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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
http://hdl.handle.net/10091/9255
http://hdl.handle.net/10091/9255467bc7cc-26dd-4c76-a04b-d70ed534c873
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-03-24 | |||||
タイトル | ||||||
言語 | ja | |||||
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 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Management of Atrial Fibrillation in the Outpatient Clinic : Restoration and Maintenance of Sinus Rhythm | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | atrial fibrillation | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | defibrillation | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | direct current cardioversion | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | antiarrhythmic agents | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | class III antiarrhythmic agents | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 心房細動 | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 除細動 | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 直流通電 | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | 抗不整脈薬 | |||||
キーワード | ||||||
言語 | ja | |||||
主題Scheme | Other | |||||
主題 | III群薬 | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
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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出版者 | ||||||
出版者 | 信州医学会 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 信州医学雑誌 47(4): 287-296(1999) | |||||
書誌情報 |
信州医学雑誌 巻 47, 号 4, p. 287-296, 発行日 1999-08-10 |
|||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
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. | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0037-3826 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00120815 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |