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J2003.11.2April 1998
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L3^͂ɍQ邪Ǎ^͉Eۂ⎉bɐisɒuAEǂȂASsp鎾łBN҂ŕsɂˑRB | 5.ޕs\̐S؏ | LȊO̐S؏ǁB̓ECXS؉̌ǂł"\ƌĂB |
S؏iS؎ƂĂԁj |
AٖAAǐAӐASgiPaATRCh[VXȂǁjAWXgtB[A_oE؎AߕqǁEŁiAR[AAːAJeR~jAYS؏ |
y^S؏ǂƂ́z hypertrophic cardiomyopathy:HCM |
@^S؏ǂ͂ɍAɍES̔ƂBS͈̔lł͂ȂAǏIɋ傪ꍇBS̓o͐܂͋ȂĂB̂߂ɐS̒e͐ቺAgɊgɂȂB
@̏ot߂ł㕔Su̔Ȃ߂ɁAoH̋Ar̂ǐ^S؏ƌĂԁBǐƔǐ͔̕ʂƒxɂႢłA{IȈႢł͂ȂBS땔݂̂Ȃ̂S땔^S؏ƌĂԁBSGR[@̔BƕyɔāA^S؏ǂAmF悤ɂȂB
@̔^S؏ǂ͈`qُ̈ł邱ƂĂB܂A͈`qaȂ̂łBS̃^pN̈`qA~gRhÄ`qAӂɊW`qȂǂُ̈킪ĂB``́AD`A`AˑRψقƍlUB`qψوȊO̗v"\B܂A^S؏ǂ̕a͈ł͂ȂB
@ƂʓIȔΏ̐u^S؏ǂ̏ꍇ́A̔F̗D`B`q̕ψقĂĂǂȂ҂邽߂ɁAêǂ炩2{F̂̂A1ɕψقĂꍇłA̎q̔Ǘ50%ȉɂȂBASS땔͈`XアB
@uS؏ǂ̊҂̐͂ǂꂭ炢vAuaČo߂͂ǂȂ̂vAȂǂɂẮÅTOffmĂȂAWcf̊ȕւȌ@ȂȂǂ̗RŁAɂ悭ɂ킩ĂȂBmȔpx┭ǥiWɊ֗^댯quwIɉ𖾂邱Ƃ́A̐S؏ǂ̎Â̂߂̏dvłB
La
@L̗RŁA^S؏ǂ̕px(La)͒@ɂđ傫قȂAʂ̂傫Bl10lɑpx́̕A{ł170l`374lAĂł19.7`1A100lƂ܂܂łBʏ̐f@⌟ł͌Ƃ₷aCȂ̂ŁAߏ]₷ƂlɓĂKvBΏێґSɐSGR[s{ƉĂ̕ł́Al10l374lA170l̕pxĂB^S؏ǂƂƗގƂ̋ʂȒPł͂Ȃ̂ŐmȐ͕sAƑǂ͖10xłB
NEʁ
@唼͎vtȍ~ɔ傪ƍlĂ̂ŁA͏ȂBjł40`50ΑオAł͔NzɍȂB30Έȏł͒j͂悻3{ŁAjɑBǐ̐SuS땔40Έȍ~ɍDĂB
RE\ち@ڂ́mRo߁A\Ɠ]Anŏqׂ
@ُ͐܂݂̂ł͂ȂAvtȍ~ɔƍlB20`30ɂ͔rI肵Ă邪A40Έȍ~ɂ͒Ȕ悤ɂȂB^S؏ǂ10NS20%łBg^S؏ǂ܂Aɔׂ爫BˑRǐiS[דj\EB
ǐ^S؏ǁhypertrophic obstructive cardiomyopathyFHOCM
@̗ooLɕǁAN^CvBAgghv[@30mmHgȏ̈rF߂AǐƐffB
Sǐ^S؏ǁmidventricular obstructionFMVO
@ɔS̓oȂOɘAgghv[@30mmHgȏ̈rF߂ꍇB
S땔^S؏ǁapical hypertrophic cardiomyopathy:AHP
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