| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
|
|
タイトル |
Effects of Moderate Spine Exercise or Diet on Hemodynamics in Patients with Hypertrophic Obstructive Cardiomyopathy and Aortic Stenosis |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
aortic stenosis |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
diet |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
echocardiography |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
exercise |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
hypertrophic cardiomyopathy |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Tomoe, Takashi
Otani, Naoyuki
Mizuguchi, Satoshi
Sugiyama, Takushi
Yasu, Takanori
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 3,
号 1,
p. 51-59,
発行日 2024-03-25
|
| 記事種別 |
|
|
|
Original |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Left ventricular outflow tract stenosis is present in patients with hypertrophic cardiomyopathy; however, this is a dynamic change, and the pressure gradient changes easily. We aimed to compare the hemodynamic effects of moderate exercise or diet in hypertrophic obstructive cardiomyopathy with dynamically changing obstruction and aortic stenosis with fixed stenosis. We included 14 hypertrophic obstructive cardiomyopathy patients with a left ventricular outflow tract continuous-wave Doppler pressure gradient of ≥ 30 mmHg on fasting or postprandial condition and eight aortic stenosis with pressure gradient of ≥ 20 mmHg. Echocardiographic examinations were performed during fasting, passive leg raising, 5 min of exercise, early and late recovery periods, and 30 min after meals. The pressure gradient in patients with aortic stenosis increased during passive lower extremity elevation, causing increased preload pressure, but that at the left ventricular outflow tract stenosis in hypertrophic obstructive cardiomyopathy decreased. The pressure gradient in hypertrophic obstructive cardiomyopathy did not change during supine exercise but increased rapidly after exercise and slowly recovered thereafter. A diet with decreased afterload slightly increased the pressure gradient in patients with aortic stenosis and significantly increased left ventricular outflow tract stenosis in patients with hypertrophic obstructive cardiomyopathy. Left ventricular outflow tract-pressure gradient in hypertrophic obstructive cardiomyopathy fluctuates dynamically with daily exercise and diet. The left ventricular outflow tract-pressure gradient increases immediately after exercise; therefore, it is important to encourage drinking before exercise and instruct patients to cool down at the end of exercise. Exercise after eating should be avoided in patients with hypertrophic obstructive cardiomyopathy. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| 書誌レコードID |
|
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収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
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|
識別子タイプ |
DOI |
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|
関連識別子 |
https://doi.org/10.51040/dkmj.2023-046 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-3-1-7.pdf (242 KB)
