Document Detail


Right ventricular endomyocardial biopsy findings in 25 patients with sick sinus syndrome.
MedLine Citation:
PMID:  14973352     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A variety of myocardial lesions have been demonstrated in atrial muscle in patients with sick sinus syndrome (SSS), but the right ventricular myocardium has not been studied in detail in a large series. Therefore, we performed right ventricular endomyocardial biopsies in 25 patients with SSS (SSS group), and the presence or absence of ventricular myocardial lesions was determined histologically. As a control, biopsies of corresponding sites in 12 normal autopsied hearts were obtained (N group). The mean cardiac myocyte transverse diameter was 14.2 +/- 3.6 microm in the SSS group and 11.7 +/- 3.1 microm in the N group (P < 0.01). In the SSS group, cardiac myocyte hypertrophy was observed in 20 of 25 subjects (80%), and myocyte size variation was more frequent. Although the difference was not significant, myocyte disorganization, myocytolysis, nuclear deformity, interstitial large mononuclear cell proliferation, and endocardial lesions, which were not seen in the N group, were observed in the SSS group. A variety of myocardial lesions, including cardiac myocyte hypertrophy, are present not only in atrial, but also in ventricular muscle in SSS.
Authors:
Akihisa Uemura; Shin-Ichiro Morimoto; Shinya Hiramitsu; Masatsugu Ohtsuki; Shigeru Kato; Yasuchika Kato; Atsushi Sugiura; Kenji Miyagishima; Hitoshi Hishida
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese heart journal     Volume:  45     ISSN:  0021-4868     ISO Abbreviation:  Jpn Heart J     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-02-19     Completed Date:  2004-04-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401175     Medline TA:  Jpn Heart J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  73-80     Citation Subset:  IM    
Affiliation:
Division of Cardiology, Department of Internal Medicine, Fujita Health University School of Medicine, Aichi, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Biopsy
Cardiomegaly / pathology*
Endocardium / pathology*
Female
Heart Ventricles / pathology
Humans
Male
Middle Aged
Myocardium / pathology*
Myocytes, Cardiac / pathology
Sick Sinus Syndrome / pathology*

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