{"created":"2023-05-15T15:58:21.412144+00:00","id":27724,"links":{},"metadata":{"_buckets":{"deposit":"810ffa03-8dd1-489a-9499-936e8d10724e"},"_deposit":{"created_by":3,"id":"27724","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"27724"},"status":"published"},"_oai":{"id":"oai:shinshu.repo.nii.ac.jp:00027724","sets":["2668"]},"author_link":["109573","109570","109575","109574","109571","109577","109576","109572"],"item_20002_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Management of Atrial Fibrillation in the Outpatient Clinic : Restoration and Maintenance of Sinus Rhythm"}]},"item_20002_biblio_info_27":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-08-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"296","bibliographicPageStart":"287","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"信州医学雑誌"}]}]},"item_20002_creator_3":{"attribute_name":"作成者(その他言語)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"篭島, 充"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮下, 保男"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川上, 徹"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"篠原, 正典"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"広瀬, 聡"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田口, 敦史"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大和, 眞史"}],"nameIdentifiers":[{}]}]},"item_20002_date_19":{"attribute_name":"日付","attribute_value_mlt":[{"subitem_date_issued_datetime":"2015-09-24","subitem_date_issued_type":"Created"}]},"item_20002_description_14":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"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.","subitem_description_type":"Other"}]},"item_20002_description_20":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_20002_description_21":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_20002_description_22":{"attribute_name":"その他の資源識別子","attribute_value_mlt":[{"subitem_description":"信州医学雑誌 47(4): 287-296(1999)","subitem_description_type":"Other"}]},"item_20002_full_name_16":{"attribute_name":"公開者(その他言語)","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"信州医学会"}]}]},"item_20002_identifier_23":{"attribute_name":"資源識別子URI","attribute_value_mlt":[{"subitem_identifier_type":"HDL","subitem_identifier_uri":"http://hdl.handle.net/10091/9255"}]},"item_20002_source_id_25":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0037-3826","subitem_source_identifier_type":"ISSN"}]},"item_20002_source_id_26":{"attribute_name":"処理レコードID(総合目録DB)","attribute_value_mlt":[{"subitem_source_identifier":"AN00120815","subitem_source_identifier_type":"NCID"}]},"item_20002_version_type_51":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"url":{"url":"https://soar-ir.repo.nii.ac.jp/?action=repository_action_common_download&item_id=4378&item_no=1&attribute_id=65&file_no=1"}}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"atrial fibrillation","subitem_subject_scheme":"Other"},{"subitem_subject":"defibrillation","subitem_subject_scheme":"Other"},{"subitem_subject":"direct current cardioversion","subitem_subject_scheme":"Other"},{"subitem_subject":"antiarrhythmic agents","subitem_subject_scheme":"Other"},{"subitem_subject":"class III antiarrhythmic agents","subitem_subject_scheme":"Other"},{"subitem_subject":"心房細動","subitem_subject_scheme":"Other"},{"subitem_subject":"除細動","subitem_subject_scheme":"Other"},{"subitem_subject":"直流通電","subitem_subject_scheme":"Other"},{"subitem_subject":"抗不整脈薬","subitem_subject_scheme":"Other"},{"subitem_subject":"III群薬","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"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","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"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"}]},"item_type_id":"20002","owner":"3","path":["2668"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-09-01"},"publish_date":"2020-09-01","publish_status":"0","recid":"27724","relation_version_is_last":true,"title":["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"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-05-15T22:01:16.321481+00:00"}