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Y Fudemoto

Publications and source records attributed to Y Fudemoto.

At least 37 records · Page 2Linked to original sources
PubMed1984

Relation between the location of the infarcted area in body surface isopotential mapping and the location of myocardial infarction in vectorcardiography.

In order to examine whether our method of determining the location of the infarcted area in body surface isopotential mapping (MAP) is adequate for clinical use, a comparison was made between the location of the infarcted area using MAP and the location of myocardial infarction using vectorcardiography (VCG). The percentage of agreement between MAP and VCG in the retrospective study was 91.7% in the anterior wall, 76.7% in the lateral wall, 93.3% in the inferior wall and 73.3% in the posterior wall. The reason for the disagreement between these two methods was investigated, and criteria for determining the infarcted area using MAP and vectorcardiographic criteria for myocardial infarction were partly corrected in anterior, lateral and (high) posterior infarction to increase the clinical accuracy of both methods. Consequently, the percentage of agreement in the four walls ranged from 83.7% to 87.9%, and the diagnostic value of MAP for the infarcted area was not inferior but was more sensitive than that of VCG except in anterior infarction. In the prospective study, the same result was obtained. Secondly, in order to establish the superiority of MAP or VCG, the sensitivity and specificity of MAP and VCG to SCG (thallium-201) were calculated. Except in the anterior wall, the sensitivity of MAP to SCG was higher than that of VCG to SCG, especially in the lateral and posterior walls. Accordingly, it is suggested that MAP is the method of choice in determining the infarcted area in clinical cases.

Electrocardiography↗
PubMed1982

Two cases of viral myocarditis and one case of viral pericarditis.

Two cases of myocarditis, who had suffered from ventricular extrasystole, leucocytosis and elevated serum enzyme for a long period died from congestive heart failure and/or arrhythmias. The biopsy specimens from the right ventricle in one of them showed a positive reaction against Coxsackie B virus (1, 3, 4 and 5) in the fluorescent antibody method. One case of virus pericarditis had 5 recurrences over a five-year period. He suffered from dyspnea, chest oppression and general fatigue at each recurrence. Cardiomegaly on a chest X-ray, electrocardiographic abnormalities, leucocytosis and elevated serum enzyme appeared. However, serum neutralizing antibody titers against Coxsackie B2 had not risen significantly except during the first attack. Interferon administration inhibited its recurrence successfully.

Adult↗
PubMed1980

Revaluation of the vectorcardiographic criteria in cases of myocardial infarction: a comparative study of the vectorcardiogram, the left ventriculogram and the scintigram.

The results of vectorcardiograms were compared with those of the left ventriculograms and scintigrams with thallium-201 in cases of myocardial infarction to confirm the vectorcardiographic criteria of the present authors. The percentage of agreement between the VCG and scintigram was 82.5% and higher than the percentage of agreement between the VCG and the left ventriculogram. The percentage of disagreement between the negative finding in the VCG and the positive finding in the scintigram was 5.1% and consequently, a close relation was found between the VCG and scintigram. However, as the possibility of infarction was high in cases in which the scintigram finding was positive, the vectorcardiographic criteria in cases in which the VCG findings were negative were rechecked and partially corrected. Consequently the percentage of negative findings were decreased to 3.2%. Our next step was to perform the following prospective study which confirmed that the disagreement found in the corrected criteria (1.0%) was in fact less than what had been observed in the initial criteria (5.0%). Accordingly, it can be concluded that the corrected vectorcardiographic criteria in myocardial infarction may be the more reliable and useful in determining the location of the infarcted area.

Heart↗
PubMed1979

Flutter and fibrillation-like phenomenon of His bundle observed in a patient with persistent atrial standstill.

A diagnosis of persistent atrial standstill was made in a patient with syncopal attacks, based on: (1) the lack of P waves both in the routine 12-lead electrocardiogram (ECG) and in the right atrial cavity lead; (2) the absence of "a waves in the right atrial pressure curve; and (3) the failure of the atria to respond to electrical stimulation. Compared with previously reported cases of persistent atrial standstill with a slow, regular escape rhythm of supraventricular origin, the present case was characterized by alternate periods of bradycardia and tachycardia, the latter being suggested as AV junctional tachycardia with exit block. Furthermore, the His bundle electrogram (HBE) showed either regular, high frequency deflictions or irregular, deformed potentials, suggesting flutter and fibrillation-like phenomena in the His bundle.

Adult↗