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Takayoshi Asaji

Publications and source records attributed to Takayoshi Asaji.

3 recordsLinked to original sources

Case report: unstable angina with flow-fatty acid metabolism mismatch and reverse flow-glucose metabolism mismatch patterns.

A 79-year-old man with unstable angina underwent an emergency coronary angiography, and percutaneous balloon angioplasty was performed for LCX. Left ventriculography showed hypokinesis in the posterior wall, inferior and apical wall immediately after the PCI therapy. The defects on 123I-BMIPP SPECT seen in the inferior, posterior and lateral wall were more extensive than those observed on 99mTc-MIBI SPECT, and a flow-fatty acid metabolism mismatch pattern was observed. The 18F-FDG PET showed reduced uptake in the lateral segment, although 13N-NH3 PET showed normal perfusion, and a reverse flow-glucose metabolism mismatch pattern was observed. Left ventriculography showed significant improve to normal contraction on the 3-month follow up, and there was not significantly reduced uptake in 99mTc-MIBI SPECT, 123I-BMIPP SPECT, 13N-NH3 PET or 18F-FDG PET.

Aged↗

[Acute heart failure].

Acute heart failure is a life-threatening medical emergency and appropriate management can reduce the morbidity and mortality of heart failure. Despite advances in treatments, the number of deaths has increased steadily. Therefore, the guideline was assigned to convey to the physicians the virtue of medical management with recent trends in pharmacological and nonpharmacological treatments. Japanese new guidelines for the management of acute heart failure have been published from the Japanese Circulation Society in October, 2000, which was partially based on ACC/AHA guideline in 1995 but prepared under consideration of medical benefits system and health care system in Japan. We expect that the guideline would be revised to make it more useful with continual advances in the management strategies in the future.

Acute Disease↗