{"created":"2025-03-27T06:27:02.404829+00:00","id":2000779,"links":{},"metadata":{"_buckets":{"deposit":"7ea9edd0-7134-4af1-9901-a8563f4de03a"},"_deposit":{"created_by":11,"id":"2000779","owner":"11","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"2000779"},"status":"published"},"_oai":{"id":"oai:hirosaki.repo.nii.ac.jp:02000779","sets":["557:561:1738902869384"]},"author_link":[],"control_number":"2000779","item_1735019115310":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"背景・目的：心房細動（Atrial fibrillation: AF）は，高頻度で，心不全（Heart failure: HF）を伴う．心臓超音波検査は，AF の原因やHF の状況評価に有用である．本研究では，地域診療にて，AF の心臓超音波検査による心負荷の評価を目的とした．\n方法：心電図上AF を認め，HF 症状，胸部X 線上の心拡大，または，BNP やNT-proBNP の上昇を伴う症例を対象とした．心臓超音波検査から，左室駆出率（LVEF），左房圧（LAP），左房容積（LA volume），肺動脈収縮期圧（PASP），右房圧（RAP）を算出した．\n結果：男性/ 女性: 59/44 人について検討した．平均年齢は，79.3±7.7歳であった．背景疾患は，虚血性心疾患（IHD）: 82 %，高血圧性心疾患 （HHD）: 61.8 %，三尖弁逆流（TR）: 60.8 % であった．LVEF 分類では，HFpEF が64 % を占めた．左室重量（LV mass index）とLA volume index は，正相関を呈した（r^2=0.15, p<0.0001）．TR のAF における割合は，機能性TR 50 %，器質性TR 15 % だった．\n結論：AF の主な併存疾患は，IHD，HHD，TR であった．HFpEF がAF の過半数を占めめた．LV mass index とLAリモデリングとの関連性が示された．TR は半数が機能性であった．心血管危険因子の管理が，AF やHF の治療に繋がることが示唆された．","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_1735019314753":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00211444","subitem_source_identifier_type":"NCID"}]},"item_30001_access_rights4":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_30001_bibliographic_information17":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2025-03-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2-4","bibliographicPageEnd":"154","bibliographicPageStart":"142","bibliographicVolumeNumber":"75","bibliographic_titles":[{"bibliographic_title":"弘前医学","bibliographic_titleLang":"ja"},{"bibliographic_title":"Hirosaki Medical Journal","bibliographic_titleLang":"en"}]}]},"item_30001_creator2":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"藤井, 裕子","creatorNameLang":"ja"}]},{"creatorNames":[{"creatorName":"照井, 健","creatorNameLang":"en"}]}]},"item_30001_file22":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2025-03-27"}],"filename":"Hirosaki Med J 75-2-4_142.pdf","filesize":[{"value":"1.6 MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hirosaki.repo.nii.ac.jp/record/2000779/files/Hirosaki Med J 75-2-4_142.pdf"},"version_id":"f5c8fc87-f41d-4925-b816-57df8ac3b8c0"}]},"item_30001_language10":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_30001_publisher9":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"弘前大学大学院医学研究科","subitem_publisher_language":"ja"}]},"item_30001_resource_type11":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_30001_source_identifier16":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"2434-4656","subitem_source_identifier_type":"EISSN"}]},"item_30001_subject7":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"心房細動","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"心臓超音波検査","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"心不全","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_30001_title0":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"心臓超音波検査所見からみた心房細動患者の臨床的特徴","subitem_title_language":"ja"}]},"item_30001_version_type12":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_title":"心臓超音波検査所見からみた心房細動患者の臨床的特徴","item_type_id":"40034","owner":"11","path":["1738902869384"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2025-03-27"},"publish_date":"2025-03-27","publish_status":"0","recid":"2000779","relation_version_is_last":true,"title":["心臓超音波検査所見からみた心房細動患者の臨床的特徴"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2025-06-06T00:41:34.598404+00:00"}