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外来診療における慢性心房細動への対応 : 洞調律維持の試み
https://shinshu.repo.nii.ac.jp/records/27724
https://shinshu.repo.nii.ac.jp/records/27724d5c5a444-ef41-4cc4-830f-0c7b9ec32f4b
名前 / ファイル | ライセンス | アクション |
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https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4378&item_no=1&attribute_id=65&file_no=1
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Item type | Journal Article(1) | |||||
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公開日 | 2020-09-01 | |||||
タイトル | ||||||
タイトル | 外来診療における慢性心房細動への対応 : 洞調律維持の試み | |||||
その他(別言語等)のタイトル | ||||||
その他のタイトル | Management of Atrial Fibrillation in the Outpatient Clinic : Restoration and Maintenance of Sinus Rhythm | |||||
作成者(その他言語) |
篭島, 充
× 篭島, 充× 宮下, 保男× 川上, 徹× 篠原, 正典× 広瀬, 聡× 田口, 敦史× 大和, 眞史 |
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公開者(その他言語) | ||||||
姓名 | 信州医学会 | |||||
書誌情報 |
信州医学雑誌 巻 47, 号 4, p. 287-296, 発行日 1999-08-10 |
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言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | atrial fibrillation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | defibrillation | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | direct current cardioversion | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | antiarrhythmic agents | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | class III antiarrhythmic agents | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 心房細動 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 除細動 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 直流通電 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 抗不整脈薬 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | III群薬 | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
アクセス権 | ||||||
アクセス権 | metadata only access | |||||
アクセス権URI | http://purl.org/coar/access_right/c_14cb | |||||
内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | High-energy direct current cardioversion (DC;up to 360J)and subsequent intensive antiarrhythmic agent administration (including class Ic or class Ⅲ drugs)were performed in patients with chronic atrial fibrillation (Af)in an outpatient clinic to restore and maintain sinus rhythm.Cases of left ventricular dysfunction,mitral valvular disease, or hyperthyroidism were excluded. DC was performed 38 times in 23 patients. No thromboembolic complications were observed with preceding anticoagulation. A total of 31 shocks resulted in conversion to sinus rhythm (81.6% of all procedures) in 20 cases.During the mean follow-up period of 602 days,13 patients maintained sinus rhythm (56.5% of total cases;65.0% of defibrillated cases.). Final antiarrhythmic agents were as follows:class Ia in 2 cases (15.4%),class Ic in 3 (23.1%),class Ⅲ in 4 (30.7%),class Ⅲ +β-blocker in 3 (23.1%), none in 1 (7.7%).In 5 cases,class Ia drugs were changed to class Ⅲ agents due to recurrent Af. No proarryhthmia was observed. Anticoagulation with warfarin was discontinued in 9 patients (69.2%)who maintained sinus rhythm. Our method is considered safe and effective. It may be applied to patients with chronic Af in outpatient clinics,especially those with impaired ventricular function or with risk factors for thromboembolism. | |||||
日付 | ||||||
日付 | 2015-09-24 | |||||
日付タイプ | Created | |||||
資源タイプ | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
フォーマット | ||||||
内容記述タイプ | Other | |||||
内容記述 | application/pdf | |||||
その他の資源識別子 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 信州医学雑誌 47(4): 287-296(1999) | |||||
資源識別子URI | ||||||
識別子 | http://hdl.handle.net/10091/9255 | |||||
識別子タイプ | HDL | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0037-3826 | |||||
処理レコードID(総合目録DB) | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00120815 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |