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  1. 050 医学部, 大学院医学系研究科
  2. 0502 紀要・刊行物
  3. 05021 信州医学雑誌
  4. Vol. 47 No. 4

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/10091/9255
467bc7cc-26dd-4c76-a04b-d70ed534c873
名前 / ファイル ライセンス アクション
Shinshu_Med47-4-03.pdf Shinshu_Med47-4-03.pdf (738.6 kB)
Item type 学術雑誌論文 / Journal Article(1)
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

WEKO 10371

ja 篭島, 充

Search repository
宮下, 保男

× 宮下, 保男

WEKO 10372

ja 宮下, 保男

Search repository
川上, 徹

× 川上, 徹

WEKO 10373

ja 川上, 徹

Search repository
篠原, 正典

× 篠原, 正典

WEKO 10374

ja 篠原, 正典

Search repository
広瀬, 聡

× 広瀬, 聡

WEKO 10375

ja 広瀬, 聡

Search repository
田口, 敦史

× 田口, 敦史

WEKO 10376

ja 田口, 敦史

Search repository
大和, 眞史

× 大和, 眞史

WEKO 10377

ja 大和, 眞史

Search repository
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
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