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Biomedical subjects

K Hamamoto

Publications and source records attributed to K Hamamoto.

At least 163 records · Page 9Linked to original sources

Individual renal function study using computed tomography.

Using computed tomography, the renal parenchymal volume and tissue-plasma ratio of contrast enhancement, with a bolus injection, were measured, and the latter measurement is believed to indicate regional renal function per unit of parenchymal volume. 67 studies were carried out on 50 patients, 17 of whom were examined pre- and postoperatively. Of these 50 patients, 27 had hydronephrosis, 6 had renovascular disease, 4 had pyelonephritis and the remaining 13 were control patients. The product of tissue-plasma ratio of contrast enhancement and the calculated renal parenchymal volume were found to be in good correlation with the individual renal function measured with 99mTc-dimercaptosuccinic acid and 131I-hippuran. Since this method is reproducible, the kidney being examined may be seen in more detail.

Creatinine↗

Left ventricular hypertrophy in non-rheumatic myocarditis in children.

Fifty-three Japanese children with non-rheumatic myocarditis were investigated with regard to left ventricular hypertrophy (LVH), which was assessed electrocardiographically. Follow-up periods ranged from 12 to 58 months with a mean of 22.8 months. Left ventricular posterior wall thickness (LVPWT) evaluated echocardiographically was compared to the electrocardiographic findings of LVH. The overall prevalence of LVH was 30.2% (16 patients). In 3 patients, LVH was detected during the first examination. In the other patients, however, LVH was detected later during the follow-up periods. In all but 2 patients, LVH disappeared during the follow-up periods. The development into hypertrophic cardiomyopathy was evident in only one patient. The LVPWT showed no definite relation to the presence of LVH. Thus, LVH on an electrocardiogram appears to be a common finding in children with non-rheumatic myocarditis.

Cardiomegaly↗

Visceral larva migrans caused by Trichuris vulpis.

Two brothers with visceral larva migrans caused by Trichuris vulpis were diagnosed after they had been investigated for an eosinophilia. Both patients were almost asymptomatic. The diagnosis of visceral larva migrans was based on the results of immunoelectrophoretic studies and no liver biopsy was performed. After administration of thiabendazole, the number of eosinophils and serum total IgE levels gradually decreased, and the patients have remained well.

Animals↗

Sequelae of nonrheumatic myocarditis in children: a follow-up study.

A follow-up study of childhood myocarditis for at least 12 months (12--39 months, average 19.7 months) was made on 26 patients. Regular cardiological examinations (X-ray, ECG, PCG, MCG and UCG) and serum enzyme studies (especially LDH isozyme and CPK isozyme) were done. Clinical and cardiological normalization was seen in 13 (50.0%), not necessarily with normalized enzyme study. Major residual abnormalities were: CRBBB (3), VPC (3), abnormal Q (1), A-V block I (1), large IVth sound (1) and chronic nonobstructive cardiomyopathy (HNCM) (1). Mild, transient recurrences were seen in 3. Enzyme abnormalities, which existed at the first visit in all cases, disappeared only in 12. This suggests that somewhat active inflammatory process may persist for years, even after clinical and cardiological normalization. The patient with HNCM had a heavy familial history of cardiomyopathy. The relationship between myocarditis and cardiomyopathy was discussed. It is necessary to examine every patients with cardiomyopathy from the stand of view of myocarditis.

Adolescent↗

Clinical aspects of nonrheumatic myocarditis in children.

Sixty-eight patients of clinically diagnosed myocarditis, 0--15 years of age, were followed up and analyzed. Forty (58.8%) were males. The majority were older than 5 years. Clinical courses were rather mild, chronic and self-limiting at large. Only 1 case had a relation to chronic cariomyopathy. Exertional symptoms (chest pain, chest distress, syncope) were seen in 25 (36.8%). ECG changes were very common: the majority were nonspecific ST elevation, depression or both, mainly in leads II, III, V5 and V6. Positive Master' test, prolonged QTc, widened mean spatial QRS-T angle and various arrhythmias were also observed. Cardiac performance, estimated by echocardiogram and phono-mechanocardiogram was lowered in 41 (60.3%). Large IV sound and large A wave in apexcardiogram were also frequently found. All but 3 patients showed continuous elevation of serum enzymes, namely, LDH, LDH-1/LDH-2, CPK, CPK-MB, HBD and GOT. Etiological evidences were obtained by serological study in 11 cases (16.2%): 2 of Coxsackie B-1, 3 of Coxsackie B-2, 1 of Coxsackie B-4, 2 of mycoplasma pneumoniae, 1 of cytomegalovirus, 1 of ECHO-7 and 1 of rubella. We proposed a criteria for diagnosis of myocarditis as follows: (1) Exertional symptoms. (2) ECG findings. (3) Serum enzyme abnormality. (4) Lowered cardiac performance. (5) Cardiomegaly. (6) Changing character of all signs and symptoms.

Adolescent↗