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01121 Journal of Nara Medical Association >
Vol.48 No.2 >
このアイテムの引用には次の識別子を使用してください:
http://hdl.handle.net/10564/360
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タイトル: | 胸痛を伴う一過性ST低下を呈したCushing症候群の1例 |
その他のタイトル: | A CASE OF CUSHING'S SYNDROME WITH CHEST PAIN SHOWING TRANSIENT ST DEPRESSION ON ELECTROCARDIOGRAM |
著者: | 水野, 麗子 藤本, 眞一 中野, 博 中嶋, 民夫 西本, 和央 椎木, 英夫 中島, 祥介 土肥, 和紘 |
キーワード: | Cushing's syndrome ST depression vasospasm |
発行日: | 1997年4月30日 |
出版者: | 奈良医学会 |
引用: | 奈良医学雑誌 Vol.48 No.2 p.89-93 |
抄録: | We report a 57-year-old woman with Cushing's syndrome showing tran-
sient ST depression probably due to coronary vasospasm. She was referred to a private
hospital because of flush and sweating. The diagnosis of Cushing's syndrome was made
after further evaluation. She was admitted to our hospital for the surgical treatment of an
adrenal tumor. During the preoperative period, anterior chest oppression appeared with ST
depression on electrocardiogram. Emergency cardiac catheterization showed no significant
coronary artery stenosis, but intra-coronary administration of isosorbide dinitrate im-
proved both chest symptoms and ischemic changes on electrocardiogram. After the
successful resection of the adrenal tumor which proved to be an adrenal cancer, she had no
chest symptom at all. This suggests that serum cortisol in excess might induce vasospasm
of small coronary arteries in Cushing's syndrome. |
URI: | http://hdl.handle.net/10564/360 |
ISSN: | 04695550 13450069 |
出現コレクション: | Vol.48 No.2
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