Source:http://linkedlifedata.com/resource/pubmed/id/10636634
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2000-2-10
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pubmed:abstractText |
A negative T wave is frequently observed in precordial ECG leads in patients with acute pulmonary thromboembolism. We investigated the clinical significance of negative T wave in 15 patients with acute pulmonary thromboembolism who were treated with thrombolytic agents by measuring the mean pulmonary artery pressure and ratio of right to left ventricular end-diastolic diameter using echocardiography and ECG. The study included only patients with massive acute pulmonary thromboembolism of a mean age of 65+/-9.7 years (+/-SD). A negative T wave was observed on admission in 10 patients but was later detected in 14 of the 15 patients. The mean amplitude of the negative T wave increased within 1 week then decreased after thrombolytic treatment. The peak negative amplitude of the T wave was observed from 1 to 7 days (mean, 2.6+/-1.8 days) and disappeared afterwards. During this period, improvements in both the mean pulmonary artery pressure (37.8+/-11.2 to 19.1+/-6.7 mmHg) and the ratio of right to left ventricular end-diastolic diameter (0.97+/-0.16 to 0.51+/-0.13) were noted in all patients. Our results suggest that an increase in the amplitude of negative T wave in precordial leads after thrombolytic therapy in patients with massive acute pulmonary thromboembolism reflects improvement in cardiopulmonary hemodynamics.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0167-5273
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
72
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
65-72
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:10636634-Aged,
pubmed-meshheading:10636634-Echocardiography,
pubmed-meshheading:10636634-Electrocardiography,
pubmed-meshheading:10636634-Female,
pubmed-meshheading:10636634-Hemodynamics,
pubmed-meshheading:10636634-Humans,
pubmed-meshheading:10636634-Male,
pubmed-meshheading:10636634-Middle Aged,
pubmed-meshheading:10636634-Pulmonary Embolism,
pubmed-meshheading:10636634-Pulmonary Wedge Pressure,
pubmed-meshheading:10636634-Thrombolytic Therapy
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pubmed:year |
1999
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pubmed:articleTitle |
Serial changes in negative T wave on electrocardiogram in acute pulmonary thromboembolism.
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pubmed:affiliation |
Second Department of Internal Medicine, Nagasaki University School of Medicine, Japan.
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pubmed:publicationType |
Journal Article
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