{"id":807,"date":"2010-05-07T11:32:50","date_gmt":"2010-05-07T02:32:50","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=807"},"modified":"2015-08-07T11:33:12","modified_gmt":"2015-08-07T02:33:12","slug":"%ef%bd%9e%e5%bf%83%e7%ad%8b%e6%a2%97%e5%a1%9e%e3%81%ae%ef%bc%92%e6%ac%a1%e4%ba%88%e9%98%b2%ef%bd%9e","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=807","title":{"rendered":"\uff5e\u5fc3\u7b4b\u6897\u585e\u306e\uff12\u6b21\u4e88\u9632\uff5e"},"content":{"rendered":"<p>\u3010\u6587\u732e\u3011<br \/>\nRecent developments in secondary prevention and cardiac rehabilitation after acute myocardial infarction. BMJ Mar 2004; 328: 693 &#8211; 697; doi:10.1136\/bmj.328.7441.693<\/p>\n<p>\u3010\u8981\u7d04\u3011<br \/>\n\u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u60a3\u8005\u3067\u306f\u3001\uff08\uff11\uff09\u6297\u8840\u5c0f\u677f\u85ac\u3001\uff08\uff12\uff09ACE\u963b\u5bb3\u85ac\u3001\uff08\uff13\uff09\u30b9\u30bf\u30c1\u30f3\u3001\uff08\uff14\uff09\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\u3000\u306e\u30eb\u30fc\u30c1\u30f3\u306e\u4f7f\u7528\u304c\u5927\u898f\u6a21\u81e8\u5e8a\u8a66\u9a13\u306b\u3066\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\uff08\uff11\uff09\u6297\u8840\u5c0f\u677f\u85ac<br \/>\n\u30fb \u6700\u8fd1\u306e\u3042\u308b\u7121\u4f5c\u70ba\u8a66\u9a13\u306b\u304a\u3044\u3066\u3001\u30a2\u30b9\u30d4\u30ea\u30f3\u4f4e\u7528\u91cf\uff0875-150mg\/\u65e5\uff09\u306e\u4f7f\u7528\u306f\u4e8c\u6b21\u4e88\u9632\u306b\u6709\u52b9\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002500-1500mg\/\u65e5\u306e\u9ad8\u7528\u91cf\u4f7f\u7528\u306f\u3088\u308a\u6709\u52b9\u3068\u3044\u3046\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u526f\u4f5c\u7528\u3067\u3042\u308b\u80c3\u8178\u969c\u5bb3\u3092\u304d\u305f\u3059\u3002<br \/>\n\u30fb Clopidogrel 75mg\/\u65e5\u306f\u30a2\u30b9\u30d4\u30ea\u30f3\u30a2\u30ec\u30eb\u30ae\u30fc\u3084\u80c3\u8178\u969c\u5bb3\u306e\u3042\u308b\u60a3\u8005\u306e\u4ee3\u66ff\u7642\u6cd5\u3068\u3057\u3066\u6709\u52b9\u3067\u3042\u308b\u304c\u3001\u9ad8\u4fa1\u3067\u3042\u308b\u3002<br \/>\n\u30fb Clopidogrel\u3092\u30a2\u30b9\u30d4\u30ea\u30f3\u306b9\u30f6\u6708\u8ffd\u52a0\u3059\u308b\u6cbb\u7642\u306f\u6025\u6027\u51a0\u75c7\u5019\u7fa4\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u3055\u3089\u306b\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u4e0b\u3052\u308b\u304c\u3001\u51fa\u8840\u306e\u30ea\u30b9\u30af\u304c\u5897\u52a0\u3059\u308b\u305f\u3081\u30eb\u30fc\u30c1\u30f3\u3067\u7528\u3044\u308b\u3079\u304d\u3067\u306a\u3044\u3002<br \/>\n\uff08\uff12\uff09ACE\u963b\u5bb3\u85ac<br \/>\n\u30fb \u5fc3\u7b4b\u6897\u585e\u5f8c\u306eACE\u963b\u5bb3\u85ac\u4f7f\u7528\u306f\u3001\u5fc3\u6a5f\u80fd\u4f4e\u4e0b\u75c7\u72b6\u306e\u3042\u308b\u60a3\u8005\u3084\u5de6\u5ba4\u6a5f\u80fd\u969c\u5bb3\u3092\u304d\u305f\u3057\u3066\u3044\u308b\u60a3\u8005\u306b\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u6700\u8fd1\u306e2\u3064\u306e\u7121\u4f5c\u70ba\u8a66\u9a13\u3067\u306f\u5168\u3066\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u7a81\u7136\u6b7b\u3084\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3092\u512a\u4f4d\u306b\u6e1b\u3089\u3057\u305f\u3068\u3044\u3046\u7d50\u679c\u3067\u3042\u3063\u305f\u3002<br \/>\n\uff08\uff13\uff09\u30b9\u30bf\u30c1\u30f3<br \/>\n\u30fb \u30b9\u30bf\u30c1\u30f3\u306f\u3001\u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u3084\u7a81\u7136\u6b7b\u306e\u30ea\u30b9\u30af\u3092\u6e1b\u5c11\u3055\u305b\u308b\u3002\u3053\u308c\u306f\u5973\u6027\u308465\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u306b\u9069\u5fdc\u3068\u306a\u308b\u304c\u3001\u3042\u308b\u7121\u4f5c\u70ba\u8a66\u9a13\u3067\u306f\u6027\u5225\u3001\u5e74\u9f62\u3001\u6cbb\u7642\u524d\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u5024\u306b\u7121\u95a2\u4fc2\u3068\u3044\u3046\u7d50\u679c\u3067\u3042\u3063\u305f\u3002<br \/>\n\uff08\uff14\uff09\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc<br \/>\n\u30fb \u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\u306f\u6b7b\u4ea1\u7387\u3001\u5fc3\u7b4b\u6897\u585e\u518d\u767a\u7387\u3092\u6e1b\u5c11\u3055\u305b\u308b\u30022\u3064\u306e\u7814\u7a76\u3067\u306f\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u5fc3\u6a5f\u80fd\u3092\u7dad\u6301\u3055\u308c\u308b\u3053\u3068\u304c\u78ba\u8a8d\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\u30fb \u6700\u8fd1\u306e\u3042\u308b\u5927\u898f\u6a21\u306a\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u3001\u3046\u3064\u75c5\u306e\u30ea\u30b9\u30af\u3092\u8457\u660e\u306b\u5897\u3084\u3059\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u5026\u6020\u611f\u3084\u6027\u6a5f\u80fd\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u3092\u8efd\u5ea6\u4e0a\u6607\u3055\u305b\u308b\u306b\u3068\u3069\u307e\u3063\u305f\u3002<br \/>\n\u30fb \u30b3\u30af\u30e9\u30f3\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u8efd\u75c7\u304b\u3089\u4e2d\u7b49\u5ea6\u306e\u547c\u5438\u5668\u75be\u60a3\u3092\u3082\u3064\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u77ed\u671f\u9593\u306e\u6cbb\u7642\u306e\u9593\u306f\u547c\u5438\u5668\u72b6\u614b\u3092\u60aa\u5316\u3055\u305b\u306a\u3044\u3068\u7d50\u8ad6\u3065\u3051\u3066\u304a\u308a\u3001\u5598\u606f\u3084COPD\u60a3\u8005 \u306b\u304a\u3051\u308b\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\u306e\u7981\u5fcc\u306b\u3064\u3044\u3066\u7591\u554f\u304c\u3067\u3066\u304d\u3066\u3044\u308b\u3002\u305d\u3057\u3066\u3001\u5fc3\u4e0d\u5168\u3084\u9ad8\u8840\u5727\u3001\u4e0d\u6574\u8108\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u4f7f\u7528\u3059\u308b\u5229\u70b9\u306f\u6b20\u70b9\u3088\u308a\u3082\u5927\u304d\u3044\u3068 \u7d50\u8ad6\u3065\u3051\u305f\u3002<br \/>\n\u30fb \u3042\u308b\u7814\u7a76\u3067\u306f\u5598\u606f\u3084COPD\u3092\u3082\u3064\u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u60a3\u8005\u3067\u306f40%\u306e\u6b7b\u4ea1\u7387\u306e\u6e1b\u5c11\u304c\u5831\u544a\u3055\u308c\u3001\u5fc3\u4e0d\u5168\u306e\u60a3\u8005\u308480\u6b73\u4ee5\u4e0a\u306e\u60a3\u8005\u3067\u6709\u76ca\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002<br \/>\n\u30fb \u6700\u8fd1\u306e\u3042\u308b\u7814\u7a76\u3067\u306f\u3001\u91cd\u5ea6\u306e\u672b\u68a2\u52d5\u8108\u75be\u60a3\u3092\u3082\u3064\u60a3\u8005\u306b\u03b2\u30d6\u30ed\u30c3\u30ab\u30fc\u3092\u4f7f\u7528\u3059\u3079\u304d\u3067\u3042\u308b\u304c\u3001\u91cd\u5ea6\u3067\u306f\u306a\u3044\u672b\u68a2\u52d5\u8108\u75be\u60a3\u306b\u304a\u3044\u3066\u306f\u3042\u307e\u308a\u6709\u52b9\u3067\u306f\u306a\u3044\u3068\u793a\u3057\u3066\u3044\u308b\u3002<br \/>\n\u7d44\u7e54\u7684\u30b1\u30a2<br \/>\n\u30fb\u3000\u6700\u8fd1\u306e\u7814\u7a76\u3067\u306f\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u4e8c\u6b21\u4e88\u9632\u306b\u304a\u3044\u3066\u7d44\u7e54\u7684\u30b1\u30a2\u304c\u6709\u52b9\u3067\u3042\u308b\u3068\u3044\u3046\u7d50\u679c\u304c\u3067\u3066\u3044\u308b\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u3068\u75c5\u9662\u306e\u826f\u3044\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3001\u591a\u9762\u7684\u306a\u696d\u52d9\u304c\u4e00\u822c\u7684\u306b\u6210\u529f\u3059\u308b\u30c6\u30fc\u30de\u3067\u3042\u308b\u3002<br \/>\n\u30fb\u3000\u8a3a\u7642\u6240\u3067\u306e\u770b\u8b77\u5e2b\u306b\u3088\u308b\u5fc3\u7b4b\u6897\u585e\u306e\u4e8c\u6b21\u4e88\u9632\u3082\u4e88\u5f8c\u306e\u6539\u5584\u3092\u8a8d\u3081\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<br \/>\n\u5fc3\u81d3\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3<br \/>\n\u30fb\u3000\u5fc3\u81d3\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u76ee\u7684\u306f\u3001\u60a3\u8005\u306e\u6a5f\u80fd\u3092\u9069\u5207\u306a\u3082\u306e\u306b\u3059\u308b\u3053\u3068\u3068\u751f\u6d3b\u306e\u8cea\u3092\u4e0a\u3052\u308b\u3053\u3068\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u518d\u767a\u3092\u9632\u3050\u3053\u3068\u3067\u3042\u308b\u3002<br \/>\n\u30fb\u3000\u5305\u62ec\u7684\u306a\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u306f\u3001\u904b\u52d5\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3001\u884c\u52d5\u5909\u5bb9\u3001\u7cbe\u795e\u7684\u30b5\u30dd\u30fc\u30c8\u304c\u542b\u307e\u308c\u308b\u3002<br \/>\n\u30fb\u3000\u6700\u8fd1\u306e\u30b3\u30af\u30e9\u30f3\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u3001\u5fc3\u81d3\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3063\u305f\u5834\u5408\u306b\u81f4\u6b7b\u7387\u306b\u304a\u3044\u306627%\u306e\u6e1b\u5c11\u3092\u8a8d\u3081\u305f\uff08\u30aa\u30c3\u30ba\u6bd40.73\uff09\u3002<br \/>\n\u5fc3\u7406\u793e\u4f1a\u7684\u4ecb\u5165<br \/>\n\uff08\uff11\uff09\u7981\u7159<br \/>\n\u30fb \u3000\u51a0\u52d5\u8108\u75be\u60a3\u3092\u6301\u3064\u60a3\u8005\u304c\u7981\u7159\u3057\u305f\u5834\u5408\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u518d\u767a\u309250%\u6e1b\u5c11\u3055\u308c\u308b\u3068\u3044\u3046\u7814\u7a76\u304c\u306a\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u7981\u7159\u3059\u308b\u5229\u70b9\u306e\u3067\u308b\u30bf\u30a4\u30df\u30f3\u30b0\u3084\u30ea\u30b9\u30af\u6e1b\u5c11 \u306e\u5272\u5408\u306f\u3001\u73fe\u5728\u8b70\u8ad6\u3055\u308c\u3066\u3044\u308b\u3068\u3053\u308d\u3067\u3042\u308b\u3002\u6700\u8fd1\u306e\u30b7\u30b9\u30c6\u30de\u30c6\u30a3\u30c3\u30af\u30ec\u30d3\u30e5\u30fc\u3067\u306f\u3001\u51a0\u8840\u7ba1\u75be\u60a3\u3092\u6301\u3064\u60a3\u8005\u304c\u7981\u7159\u3057\u305f\u5834\u5408\u3001\u81f4\u6b7b\u7387\u30920.64\u306b\u6e1b\u5c11\u3055\u305b\u305f\u3002<br \/>\n\u30fb\u3000\u7981\u7159\u306f\u3001\u51a0\u8840\u7ba1\u56e0\u5b50\u3092\u6301\u3064\u5168\u3066\u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u6700\u512a\u5148\u4e8b\u9805\u3067\u3042\u308b\u3002\u30d7\u30e9\u30a4\u30de\u30ea\u30b1\u30a2\u533b\u306b\u3068\u3063\u3066\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3001\u3068\u304f\u306b\u7981\u7159\u3092\u6210\u529f\u3055\u305b\u308b\u3053\u3068\u306f\u6311\u6226\u3067\u3042\u308b\u3002<br \/>\n\uff08\uff12\uff09\u3000\u5fc3\u7406\u5b66\u7684\u30d7\u30ed\u30b0\u30e9\u30e0<br \/>\n\u30fb\u3000\u5fc3\u7b4b\u6897\u585e\u5f8c\u3001\u3046\u3064\u75c5\u306f\u4e00\u822c\u306b\u751f\u3058\u3084\u3059\u3044\u3002\u5927\u3046\u3064\u75c5\u306f15-20%\u306e\u60a3\u8005\u3067\u751f\u3058\u3001\u5927\u3046\u3064\u75c5\u306b\u306a\u3089\u306a\u304f\u3068\u3082\u540c\u69d8\u306e\u3046\u3064\u75c7\u72b6\u3092\u304d\u305f\u3059\u3053\u3068\u3082\u591a\u3044\u3002<br \/>\n\u30fb\u3000\u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u3046\u3064\u75c5\u3084\u793e\u4f1a\u7684\u30b5\u30dd\u30fc\u30c8\u306e\u6b20\u5982\u306f\u81f4\u6b7b\u7387\u3092\u4e0a\u6607\u3055\u305b\u308b\u304c\u3001\u305d\u306e\u6b63\u78ba\u306a\u30e1\u30ab\u30cb\u30ba\u30e0\u306f\u77e5\u3089\u308c\u3066\u3044\u306a\u3044\u3002<br \/>\n\u30fb\u3000\u6700\u8fd1\u306e\u7814\u7a76\u306b\u304a\u3044\u3066\u51a0\u8840\u7ba1\u75be\u60a3\u3092\u6301\u3064\u60a3\u8005\u306b\u5bfe\u3057\u3066\u8a8d\u77e5\u884c\u52d5\u7642\u6cd5\u3084\u6297\u3046\u3064\u85ac\u3092\u4f7f\u7528\u3057\u305f\u304c\u300129\u30f6\u6708\u5f8c\u306efollow up\u306b\u304a\u3044\u3066\u3082\u5fc3\u7b4b\u6897\u585e\u306e\uff12\u6b21\u4e88\u9632\u306b\u5bfe\u3057\u3066\u6709\u610f\u306a\u6539\u5584\u3092\u8a8d\u3081\u306a\u304b\u3063\u305f\u3002<\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n\uff12\uff10\uff11\uff10\u5e74\uff14\u6708\uff12\uff18\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6587\u732e\u3011 Recent developments in secondary prevention and cardiac rehabilitation after acute myocardial infarction. &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=807\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\uff5e\u5fc3\u7b4b\u6897\u585e\u306e\uff12\u6b21\u4e88\u9632\uff5e<\/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-807","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\/807","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=807"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/807\/revisions"}],"predecessor-version":[{"id":808,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/807\/revisions\/808"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=807"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=807"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=807"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}