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Biomedical subjects

S Tanetani

Publications and source records attributed to S Tanetani.

6 recordsLinked to original sources

[Clinical study of phase analysis by RI multigated method].

Phase analysis using RI multigated method was performed in 32 patients with various conditions including right and left bundle branch blocks (RBBB and LBBB), myocardial infarction, WPW syndrome, QT prolongation syndrome, atrioventricular (A-V) dissociation, valvular heart disease, and others. Pixel numbers were plotted into the histogram regarding the one cardiac cycle as 360 degrees. Standard deviation (S.D.) of a phase was calculated from the histogram in order to quantify asynchrony of the ventricles. Results were as follows: 1. Phase analysis was useful as a parameter of asynchrony. 2. There was a close negative correlation between left ventricular ejection fraction (LVEF) and S.D. of a phase. (r = -0.86, n = 32, p less than 0.001) 3. A marked time lag was observed in the infarcted area, and its value was mild in RBBB and LBBB. 4. A time lag between right and left ventricles was diminished or slightly reversed in the cases of RBBB with left anterior hemiblock compared to the cases of lone RBBB. 5. No significant changes were observed in other heart diseases with phase analysis.

Arrhythmias, Cardiac↗

[Echocardiographic and non-gated computed tomographic findings of intrapericardial tumor and mediastinal tumor adjacent to the heart (author's transl)].

UNLABELLED: Echocardiographic and computed tomographic findings of a case of intrapericardial tumor are reported, and two other cases of mediastinal tumor are presented in a discussion of the differential diagnosis of intrapericardial from mediastinal tumors. CASE REPORT: A 7-year-old male complained of cough and dyspnea. Cardiomegaly had been pointed out at a mass X-ray examination about a month prior to the admission. Two-dimensional echocardiography revealed a massive anterior pericardial effusion and a fist-sized tumor with cystic structure. The tumor pushed the heart backward at the level of the aortic root. Non-gated computed tomography of the chest disclosed the size and location of the tumor, but failed to clarify the internal structure. The patient underwent successful removal of a tumor, 12 x 10 x 8 cm in size and 350 g in weight, originating from the left atrial wall. Histologically, the tumor was a fibrosarcomatous mesothelioma. Usually, an intrapericardial tumor is easily suspected by echocardiography by the presence of pericardial effusion, although there have been a few reports of intrapericardial tumors without pericardial effusion. Echocardiographic diagnosis of the intrapericardial tumor is difficult in such cases. Identification of the pericardium is necessary to diagnose whether a tumor is intra- or extrapericardial. This identification, however, is not always easy by echocardiography when the ultrasonic beams become tangent to the pericardium. The pericardium between the tumor and the heart could not be identified by echocardiography in our two cases of mediastinal tumor. Computed tomography is helpful in diagnosing the size and location of a mediastinal tumor.

Adult↗