{"id":2127,"date":"2021-03-31T10:48:40","date_gmt":"2021-03-31T01:48:40","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=2127"},"modified":"2021-03-31T10:48:40","modified_gmt":"2021-03-31T01:48:40","slug":"%e6%80%a5%e6%80%a7%e5%bf%83%e7%ad%8b%e6%a2%97%e5%a1%9e%e5%be%8c%e3%81%ae%e9%95%b7%e6%9c%9f%e3%83%99%e3%83%bc%e3%82%bf%e3%83%96%e3%83%ad%e3%83%83%e3%82%ab%e3%83%bc%e7%99%82%e6%b3%95%e3%81%ae%e7%b6%99","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2127","title":{"rendered":"\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u9577\u671f\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u306e\u7d99\u7d9a\u671f\u9593\uff082020\u5e7412\u6708)"},"content":{"rendered":"<p>\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002<br \/>\n\uff0d\u6587\u732e\uff0d<br \/>\nLong-term b-blocker therapy and clinical outcomes after acute myocardial infarction in patients without heart failure: nationwide cohort study<br \/>\nEuropean Heart Journal (2020) 41, 3521\u20133529 doi:10.1093\/eurheartj\/ehaa376<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\nAims<br \/>\n\u9577\u671f\u9593\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u3068AMI\u5f8c\u306b\u5fc3\u4e0d\u5168\u3092\u8d77\u3053\u3057\u3066\u3044\u306a\u3044\u60a3\u8005\u3067\u306e\u81e8\u5e8a\u7684\u30a2\u30a6\u30c8\u30ab\u30e0\u306e\u95a2\u9023\u3092\u8abf\u67fb\u3059\u308b\u3053\u3068<br \/>\nMethod<br \/>\n2010\u5e74\u301c2015\u5e74\u306e\u9593\u306b\u9000\u9662\u6642\u306b\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u306b\u3088\u308bAMI\u306e\u51a0\u52d5\u8108\u8840\u884c\u518d\u5efa\u8853\u3092\u53d7\u3051\u3001\u6b7b\u4ea1\u3001\u518d\u767a\u6027MI\u3001\u307e\u305f\u306fHF\u304c\uff11\u5e74\u9593\u767a\u751f\u3057\u306a\u304b\u3063\u305f\u3001\u5408\u8a0828,970\u4eba\u306e18\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u304c\u97d3\u56fd\u306e\u5168\u56fd\u533b\u7642\u6a5f\u95a2\u306e\u4fdd\u967a\u30c7\u30fc\u30bf\u304b\u3089\u767b\u9332\u3055\u308c\u305f\u3002<br \/>\nPrimary outcome\u306f\u5168\u6b7b\u56e0\u3002<br \/>\nSecondary outcome\u306f\u518d\u767a\u6027MI\u3001\u65b0\u898fHF\u306b\u3088\u308b\u5165\u9662\u3001\u5168\u6b7b\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u30fb\u518d\u767a\u6027MI\u30fb\u65b0\u898fHF\u306b\u3088\u308b\u5165\u9662\u306e\u5404\u4e8c\u6b21\u8ee2\u6a5f\u3068\u8907\u5408\u30a2\u30a6\u30c8\u30ab\u30e0<br \/>\nOutcomes<br \/>\n\u30a2\u30a6\u30c8\u30ab\u30e0\u306f\u6307\u6a19MI\u5f8c1\u5e74\u5f8c\u306e\u30e9\u30f3\u30c9\u30de\u30fc\u30af\u5206\u6790\u3092\u5229\u7528\u3057\u30661\u5e74\u4ee5\u4e0a\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\uff08N=22707\uff09\u30681\u5e74\u672a\u6e80\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\uff08N=6263\uff09\u306e\u7d50\u679c\u3092\u6bd4\u8f03\u3057\u305f\u3002(Figure1)<br \/>\n\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u671f\u9593\u306e\u4e2d\u592e\u5024\u306f3.5\u5e74\uff082.2~5.0\u5e74\uff09\u30011684\u4eba\u304c\u6b7b\u4ea1\u3057\u305f\u3002<br \/>\n1\u5e74\u672a\u6e80\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u3092\u53d7\u3051\u305f\u60a3\u8005\u3068\u6bd4\u8f03\u3057\u3066\u30011\u5e74\u4ee5\u4e0a\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005\u306f\u3001\u5168\u6b7b\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af [\u8abf\u6574\u6e08\u307f\u30cf\u30b6\u30fc\u30c9\u6bd4(HR)0.81;95%CI0.72-0.91]\u304a\u3088\u3073\u5168\u6b7b\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u3001\u518d\u767a\u6027MI\u3001\u307e\u305f\u65b0\u3057\u3044HF\u306b\u3088\u308b\u5165\u9662\u306e\u8907\u5408\u30a2\u30a6\u30c8\u30ab\u30e0[\u8abf\u6574\u6e08\u307f\u30cf\u30b6\u30fc\u30c9\u6bd4(HR)0.82;95%CI 0.75-0.89]\u306e\u30ea\u30b9\u30af\u306f\u512a\u4f4d\u306b\u4f4e\u304b\u3063\u305f\u304c\u3001\u518d\u767a\u6027MI\u3068\u65b0\u898fHF\u306b\u3088\u308b\u5165\u9662\u306e\u30ea\u30b9\u30af\u306f\u512a\u4f4d\u3067\u306f\u306a\u304b\u3063\u305f\u3002(table 2 Figure2)\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u89e3\u6790\u3067\u30821\u5e74\u4ee5\u4e0a\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u306e\u4f7f\u7528\u3068\u5168\u6b7b\u56e0\u306e\u30ea\u30b9\u30af\u306e\u95a2\u9023\u306f\u4e00\u8cab\u3057\u3066\u3044\u305f\u3002(Figure3)<br \/>\nFigure4\u3067\u306f\u305d\u308c\u305e\u308c\u306e\u5730\u70b9\u3067\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u7d99\u7d9a\u3057\u3066\u3044\u308b\u60a3\u8005\u3068\u4e2d\u65ad\u3057\u305f\u60a3\u8005\u3092\u793a\u3057\u3066\u3044\u308b\u3002\u7d99\u7d9a\u7684\u306a\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u306b\u95a2\u9023\u3059\u308b\u5168\u6b7b\u56e0\u306e\u30ea\u30b9\u30af\u4f4e\u4e0b [\u8abf\u6574\u6e08\u307f\u30cf\u30b6\u30fc\u30c9\u6bd4(HR)0.86;95%CI 0.75-0.99]\u3001\u518d\u767a\u6027MI\u306e\u30ea\u30b9\u30af\u4f4e\u4e0b(\u8abf\u6574\u6e08\u307fHR 0.67; 95\uff05CI 0.51\u20130.87; P = 0.003\uff09\u306f2\u5e74\u3092\u8d85\u3048\u3066\u89b3\u5bdf\u3055\u308c\u305f\u304c\u3001MI\u5f8c3\u5e74\u3092\u8d85\u3048\u3066\u306f\u89b3\u5bdf\u3055\u308c\u306a\u304b\u3063\u305f\u3002[\u8abf\u6574\u6e08\u307f\u30cf\u30b6\u30fc\u30c9\u6bd4(HR)0.87;95%CI 0.73-1.03]\u3002\u5168\u6b7b\u56e0\u3001\u518d\u767a\u6027MI\u3001\u65b0\u3057\u3044HF\u306b\u3088\u308b\u5165\u9662\u306e\u8907\u5408\u30ea\u30b9\u30af\u306f3\u5e74\u4ee5\u4e0a\u6301\u7d9a\u3059\u308b\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u306b\u3088\u308b\u52a0\u7642\u3092\u53d7\u3051\u305f\u60a3\u8005\u3067\u6709\u610f\u306b\u4f4e\u304b\u3063\u305f\u3002(adjusted HR 0.85; 95% CI 0.74\u20130.98; P = 0.03) (table3,Figure4)<br \/>\nDiscussion<br \/>\n\u3000\u4eca\u56de\u306e\u30b3\u30db\u30fc\u30c8\u7814\u7a76\u3067\u306fAMI\u5f8c\u306b\u5fc3\u4e0d\u5168\u3092\u8d77\u3053\u3055\u306a\u304b\u3063\u305f\uff11\u5e74\u4ee5\u4e0a\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u3092\u3046\u3051\u305f\u60a3\u8005\u304c1\u5e74\u4ee5\u4e0b\u3057\u304b\u52a0\u7642\u3092\u53d7\u3051\u306a\u304b\u3063\u305f\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3001\u3088\u308a\u4f4e\u3044\u5168\u6b7b\u56e0\u306e\u30ea\u30b9\u30af\u3068\u95a2\u9023\u304c\u3042\u3063\u305f\u3002\u305d\u306e\u6709\u76ca\u306a\u52b9\u679c\u306f\u69d8\u3005\u306e\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u306e\u4e2d\u3067\u3082\u4e00\u8cab\u3057\u3066\u3044\u305f\u3002<br \/>\n\u3000\u73fe\u5728\u306e\u7d50\u679c\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u3082\u3063\u3068\u3082\u3089\u3057\u3044\u8aac\u660e\u304c\u3042\u308b\u3002<br \/>\n\u2460\tHF\u306a\u3057\u306b\u9000\u9662\u3057\u305fAMI\u306e\u591a\u304f\u306e\u60a3\u8005\u306f\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u4e2d\u306bMI\u306e\u518d\u767a\u3084\u518d\u5165\u9662\u3001HF\u306b\u3088\u308b\u6b7b\u4ea1\u3092\u7d4c\u9a13\u3057\u3066\u3044\u308b\u3002\u305d\u308c\u3086\u3048\u306b\u3001\u4e8c\u6b21\u4e88\u9632\u3068\u3057\u3066\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u7d9a\u3051\u308b\u3053\u3068\u306f\u9000\u9662\u306e\u6642\u306bHF\u304c\u306a\u3044\u60a3\u8005\u306b\u3068\u3063\u3066\u6709\u76ca\u3067\u3042\u308b\u304b\u3082\u3057\u308c\u306a\u3044<br \/>\n\u2461\t\u8840\u5727\u306f\u9577\u671f\u3067\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u6cbb\u7642\u3092\u53d7\u3051\u305f\u60a3\u8005\u306e\u65b9\u304c\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005\u306b\u6bd4\u3079\u3066\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u826f\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002\u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u51a0\u52d5\u8108\u75be\u60a3\u304c\u3042\u308b\u60a3\u8005\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u3089\u3059\u91cd\u8981\u306a\u6cbb\u7642\u3067\u3042\u308a\u3001\u53b3\u683c\u306a\u8840\u5727\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u51a0\u52d5\u8108\u30a4\u30d9\u30f3\u30c8\u30ea\u30b9\u30af\u306e\u9ad8\u3044\u60a3\u8005\u306b\u3068\u3063\u3066\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u6539\u5584\u3059\u308b\u3002<br \/>\n\u2462\t\u8840\u7ba1\u5185\u8d85\u97f3\u6ce2\u8a66\u9a13\u304b\u3089\u306e\u30d7\u30fc\u30eb\u3055\u308c\u305f\u5206\u6790\u3067\u306f\u3001\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u306f\u51a0\u52d5\u8108\u75be\u60a3\u306e\u3042\u308b\u60a3\u8005\u306f\u30a2\u30c6\u30ed\u30fc\u30e0\u91cf\u306e\u6e1b\u5c11\u306b\u95a2\u9023\u304c\u3042\u308b\u3053\u3068\u3092\u793a\u3057\u305f\u306e\u3067\u3001\u51a0\u52d5\u8108\u306e\u52d5\u8108\u786c\u5316\u306e\u9032\u5c55\u3092\u9045\u3089\u305b\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br \/>\nLimitation<br \/>\n\u2460\t\u3053\u306e\u7814\u7a76\u3067\u306f\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u4f7f\u3046\u7406\u7531\u3092\u7279\u5b9a\u3067\u304d\u3066\u3044\u306a\u3044\u3002\u9577\u671f\u9593\u306e\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u6cbb\u7642\u3092\u53d7\u3051\u308b\u60a3\u8005\u306f\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u4e2d\u306b\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u4e2d\u65ad\u3057\u305f\u4eba\u305f\u3061\u306b\u6bd4\u3079\u3066\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u306b\u8010\u3048\u3089\u308c\u3066\u3044\u308b\u305f\u3081\u3001\u91cd\u5ea6\u30ea\u30b9\u30af\u306e\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u304c\u5c11\u306a\u3044\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u6f5c\u5728\u7684\u306a\u30d0\u30a4\u30a2\u30b9\u3092\u4e57\u308a\u8d8a\u3048\u308b\u305f\u3081\u306b\u3001\u6211\u3005\u306fAMI\u5f8c\u306e\u65e9\u671f\u30b9\u30c6\u30fc\u30b8\u306b\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u6cbb\u7642\u3092\u59cb\u3081\u305f\u4eba\u3005\u3092\u9664\u5916\u3057\u305f\u3001\u305d\u3057\u3066\u3001immortal time bias\u3092\u56de\u907f\u3059\u308b\u305f\u3081\u306b\u30e9\u30f3\u30c9\u30de\u30fc\u30af\u89e3\u6790\u3092\u5b9f\u65bd\u3057\u305f\u3002<br \/>\n\u2461\t\u8a18\u9332\u3055\u308c\u3066\u3044\u306a\u3044\u4ea4\u7d61\u56e0\u5b50\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b\u6f5c\u5728\u7684\u306a\u9078\u629e\u30d0\u30a4\u30a2\u30b9\u304c\u5b58\u5728\u3059\u308b\u3002\u4f8b\u3048\u3070\u3001\u6211\u3005\u306fAMI\u306e\u30bf\u30a4\u30d7\u306e\u60c5\u5831\u3084\u6b20\u9665\u9020\u5f71\u306b\u3088\u308b\u91cd\u75c7\u5ea6\u3001\u4eba\u4f53\u8a08\u6e2c\u7684\u30fb\u884c\u52d5\u79d1\u5b66\u7684\u8981\u56e0\u306a\u3069\u306e\u60c5\u5831\u306f\u6b20\u843d\u3057\u3066\u3044\u305f\u3057\u3001\u8acb\u6c42\u306b\u57fa\u3065\u304f\u75be\u75c5\u7ba1\u7406\u306b\u95a2\u3059\u308b\u60c5\u5831\u306f\u9650\u3089\u308c\u3066\u3044\u305f\u3002<br \/>\n\u2462\t\u5de6\u5ba4\u6a5f\u80fd\u969c\u5bb3\u306b\u4f34\u3046\u60c5\u5831\u306f\u306a\u304b\u3063\u305f\u3002\u3057\u304b\u3057\u3001\u97d3\u56fd\u306b\u304a\u3051\u308bMI\u3092\u7d4c\u9a13\u3057\u305f\u5927\u90e8\u5206\u306e\u60a3\u8005\u306f\u5de6\u5ba4\u99c6\u51fa\u6a5f\u80fd\u3092\u4fdd\u3063\u3066\u3044\u305f\u3002\u305d\u306e\u4e0a,\u99c6\u51fa\u7387\u306e\u4f4e\u3044\u60a3\u8005\u306f\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u3092\u53d7\u3051\u3001\u4e88\u5f8c\u4e0d\u826f\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u305f\u3081\u3053\u306e\u30bf\u30a4\u30d7\u306e\u30d0\u30a4\u30a2\u30b9\u3092\u6211\u3005\u306e\u767a\u898b\u3067\u8aac\u660e\u3059\u308b\u53ef\u80fd\u6027\u306f\u4f4e\u3044\u3002<br \/>\nConclusion<br \/>\nMI\u5f8c\u306e1\u5e74\u4ee5\u4e0a\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u3092\u53d7\u3051\u305fHF\u306e\u306a\u3044AMI\u306e\u60a3\u8005\u306b\u304a\u3051\u308b\u5168\u6b7b\u56e0\u306b\u3088\u308b\u6b7b\u4ea1\u306e\u6e1b\u5c11\u3068\u95a2\u9023\u304c\u3042\u3063\u305f\u3002\u3057\u304b\u3057\u3002AMI\u5f8c\u306e\u30eb\u30fc\u30c1\u30f3\u306a\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u306e\u9069\u5207\u306a\u671f\u9593\u3092\u6c7a\u5b9a\u3059\u308b\u306b\u306f\u3055\u3089\u306a\u308b\u5927\u898f\u6a21\u306aRCT\u304c\u5fc5\u8981\u3068\u3055\u308c\u308b\u3002<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/df7597fa7a3324180b1ee73e7b088fc3.png\" alt=\"\" width=\"760\" height=\"334\" class=\"aligncenter size-full wp-image-2128\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/df7597fa7a3324180b1ee73e7b088fc3.png 760w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/df7597fa7a3324180b1ee73e7b088fc3-300x132.png 300w\" sizes=\"auto, (max-width: 760px) 100vw, 760px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/0e66d4f6b17cbe938611ee125c8746ca.png\" alt=\"\" width=\"731\" height=\"285\" class=\"aligncenter size-full wp-image-2129\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/0e66d4f6b17cbe938611ee125c8746ca.png 731w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/0e66d4f6b17cbe938611ee125c8746ca-300x117.png 300w\" sizes=\"auto, (max-width: 731px) 100vw, 731px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/3d8a253af54802b7eb82aa3ffca45d64.png\" alt=\"\" width=\"718\" height=\"501\" class=\"aligncenter size-full wp-image-2130\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/3d8a253af54802b7eb82aa3ffca45d64.png 718w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/3d8a253af54802b7eb82aa3ffca45d64-300x209.png 300w\" sizes=\"auto, (max-width: 718px) 100vw, 718px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/57787dcfbf00ae33811413948746ccc6.png\" alt=\"\" width=\"596\" height=\"387\" class=\"aligncenter size-full wp-image-2131\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/57787dcfbf00ae33811413948746ccc6.png 596w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/57787dcfbf00ae33811413948746ccc6-300x195.png 300w\" sizes=\"auto, (max-width: 596px) 100vw, 596px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/e4e6f3c389fedb5e42177dd543fa579a.png\" alt=\"\" width=\"1253\" height=\"517\" class=\"aligncenter size-full wp-image-2132\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/e4e6f3c389fedb5e42177dd543fa579a.png 1253w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/e4e6f3c389fedb5e42177dd543fa579a-300x124.png 300w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/e4e6f3c389fedb5e42177dd543fa579a-1024x423.png 1024w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2021\/03\/e4e6f3c389fedb5e42177dd543fa579a-768x317.png 768w\" sizes=\"auto, (max-width: 1253px) 100vw, 1253px\" \/><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112021\u5e743\u67083\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u203b\u3053\u306e\u6642\u671f\u306eUpToDate\u306b\u3042\u308b\u201dWhat\u2019s new in family medicine\u201d\u306eTopic\u3067\u53c2\u8003\u306b\u3055\u308c\u3066\u3044\u308b\u6587\u732e\u3067\u3059\u3002 \uff0d\u6587\u732e\uff0d Long-term b-blocker therapy and clin &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=2127\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u9577\u671f\u30d9\u30fc\u30bf\u30d6\u30ed\u30c3\u30ab\u30fc\u7642\u6cd5\u306e\u7d99\u7d9a\u671f\u9593\uff082020\u5e7412\u6708)<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33,17],"tags":[],"class_list":["post-2127","post","type-post","status-publish","format-standard","hentry","category-whats-new","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2127","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2127"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2127\/revisions"}],"predecessor-version":[{"id":2133,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2127\/revisions\/2133"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2127"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2127"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}