Reversible Ischemic Neurological Deficit (RIND) due to Exercise Testing for the Diagnosis of Angina Pectoris
-
- Nanke Toshihiko
- Division of Cardiology, St. Marianna University School of Medicine
-
- Matsumoto Naoki
- Department of Pharmacology, St. Marianna University School of Medicine
-
- Wakimoto Hirofumi
- Division of Cardiology, St. Marianna University School of Medicine
-
- Nakazawa Kiyoshi
- Division of Cardiology, St. Marianna University School of Medicine
-
- Miyake Fumihiko
- Division of Cardiology, St. Marianna University School of Medicine
-
- Watanabe Hirofumi
- Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
-
- Horiuchi Masahiro
- Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
-
- Takahashi Yoichi
- Division of Neurology, Department of Internal Medicine, St. Marianna University School of Medicine
この論文をさがす
説明
A 57 year old Japanese male with chest oppression due to exercise is presented. This symptom was likely due to effort angina pectoris. Master's double two-step test revealed ischemic ST segment depression on the electrocardiogram, thus, a Tl201 myocardial stress imaging test using a bicycle ergometer was undertaken. Immediately following the exercise test, the patient experienced dizziness and palsy in his left upper and lower limbs. Cerebral angiography demonstrated 70% stenosis at the right internal carotid artery, but no abnormal findings were demonstrated on a cranial x-ray CT scan and magnetic resonance imaging. His palsy in the left limbs completely recovered within 3 weeks. Thus this event was diagnosed as a reversible ischemic neurological deficit (RIND). Major but noncardiogenic complications during exercise testing are very rare, and RIND has not been reported thus far to the best of our knowledge. <br>
収録刊行物
-
- Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ
-
Ｊａｐａｎｅｓｅ Ｈｅａｒｔ Ｊｏｕｒｎａｌ 44 (4), 575-581, 2003
International Heart Journal刊行会
