Yoshio Doi

Publications (2)0 Total impact

• Article: Massive Pericardial Effusion in a Case of Acute Pericarditis with Slight ST-Segment Elevation of Short Duration.

  Michiyoshi Sone, Eiji Tamiya, Masahiro Sesoko, Tomosato Takabe, Akiko Koizumi, Yoshio Doi, Tatsuji Kanoh, Isao Ebihara, Hikaru Koide, Iwao Okai, Haruyo Yamashita, Seigen I, Shinya Okazaki, Eiryu Sai, Hiroyuki Daida
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  ABSTRACT: We present the case of a 77-year-old woman who suffered from chest pain. Her white blood cell count was 10,200/μL and C-reactive protein level was 5.5 mg/dL. There was no electrocardiogram abnormality up to 5 hours after admission. At 15 hours, slight ST-segment elevation occurred, but this disappeared on day 4. Imaging revealed slight pericardial effusion. Nonsteroidal anti-inflammatory drugs and antibiotics were administered. However, the pericardial effusion, inflammatory response, and bilateral heart failure worsened. Pericardiotomy on day 6 released 350 mL of fluid, and symptoms improved. Viral pericarditis was assumed. Massive pericardial effusion is rare in cases of acute viral pericarditis, as is slight, short-duration ST-segment elevation.
  International Journal of Angiology 09/2011; 20(3):185-8.
• Article: Acute Myocardial Infarction with Severe ST Segment Elevation Treated with Percutaneous Coronary Intervention More than Two Days after Onset: A Case with Remarkable Recovery.

  Michiyoshi Sone, Eiji Tamiya, Masahiro Sesoko, Tomosato Takabe, Akiko Koizumi, Yoshio Doi, Tatsuji Kanoh, Isao Ebihara, Hikaru Koide, Iwao Okai, Haruyo Yamashita, Seigen I, Shinya Okazaki, Eiryu Sai, Hiroyuki Daida
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  ABSTRACT: The patient was a 65-year-old man with marked ST-elevation myocardial infarction. Cardiac catheterization revealed an occluded middle portion of the left anterior descending artery and no collateral circulation. Percutaneous coronary intervention (PCI) was performed, and ST elevation improved 5 days after PCI. Almost all electrocardiogram (ECG) findings were normal 6 months later. Echocardiographic findings were also normal. This case was very successful and unusual in that no ventricular aneurysm formed despite ST elevation continuing for a few days and that ECG and left ventricular function were nearly normal after PCI performed days after the onset in a case without collateral circulation.
  International Journal of Angiology 06/2011; 20(2):103-6.