{"id":95,"date":"2014-10-08T11:58:40","date_gmt":"2014-10-08T02:58:40","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=95"},"modified":"2015-08-06T11:59:06","modified_gmt":"2015-08-06T02:59:06","slug":"%e8%a8%ba%e7%99%82%e6%89%80%e3%81%a7%e3%81%ae%e5%bc%81%e8%86%9c%e7%97%87%e8%a9%95%e4%be%a1","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=95","title":{"rendered":"\u8a3a\u7642\u6240\u3067\u306e\u5f01\u819c\u75c7\u8a55\u4fa1"},"content":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015<br \/>\nYukio Abe, MD, Makoto Ito, MD, Chiharu Tanaka, M. \u00a0A\u00a0novel\u00a0\u00a0and simple\u3000method using pocket-sized echocardiography to screen for aorticstenosis. \u00a0J Am Soc Echocardiogr. 2013;26: 589-596<\/p>\n<p>\u2015\u8981\u7d04\u2015<br \/>\n\u3010\u80cc\u666f\u3011<br \/>\n\u5927\u52d5\u8108\u5f01\u72ed\u7a84\u75c7\uff08\u4ee5\u4e0b\u3001AS\uff09\u306f\u6700\u3082\u3042\u308a\u3075\u308c\u305f\u5f01\u819c\u75c7\u3067\u3042\u308a\u3001\u52a0\u9f62\u5909\u6027\u306b\u3088\u308b\u77f3\u7070\u5316\u304c\u73fe\u4ee3\u306eAS\u306e\u4e00\u756a\u306e\u8981\u56e0\u3068\u306a\u3063\u3066\u3044\u308b\u3002AS\u306f\u901a\u5e38\u3001\u53ce\u7e2e\u671f\u99c6\u51fa\u6027\u96d1\u97f3\uff08\u4ee5\u4e0b\u3001SEM\uff09\u3092\u6a5f\u306b\u767a\u898b\u3055\u308c\u308b\u300250\u6b73\u4ee5\u4e0a\u306e50\uff05\u8fd1\u304f\u306bSEM\u3092\u8074\u53d6\u3059\u308b\u3053\u3068\u304b\u3089\u3001\u3059\u3079\u3066\u306e\u4eba\u306b\u6700\u4e0a\u4f4d\u6a5f\u7a2e\u306e\u5fc3\u81d3\u30a8\u30b3\u30fc\u691c\u67fb\u3092\u884c\u3046\u3053\u3068\u306f\u6642\u9593\u3082\u304b\u304b\u308a\u3001\u7d4c\u6e08\u7684\u8ca0\u62c5\u306b\u3082\u306a\u308b\u3002\u305d\u3053\u3067\u91cd\u5927\u306aAS\u3092\u767a\u898b\u3059\u308b\u305f\u3081\u306e\u7c21\u4fbf\u306a\u65b9\u6cd5\u304c\u5fc5\u8981\u3068\u3055\u308c\u3066\u3044\u308b\u3002<br \/>\n\u3000\u30dd\u30b1\u30c3\u30c8\u30a8\u30b3\u30fc\u3067\u306e\u5fc3\u81d3\u30a8\u30b3\u30fc\u691c\u67fb\u306f\u305d\u306e\u4e00\u3064\u306b\u4f4d\u7f6e\u3065\u3051\u3089\u308c\u308b\u304b\u3082\u3057\u308c\u306a\u3044\u3002\u3053\u306e\u7814\u7a76\u3067\u306f\u30dd\u30b1\u30c3\u30c8\u30a8\u30b3\u30fc\u3092AS\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u306b\u4f7f\u7528\u3059\u308b\u4fa1\u5024\u306b\u3064\u3044\u3066\u306e\u8a55\u4fa1\u3059\u308b\u76ee\u7684\u3067\u884c\u308f\u308c\u305f\u3002<\/p>\n<p>\u3010\u65b9\u6cd5\u3011<br \/>\n\u7d99\u7d9a\u8a3a\u7642\u3092\u53d7\u3051\u308b20\u6b73\u4ee5\u4e0a\u306e2\u5ea6\u4ee5\u4e0a\u306eSEM\u304b\u65e2\u77e5\u306eAS\u60a3\u8005147\u540d\u3092\u96c6\u3081\u3001\u5927\u962a\u5e02\u7acb\u7dcf\u5408\u75c5\u9662\u3067\u5fc3\u81d3\u30a8\u30b3\u30fc\u691c\u67fb\u3092\u884c\u3063\u305f\u3002\u7d4c\u9a13\u8c4a\u5bcc\u306a\u5faa\u74b0\u5668\u5185\u79d1\u533b\u306b\u3088\u308b\u8eab\u4f53\u6240\u898b\u306e\u306e\u3061\u3001\u719f\u9054\u3057\u305f\u6280\u5e2b\u306b\u3088\u308b\u30dd\u30b1\u30c3\u30c8\u30a8\u30b3\u30fc\u3067\u5927\u52d5\u8108\u5f01\u306e\u89e3\u653e\u3092\u8996\u899a\u7684\u306b\u30b9\u30b3\u30a2\u5316\u3057\u305f\uff080=\u5236\u9650\u306a\u3057\u30011=\u5236\u9650\u3042\u308a\u30012=\u91cd\u5ea6\u306b\u5236\u9650\uff09\u3002\u305d\u306e\u5408\u8a08\u5024\u3092Visual AS score\u3068\u5b9a\u7fa9\u3057\u305f\u3002\u6700\u4e0a\u4f4d\u6a5f\u7a2e\u3067\u306e\u5fc3\u81d3\u30a8\u30b3\u30fc\u691c\u67fb\u7d50\u679c\u306b\u57fa\u3065\u304d\u3001\u5927\u52d5\u8108\u5f01\u9ad8\u9762\u7a4d\u6307\u6a19\uff08Aortic Valve Area Index\u4ee5\u4e0b\u3001AVAI\uff09\u304c0.6cm2\/m2\u30680.6\uff5e0.85 cm2\/m2 \u3092\u305d\u308c\u305e\u308c\u91cd\u5ea6AS\u3068\u4e2d\u7b49\u5ea6AS\u3092\u793a\u3059\u3082\u306e\u3068\u307f\u306a\u3057\u305f\u3002<\/p>\n<p>\u3010\u7d50\u679c\u3011<br \/>\n147\u540d\u306e\u306a\u304b\u306751\u540d\u304cAS\u306e\u8a3a\u65ad\u3092\u53d7\u3051\u3066\u304a\u308a\u300151\u540d\u304c\u4f55\u3089\u304b\u306e\u75c7\u72b6\u3092\u6709\u3057\u3066\u3044\u305f\u3002\u691c\u67fb\u56f0\u96e3\u3060\u3063\u305f\u308a\u3001\u4ed6\u306e\u5f01\u819c\u75c7\u6027\u75be\u60a3\u306b\u3088\u308b\u96d1\u97f3\u3060\u3063\u305f\u3082\u306e\u306a\u3069\u3092\u9664\u5916\u3057\u3001130\u540d\u306e\u60a3\u8005\u304c\u6b8b\u3063\u305f\u3002\u305d\u306e\u3046\u306155\u540d\u304c\u7537\u6027\u3067\u3001\u5e73\u5747\u5e74\u9f62\u306f74\u00b110\u6b73\u3060\u3063\u305f\u3002\u91cd\u5ea6AS\u3068\u8a3a\u65ad\u3055\u308c\u305f\u306e\u306f27\u540d\u3067\u3001\u4e2d\u7b49\u5ea6AS\u3068\u8a3a\u65ad\u3055\u308c\u305f\u306e\u306f30\u540d\u3060\u3063\u305f\u3002<br \/>\nVisual AS score\u3068AVAI\u3068\u306f\u5f37\u3044\u95a2\u9023\u304c\u898b\u3089\u308c\u305f(R=-0.89, P<.0001 ; Figure2)\u3002\u91cd\u5ea6AS\u3092\u8a3a\u65ad\u3059\u308b\u3046\u3048\u3067\u9838\u52d5\u8108\u3078\u306eSEM\u306e\u653e\u6563\u3068SEM\u306e\u30d4\u30fc\u30af\u304c\u5f8c\u65b9\u306b\u305a\u308c\u308b\u3053\u3068\u3068\u9838\u52d5\u8108\u6ce2\u306e\u7de9\u5f90\u306a\u7acb\u3061\u4e0a\u304c\u308a\u304c\u6700\u3082\u9ad8\u3044\u611f\u5ea6(93%;95%CI; 76%-99%)\u3092\u793a\u3057\u3001\u2161\u97f3\u306e\u6d88\u5931\u304c\u6700\u3082\u7279\u7570\u5ea6\u304c\u9ad8\u304b\u3063\u305f(94%; 95%CI;88-98%)\u3002Visual AS score\u304c4\u70b9\u4ee5\u4e0a\u3092\u30ab\u30c3\u30c8\u30aa\u30d5\u3068\u3059\u308b\u3068\u91cd\u5ea6AS\u3092\u8a3a\u65ad\u3059\u308b\u3046\u3048\u3067\u611f\u5ea685\uff05\u3001\u7279\u7570\u5ea689\uff05\u3060\u3063\u305f\u3002\u4e2d\u7b49\u5ea6\uff5e\u91cd\u5ea6AS\u3068\u8a3a\u65ad\u3059\u308b\u3046\u3048\u3067\u306f\u9838\u52d5\u8108\u3078\u306e\u653e\u6563\u304c\u6700\u3082\u611f\u5ea6\u304c\u9ad8\u304f(91\n%;95%CI;81%-97%)\u3001\u9838\u52d5\u8108\u6ce2\u306e\u632f\u52d5\u304c\u6700\u3082\u7279\u7570\u5ea6\u304c\u9ad8\u304b\u3063\u305f(99%;95%CI;93%-100%)\u3002Visual AS score3\u70b9\u4ee5\u4e0a\u3092\u30ab\u30c3\u30c8\u30aa\u30d5\u3068\u3059\u308b\u3068\u611f\u5ea6\u306f84\uff05\u3001\u7279\u7570\u5ea6\u306f90\uff05\u3068\u306a\u3063\u305f\u3002\n\u30dd\u30b1\u30c3\u30c8\u30a8\u30b3\u30fc\u3067\u306eVisual AS score\u306e\u89b3\u5bdf\u8005\u9593\u306e\u518d\u691c\u67fb\u4fe1\u983c\u6027\u306f\u03ba\u5024\u304c0.78\u3068\u8a55\u4fa1\u3055\u308c\u305f\u3002\u30dd\u30b1\u30c3\u30c8\u30a8\u30b3\u30fc\u3092\u7528\u3044\u305f\u8a55\u4fa1\u3067\u306f125\u00b139\u79d2\u3092\u8981\u3057\u305f\u3002\n\n\u3010\u7d50\u8ad6\u3011\n\u3000\u4eca\u56de\u3001\u79c1\u305f\u3061\u304c\u63d0\u5531\u3059\u308bVisual AS score\u306f\u3001\u91cd\u8981\u306aAS\u306e\u5b58\u5728\u3092\u5224\u65ad\u3059\u308b\u3046\u3048\u3067\u719f\u9054\u3057\u305f\u8eab\u4f53\u6240\u898b\u3068\u540c\u7b49\u306e\u6b63\u78ba\u3055\u304c\u8a8d\u3081\u3089\u308c\u305f\u3002Visual AS score3\u70b9\u672a\u6e80\u3067\u306f\u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u5ea6AS\u306e\u5426\u5b9a\u306b\u3064\u306a\u304c\u308a\u30014\u70b9\u4ee5\u4e0a\u3067\u306f\u91cd\u5ea6AS\u306e\u78ba\u5b9a\u306b\u5f79\u7acb\u3064\u3002\u30dd\u30b1\u30c3\u30c8\u30a8\u30b3\u30fc\u306fAS\u306e\u7d20\u65e9\u3044\u8a3a\u65ad\u306b\u3064\u306a\u304c\u308a\u3001\u6570\u591a\u304f\u306eSEM\u3092\u8a8d\u3081\u308b\u60a3\u8005\u306b\u5bfe\u3057\u3066\u3055\u3089\u306a\u308b\u7cbe\u67fb\u3092\u884c\u3046\u304b\u3069\u3046\u304b\u306e\u5224\u65ad\u3092\u624b\u52a9\u3051\u3057\u3066\u304f\u308c\u308b\u3060\u308d\u3046\u3002\n\n\n\u3010\u958b\u50ac\u65e5\u3011\n2014\u5e7410\u67088\u65e5\uff08\u6c34\uff09\n<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u2015\u6587\u732e\u540d\u2015 Yukio Abe, MD, Makoto Ito, MD, Chiharu Tanaka, M. \u00a0A\u00a0novel\u00a0\u00a0and simple\u3000method using pocket-sized echocar &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=95\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">\u8a3a\u7642\u6240\u3067\u306e\u5f01\u819c\u75c7\u8a55\u4fa1<\/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-95","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\/95","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=95"}],"version-history":[{"count":1,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/95\/revisions"}],"predecessor-version":[{"id":96,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/95\/revisions\/96"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=95"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=95"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=95"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}