{"id":2292,"date":"2023-03-27T16:33:25","date_gmt":"2023-03-27T07:33:25","guid":{"rendered":"https:\/\/www.hcfm.jp\/journal\/?p=2292"},"modified":"2023-03-27T16:33:25","modified_gmt":"2023-03-27T07:33:25","slug":"%e5%ae%89%e5%ae%9a%e3%81%97%e3%81%9f%e6%85%a2%e6%80%a7%e5%bf%83%e4%b8%8d%e5%85%a8%e6%82%a3%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e5%88%a9%e5%b0%bf%e5%89%a4%e3%81%ae%e4%bc%91%e8%96%ac","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=2292","title":{"rendered":"\u5b89\u5b9a\u3057\u305f\u6162\u6027\u5fc3\u4e0d\u5168\u60a3\u8005\u306b\u304a\u3051\u308b\u5229\u5c3f\u5264\u306e\u4f11\u85ac"},"content":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d
\nShort term diuretic withdrawal in stable outpatients with mild heart failure and no fluid retention receiving optimal therapy Eur Heart J.2019;40(44):3605-3612 <\/p>\n

\uff0d\u8981\u7d04\uff0d
\n\u3010\u76ee\u7684\u3011
\n\u30eb\u30fc\u30d7\u5229\u5c3f\u85ac\u306f\u5fc3\u4e0d\u5168\u306e\u6cbb\u7642\u306b\u5e83\u304f\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u304c\uff0c\u5916\u6765\u3067\u306e\u5229\u5c3f\u85ac\u8abf\u6574\u306e\u6307\u91dd\u3068\u306a\u308b\u6700\u65b0\u306e\u30c7\u30fc\u30bf\u306f\u5c11\u306a\u3044.
\n\u3010\u65b9\u6cd5\u3011
\n\u30d6\u30e9\u30b8\u30eb\u306e11\u306e\u5fc3\u4e0d\u5168\u30af\u30ea\u30cb\u30c3\u30af\u306b\u304a\u3044\u3066\uff0c\u5b89\u5b9a\u3057\u305f\u5fc3\u4e0d\u5168\u5916\u6765\u60a3\u8005\u306b\u5bfe\u3059\u308b\u4f4e\u7528\u91cf\u30d5\u30ed\u30bb\u30df\u30c9\u306e\u4f11\u85ac\u306e\u5b89\u5168\u6027\u3068\u5fcd\u5bb9\u6027\u3092\uff0c\u524d\u5411\u304d\u7121\u4f5c\u70ba\u5316\u4e8c\u91cd\u76f2\u691c\u30d7\u30ed\u30c8\u30b3\u30fc\u30eb\u3067\u691c\u8a3c\u3057\u305f.
\n\u672c\u8a66\u9a13\u3067\u306f\u30012\u3064\u306e\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u304c\u76f2\u691c\u306b\u3088\u308a\u8a55\u4fa1\u3055\u308c\u305f\u3002(i) 4\u3064\u306e\u6642\u671f\uff08\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u300115\u65e5\u76ee\u300145\u65e5\u76ee\u300190\u65e5\u76ee\uff09\u3067\u8a55\u4fa1\u3057\u305f\u8996\u899a\u7684\u30a2\u30ca\u30ed\u30b0\u30b9\u30b1\u30fc\u30eb\u306b\u3088\u308b\u547c\u5438\u56f0\u96e3\u30b9\u30b3\u30a2\u306e\u66f2\u7dda\u4e0b\u9762\u7a4d\uff08AUC\uff09\u3068\u3057\u3066\u5b9a\u91cf\u5316\u3057\u305f\u75c7\u72b6\u8a55\u4fa1\u3001\u304a\u3088\u3073 (ii) \u8ffd\u8de1\u671f\u9593\u4e2d\u306b\u5229\u5c3f\u5264\u306e\u518d\u4f7f\u7528\u304c\u306a\u304f\u7dad\u6301\u3055\u308c\u308b\u60a3\u8005\u306e\u5272\u5408.
\n188\u540d\u306e\u60a3\u8005\uff08\u5973\u602725\uff05\u300159\u00b113\u6b73\u3001\u5de6\u5ba4\u99c6\u51fa\u738732\u00b18\uff05\uff09\u3092\u767b\u9332\u3057\u3001\u30d5\u30ed\u30bb\u30df\u30c9\u4f11\u85ac\u7fa4\uff08n\uff1d95\uff09\u307e\u305f\u306f\u7dad\u6301\u7fa4\uff08n\uff1d93\uff09\u306b\u7121\u4f5c\u70ba\u306b\u5272\u308a\u4ed8\u3051\u3089\u308c\u305f\u3002
\n\u3010\u7d50\u679c\u3011
\n\u7b2c\u4e00\u306e\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306b\u3064\u3044\u3066\u306f\u3001\u30d5\u30ed\u30bb\u30df\u30c9\u4f11\u85ac\u3068\u7d99\u7d9a\u6295\u4e0e\u306e\u6bd4\u8f03\u306b\u304a\u3044\u3066\u3001\u60a3\u8005\u306e\u547c\u5438\u56f0\u96e3\u306e\u8a55\u4fa1\u306b\u6709\u610f\u5dee\u306f\u8a8d\u3081\u3089\u308c\u306a\u304b\u3063\u305f\uff3bAUC\u4e2d\u592e\u50241875\uff08IQR383-3360\uff09\u304a\u3088\u30731541\uff08IQR474-3124\uff09\u3001\u305d\u308c\u305e\u308c\u3001P = 0.94\uff3d
\n\u7b2c\u4e8c\u306e\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306b\u3064\u3044\u3066\u306f\u3001\u4f11\u85ac\u7fa470\u4eba\uff0875.3\uff05\uff09\u3001\u7dad\u6301\u7fa477\u4eba\uff0883.7\uff05\uff09\u304c\u3001\u8ffd\u8de1\u671f\u9593\u4e2d\u306b\u30d5\u30ed\u30bb\u30df\u30c9\u306e\u518d\u4f7f\u7528\u304c\u306a\u304b\u3063\u305f\uff08\u4f11\u85ac\u306b\u3088\u308b\u30d5\u30ed\u30bb\u30df\u30c9\u8ffd\u52a0\u4f7f\u7528\u306e\u30aa\u30c3\u30ba\u6bd41.69\u300195\uff05\u4fe1\u983c\u533a\u95930.82-3.49\u3001P = 0.16 \uff09\u3002\u5fc3\u4e0d\u5168\u95a2\u9023\u306e\u30a4\u30d9\u30f3\u30c8\uff08\u5165\u9662\u3001\u6551\u6025\u5916\u6765\u53d7\u8a3a\u3001\u6b7b\u4ea1\uff09\u306f\u983b\u5ea6\u304c\u5c11\u306a\u304f\u3001\u7fa4\u9593\u3067\u5dee\u304c\u306a\u304b\u3063\u305f\uff08P = 1.0\uff09\u3002
\n\u3010\u7d50\u8ad6\u3011
\n\u5229\u5c3f\u5264\u306e\u4f11\u85ac\u306b\u3088\u308a\u3001\u547c\u5438\u56f0\u96e3\u306e\u81ea\u5df1\u8a8d\u8b58\u3084\u30d5\u30ed\u30bb\u30df\u30c9\u306e\u518d\u4f7f\u7528\u306e\u5fc5\u8981\u6027\u304c\u5897\u52a0\u3059\u308b\u3053\u3068\u306f\u306a\u304b\u3063\u305f\u3002\u6700\u9069\u306a\u85ac\u7269\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u308b\u4f53\u6db2\u8caf\u7559\u306e\u5fb4\u5019\u306e\u306a\u3044\u5b89\u5b9a\u3057\u305f\u5916\u6765\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u5229\u5c3f\u5264\u306e\u4e2d\u6b62\u306f\u691c\u8a0e\u306b\u5024\u3059\u308b\u3068\u601d\u308f\u308c\u308b\u3002<\/p>\n

\u3010limitation\u3011
\n\u30d5\u30ed\u30bb\u30df\u30c9\u4e2d\u6b62\u306b\u3088\u308b\u9577\u671f\u7684\u306a\u5f71\u97ff\u306b\u3064\u3044\u3066\u306f\u4e0d\u78ba\u5b9f\u3067\u3042\u308b\u3002
\n\u547c\u5438\u56f0\u96e3VAS\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306b\u4e8b\u524d\u306b\u5b9a\u7fa9\u3055\u308c\u305f\u30b5\u30f3\u30d7\u30eb\u30b5\u30a4\u30ba\u3092\u9054\u6210\u3067\u304d\u306a\u304b\u3063\u305f\u3002
\n\u6bd4\u8f03\u7684\u82e5\u3044HF\u60a3\u8005\u96c6\u56e3\u304c\u767b\u9332\u3055\u308c\u3066\u304a\u308a\u3001\u79c1\u305f\u3061\u306e\u7d50\u679c\u306f\u975e\u5e38\u306b\u9ad8\u9f62\u8005\u306b\u306f\u5f53\u3066\u306f\u307e\u3089\u306a\u3044\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\u3010\u958b\u50ac\u65e5\u3011
\n2022\u5e741\u670812\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"

\uff0d\u6587\u732e\u540d\uff0d Short term diuretic withdrawal in stable outpatients with mild heart failure and no fluid retention rece … \u7d9a\u304d\u3092\u8aad\u3080 \u5b89\u5b9a\u3057\u305f\u6162\u6027\u5fc3\u4e0d\u5168\u60a3\u8005\u306b\u304a\u3051\u308b\u5229\u5c3f\u5264\u306e\u4f11\u85ac<\/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":[17],"tags":[],"class_list":["post-2292","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2292","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=2292"}],"version-history":[{"count":2,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2292\/revisions"}],"predecessor-version":[{"id":2298,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/2292\/revisions\/2298"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}