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Kokyu to Junkan Volume 9, Issue 1 （January 1961）

呼吸と循環 9巻1号（1961年1月発行）

Japanese English

原著

慢性肺性心の心電図 ECG findings in patient with chronic cor pulmonale. 笹本浩 ¹ , 細野清士 ¹ , 片山一彦 ¹ , 高木康 ¹ , 中村芳郎 ¹ , 田村文彦 ¹ , 伊達俊夫 ¹ H. Sasamots ¹ ¹慶応大学医学部内科 ¹Dept, of Internal Medidne, School of Medicine, Keio University. pp.55-63

発行日 1961年1月15日 Published Date 1961/1/15

DOI https://doi.org/10.11477/mf.1404200950

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Abstract 文献概要
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I．緒言

　慢性肺性心の定義は現在でも必ずしも諸家の意見の一致を見ていないが，昭和35年結核病学会総会シンポジウムで，笹本は以下のような考え方を提案した。

　1．慢性肺疾患

1. The relationships between the E. C. G. findings and the level of pulmonaly arterial pressure were studied in 153 cases with chronic pulmonary diseases.

2. Tall P_II , P_III (more than O.2mv) provide the clue suggesting of the existing of pulmonary hy-pertension (mean pulmonary arterial pressure more than 16mmHg).

3. Right axis deviation (more than 90°) provide also the clue suggesting of pulmonary hypertension.

4. Any significant relation was not found between the level of pulmonary arterial pressure and E. C. G. findings satisfying at least one of Sokolow & Lyon's criteria, which we defined as right ven-tricular hypertrophic pattern.

5. Mean pulmonary arterial pressure were more than 24 mmHg in all cases with R/S ratio of more than 1.0 in VⅠ or V_3R and ST-T change in V₁, pnd V₂, but some cases having the mean pulmonary arterial pressure of more than 24 Hg, however, had no abnormal E. C. G. findings.