axis of QRS waves went leftward significantly (102.6° vs. 89.9°). The R/S in lead V5 was significantly increased (1.5 vs. 2.7). Conclusions: Our results suggest that the changes of ECG reflect properly the changes of right-sided heart overload by PTPA. The evaluation of ECG is a simple and easy method to assess the treatment efficacy of PTPA.",
keywords = "chronic pulmonary thromboembolism, percutaneous transluminal pulmonary angioplasty, pulmonary arterial hypertension",
author = "Nobuhiko Shimura and Masaharu Kataoka and Takumi Inami and Ryoji Yanagisawa and Hiroki Taguchi and Hanako Kikuchi and Kentaro Hayashida and Hideaki Yoshino and Toru Satoh",
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AU - Shimura, Nobuhiko

AU - Kataoka, Masaharu

AU - Inami, Takumi

AU - Yanagisawa, Ryoji

AU - Taguchi, Hiroki

AU - Kikuchi, Hanako

AU - Hayashida, Kentaro

AU - Yoshino, Hideaki

AU - Satoh, Toru

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KW - chronic pulmonary thromboembolism

KW - percutaneous transluminal pulmonary angioplasty

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