心筋硬そくの発症に関する研究 非典型的心筋硬そく発症への胆のう異常の関与

Abstract

We have already reported, not only, several cases with myocardial infarction which were caused by some kinds of disturbance in gall bladder (G.B.), but also, some ones with arrythmias and/or angina pectoris; of course, they have been suffering from coronary sclerosis.In this paper, the authors want to represent high incidence of complication with myocardial infarction (MI) and G.B. disturbance and the possibility which G.B. disfunction would contribute the patients with ishemic heart diseases progress to MI.Fourty seven cases in sixty three with MI, 74.9% of the patients, including six cases of autopsies, showed abnormalities on oral cholecystographic examination. Thirteen cases (20.3%) had gall stones, and the other cases showed abnormalities of morphology and/or disfunction of G.B. contraction. As for gall stone, statistical difference revealed high frequency appearance in female than in male, but concerning comparison with the position of MI, and/or age, no difference were showed.High incidence of contraction abnormalities revealed in the cases with atypical MI. than typical MI. which were classified by clinical and laboratory findings, though no difference of serum cholesterol and triglycerides levels between the patients with abnormal oral cholecystography and normal ones. This investigation revealed the possibility which G.B. disturbance would contribute the patients with ishemic heart diseases developed to atypical MI, but it is seldom to be seen the possibility which disturbance of G.B. should be a factor of coronary sclerosis.