{"id":8395,"date":"2025-07-26T10:48:33","date_gmt":"2025-07-26T14:48:33","guid":{"rendered":"https:\/\/www.curingheartdisease.com\/?p=8395"},"modified":"2026-07-16T11:04:38","modified_gmt":"2026-07-16T15:04:38","slug":"%e5%86%a0%e5%8b%95%e8%84%88%e7%96%be%e6%82%a3%e3%81%ae%e9%80%80%e8%a1%8c%e3%81%ab%e9%96%a2%e3%81%99%e3%82%8b%e5%b0%82%e9%96%80%e7%9a%84%e3%81%aa%e8%a1%80%e7%ae%a1%e9%80%a0%e5%bd%b1%e8%a9%95%e4%be%a1","status":"publish","type":"post","link":"https:\/\/www.curingheartdisease.com\/ja\/expert-angiographic-evaluation-of-coronary-artery-disease-regression-the-megdal-serial-angiogram-2014-2018\/","title":{"rendered":"\u51a0\u52d5\u8108\u75be\u60a3\u9000\u7e2e\u306e\u5c02\u9580\u7684\u8840\u7ba1\u9020\u5f71\u8a55\u4fa1\uff1a\u30e1\u30b0\u30c0\u30eb\u9023\u7d9a\u8840\u7ba1\u9020\u5f71\uff082014\u20132018\u5e74\uff09"},"content":{"rendered":"

I. \u306f\u3058\u3081\u306b\uff1a\u51a0\u52d5\u8108\u75be\u60a3\u306e\u9006\u884c\u6027\u5909\u5316\u306e\u80cc\u666f<\/h3>\n

\"\"\u30a2\u30c6\u30ed\u30fc\u30e0\u6027\u52d5\u8108\u786c\u5316\u75c7\u306f\u3001\u6162\u6027\u304b\u3064\u9032\u884c\u6027\u306e\u8840\u7ba1\u75be\u60a3\u3067\u3042\u308a\u3001\u5f93\u6765\u306f\u75c5\u72b6\u306e\u9032\u884c\u3092\u9045\u3089\u305b\u308b\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u305f\u6cbb\u7642\u304c\u884c\u308f\u308c\u3066\u304d\u305f\u3002.1<\/sup> \u3053\u306e\u72b6\u614b\u306e\u6e2c\u5b9a\u53ef\u80fd\u306a\u6539\u5584\uff08\u69cb\u9020\u7684\u9000\u884c\u3068\u5b9a\u7fa9\u3055\u308c\u308b\uff09\u306f\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u7ba1\u7406\u306b\u304a\u3044\u3066\u9054\u6210\u3067\u304d\u308b\u6700\u9ad8\u306e\u6cbb\u7642\u6210\u679c\u3067\u3042\u308b\u3002.2<\/sup> \u518d\u72ed\u7a84\u306f\u3001\u8840\u7ba1\u9020\u5f71\u4e0a\u3001\u6700\u5c0f\u7ba1\u8154\u5f84\uff08MLD\uff09\u306e\u5897\u52a0\u3001\u3042\u308b\u3044\u306f\u72ed\u7a84\u5f84\u7387\uff08%DS\uff09\u306e\u4f4e\u4e0b\u306b\u3088\u3063\u3066\u78ba\u8a8d\u3055\u308c\u308b\u3002.2<\/sup> \u9023\u7d9a\u51a0\u52d5\u8108\u9020\u5f71\u3092\u7528\u3044\u305f\u81e8\u5e8a\u8a66\u9a13\u3067\u306f\u3001\u30ea\u30b9\u30af\u56e0\u5b50\u3092\u7a4d\u6975\u7684\u306b\u6539\u5584\u3059\u308b\u3053\u3068\u3067\u3001\u591a\u304f\u306e\u5834\u54082\uff5e4\u5e74\u3068\u3044\u3046\u6bd4\u8f03\u7684\u77ed\u671f\u9593\u306e\u3046\u3061\u306b\u3001\u9020\u5f71\u6240\u898b\u304c\u8457\u3057\u304f\u6539\u5584\u3055\u308c\u308b\u3053\u3068\u304c\u4e00\u8cab\u3057\u3066\u793a\u3055\u308c\u3066\u3044\u308b\u3002.2<\/sup><\/p>\n

\u4e00\u9023\u306e\u30e1\u30b0\u30c0\u30eb\u8840\u7ba1\u9020\u5f71\u753b\u50cf\u306f\u30012014\u5e74\u30682018\u5e74\u306e\u60a3\u8005\u306e\u51a0\u52d5\u8108\u89e3\u5256\u5b66\u7684\u69cb\u9020\u3092\u6bd4\u8f03\u3057\u3066\u304a\u308a\u3001\u91cd\u8981\u306a4\u5e74\u9593\u306e\u9593\u9694\u3092\u7db2\u7f85\u3057\u3066\u3044\u308b\u3002 \u91cd\u8981\u306a\u70b9\u3068\u3057\u3066\u3001\u3053\u308c\u3089\u306e\u753b\u50cf\u306f\u300c\u540c\u4e00\u306e\u88c5\u7f6e\u300d\u3067\u64ae\u5f71\u3055\u308c\u3001\u300c\u7ba1\u5f84\u306b\u5408\u308f\u305b\u3066\u30ad\u30e3\u30ea\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u300d\u304c\u65bd\u3055\u308c\u3066\u304a\u308a\u3001\u6bd4\u8f03\u306e\u305f\u3081\u306e\u5805\u7262\u3067\u7814\u7a76\u30ec\u30d9\u30eb\u306e\u65b9\u6cd5\u8ad6\u304c\u78ba\u7acb\u3055\u308c\u3066\u3044\u307e\u3059\u3002 \u305d\u306e\u7d50\u679c\u3001\u8996\u899a\u7684\u306b\u5287\u7684\u306a\u5909\u5316\u304c\u8a8d\u3081\u3089\u308c\u307e\u3059\u3002\u4e3b\u8981\u306a\u5fc3\u5916\u819c\u52d5\u8108\uff08\u5de6\u524d\u4e0b\u884c\u679d\u304a\u3088\u3073\u56de\u65cb\u679d\uff09\u5168\u4f53\u306b\u308f\u305f\u308b\u8840\u7ba1\u306e\u5168\u822c\u7684\u306a\u62e1\u5f35\u306b\u52a0\u3048\u3001\u6700\u3082\u6ce8\u76ee\u3059\u3079\u304d\u306f\u3001\u5bfe\u89d2\u679d\u306e\u8d77\u59cb\u90e8\u306b\u898b\u3089\u308c\u305f\u72ed\u7a84\u304c\u5b8c\u5168\u306b\u89e3\u6d88\u3055\u308c\u30012018\u5e74\u306b\u306f\u300c\u5b8c\u5168\u306b\u958b\u5b58\u300d\u3057\u305f\u72b6\u614b\u306b\u9054\u3057\u305f\u3053\u3068\u3067\u3059\u3002.<\/p>\n

II. \u65b9\u6cd5\u8ad6\u7684\u57fa\u790e\uff1a\u5b9a\u91cf\u7684\u51a0\u52d5\u8108\u9020\u5f71\u306e\u5b8c\u5168\u6027<\/h3>\n

4\u5e74\u306e\u9593\u9694\u3092\u7f6e\u3044\u3066\u5b9f\u65bd\u3055\u308c\u305f2\u3064\u306e\u8840\u7ba1\u9020\u5f71\u691c\u67fb\u3092\u6bd4\u8f03\u3059\u308b\u969b\u306e\u4fe1\u983c\u6027\u306f\u3001\u53b3\u683c\u306a\u65b9\u6cd5\u8ad6\u7684\u7ba1\u7406\u306b\u304b\u304b\u3063\u3066\u3044\u308b\u3002\u3053\u308c\u3089\u306e\u691c\u67fb\u304c\u300c\u540c\u3058\u75c5\u9662\u306e\u540c\u3058\u88c5\u7f6e\u300d\u3067\u5b9f\u65bd\u3055\u308c\u3001\u300c\u7ba1\u5f84\u306b\u5408\u308f\u305b\u3066\u6821\u6b63\u300d\u3055\u308c\u3066\u3044\u305f\u3053\u3068\u3092\u5229\u7528\u8005\u304c\u78ba\u8a8d\u3059\u308b\u3053\u3068\u3067\u3001\u3053\u306e\u8a55\u4fa1\u306f\u9ad8\u7cbe\u5ea6\u306a\u5b9a\u91cf\u5206\u6790\u3068\u3057\u3066\u59a5\u5f53\u6027\u304c\u8a8d\u3081\u3089\u308c\u308b\u3002.<\/p>\n

A. \u9023\u7d9a\u7814\u7a76\u306b\u304a\u3051\u308bQCA\u306e\u539f\u5247\u3068\u59a5\u5f53\u6027\u691c\u8a3c<\/h4>\n

\u51a0\u52d5\u8108\u5185\u8154\u306e\u5bf8\u6cd5\u3092\u5ba2\u89b3\u7684\u306b\u6e2c\u5b9a\u3059\u308b\u6a19\u6e96\u7684\u306a\u65b9\u6cd5\u306f\u3001\u5b9a\u91cf\u7684\u51a0\u52d5\u8108\u9020\u5f71\uff08QCA\uff09\u3067\u3042\u308b\u3002.3<\/sup> \u6b63\u78ba\u6027\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u3001QCA\u3067\u306f\u3001\u30d4\u30af\u30bb\u30eb\u5358\u4f4d\u306e\u6e2c\u5b9a\u5024\u3092\u5b9f\u969b\u306e\u7269\u7406\u5358\u4f4d\uff08\u30df\u30ea\u30e1\u30fc\u30c8\u30eb\uff09\u306b\u5909\u63db\u3059\u308b\u305f\u3081\u306e\u8f03\u6b63\u624b\u9806\u304c\u5fc5\u8981\u3067\u3059\u3002.4<\/sup> \u540c\u4e00\u306e\u64ae\u50cf\u30b7\u30b9\u30c6\u30e0\u3092\u4f7f\u7528\u3059\u308b\u3053\u3068\u3067\u3001\u691c\u51fa\u5668\u306e\u5f62\u72b6\u3084\u753b\u50cf\u51e6\u7406\u30a2\u30eb\u30b4\u30ea\u30ba\u30e0\u306b\u8d77\u56e0\u3059\u308b\u8aa4\u5dee\u3092\u6700\u5c0f\u9650\u306b\u6291\u3048\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002.4<\/sup> \u3055\u3089\u306b\u3001\u30b7\u30b9\u30c6\u30e0\u304c\u660e\u793a\u7684\u306b\u300c\u8f03\u6b63\u300d\u3055\u308c\u3066\u3044\u305f\u3053\u3068\u3092\u78ba\u8a8d\u3057\u305f\u3053\u3068\u3067\u3001\u4e21\u7814\u7a76\u3092\u901a\u3058\u3066\u4e00\u8cab\u3057\u305f\u5e7e\u4f55\u5b66\u7684\u88dc\u6b63\u4fc2\u6570\u304c\u9069\u7528\u3055\u308c\u3066\u3044\u305f\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u3001\u89b3\u5bdf\u3055\u308c\u305f\u89e3\u5256\u5b66\u7684\u5909\u5316\u304c\u3001\u6280\u8853\u7684\u306a\u30a2\u30fc\u30c1\u30d5\u30a1\u30af\u30c8\u3067\u306f\u306a\u304f\u3001\u771f\u306e\u751f\u7269\u5b66\u7684\u9006\u8ee2\u3092\u53cd\u6620\u3057\u3066\u3044\u308b\u3068\u3044\u3046\u78ba\u4fe1\u304c\u9ad8\u307e\u3063\u305f\u3002.5<\/sup><\/p>\n\n\n\n\n\n\n\n\n
\u52d5\u8108\u533a\u9593<\/strong><\/td>\n2014\u5e74QCA\u89e3\u91c8\uff08\u30d3\u30b8\u30e5\u30a2\u30eb%DS\u63a8\u5b9a\u5024\uff09<\/strong><\/td>\n2018\u5e74 QCA \u89e3\u91c8\uff08\u30d3\u30b8\u30e5\u30a2\u30eb %DS \u63a8\u5b9a\u5024\uff09<\/strong><\/td>\nMLD\u306e\u63a8\u5b9a\u5909\u5316\u91cf\uff08\u0394 mm\uff09<\/strong><\/td>\n\u56de\u5e30\u30fb\u5206\u985e<\/strong><\/td>\n<\/tr>\n<\/thead>\n
\u5de6\u524d\u4e0b\u884c\u679d\u8fd1\u4f4d\u90e8<\/td>\n\u4e2d\u7b49\u5ea6\u306e\u72ed\u7a84\uff0840\uff5e55%\uff09<\/td>\n\u8efd\u5ea6\u306e\u72ed\u7a84\uff0820\u201330%\uff09<\/td>\n\u91cd\u5927\u306a<\/td>\n\u90e8\u5206\u56de\u5e30<\/td>\n<\/tr>\n
LAD\u4e2d\u90e8<\/td>\n\u8efd\u5ea6\u306e\u72ed\u7a84\uff0820\u201330%\uff09<\/td>\n\u307b\u307c\u6b63\u5e38\u306a\u958b\u5b58\u5ea6\uff08<10%\uff09<\/td>\n\u91cd\u5927\u306a<\/td>\n\u5b8c\u5168\u306a\u6a5f\u80fd\u56de\u5e30<\/td>\n<\/tr>\n
\u7b2c1\u5bfe\u89d2\u7dda\u306e\u5206\u5c90\u70b9<\/td>\n\u91cd\u5ea6\u306e\u72ed\u7a84\uff0860\u201375%\uff09<\/td>\n\u5b8c\u5168\u7279\u8a31\uff08<10%\uff09<\/td>\n\u6df1\u9060\u306a<\/td>\n\u5b8c\u5168\u306a\u89e3\u5256\u5b66\u7684\u9006\u8ee2<\/td>\n<\/tr>\n
\u30b5\u30fc\u30ab\u30e0\u30d5\u30ec\u30c3\u30af\u30b9\u52d5\u8108\uff08\u4e2d\u90e8\uff09<\/td>\n\u8efd\u5ea6\u30fb\u4e2d\u7b49\u5ea6\u306e\u72ed\u7a84\uff0830\u201345%\uff09<\/td>\n\u958b\u5b58\u6027\u306e\u6539\u5584\uff08<20%\uff09<\/td>\n\u4e2d\u7a0b\u5ea6<\/td>\n\u90e8\u5206\u56de\u5e30<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

B. \u6a19\u6e96\u5316\u3055\u308c\u305f\u75c5\u5909\u304a\u3088\u3073\u3073\u307e\u3093\u6027\u75c5\u5909\u306e\u89e3\u6790<\/h4>\n

\u753b\u50cf\u306b\u78ba\u8a8d\u3067\u304d\u308b\u8d64\u3044\u76ee\u5370\u306f\u3001\u3053\u306e\u5206\u6790\u306b\u304a\u3044\u3066\u300c\u6a19\u6e96\u5316\u3055\u308c\u3001\u8f03\u6b63\u6e08\u307f\u306e\u540c\u4e00\u9577\u3055\u306e\u30bb\u30b0\u30e1\u30f3\u30c8\u300d\u304c\u4f7f\u7528\u3055\u308c\u305f\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u624b\u6cd5\u306f\u3001\u30bb\u30b0\u30e1\u30f3\u30c8\u5168\u9577\u306b\u308f\u305f\u308b\u5e73\u5747\u30eb\u30fc\u30e1\u30f3\u5f84\uff08ALD\uff09\u306e\u5909\u5316\u3092\u6e2c\u5b9a\u3057\u3001\u305d\u306e\u6307\u6a19\u3092\u63d0\u4f9b\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u308b\u305f\u3081\u3001\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002 \u3073\u307e\u3093\u6027\u75be\u60a3\u306e\u6539\u5584<\/strong>, \u3001\u3053\u308c\u306f\u3001\u5358\u306b\u6700\u3082\u72ed\u3044\u90e8\u4f4d\u3067\u306e\u5c40\u6240\u7684\u306a\u6539\u5584\u306b\u3068\u3069\u307e\u3089\u305a\u3001\u30d7\u30e9\u30fc\u30af\u8ca0\u8377\u306e\u5168\u822c\u7684\u306a\u6e1b\u5c11\u3092\u793a\u3057\u3066\u3044\u308b\u3002.3<\/sup> 2018\u5e74\u306e\u753b\u50cf\u306b\u304a\u3044\u3066\u3001\u5de6\u524d\u4e0b\u884c\u679d\uff08LAD\uff09\u304a\u3088\u3073\u56de\u65cb\u679d\u306e\u533a\u9593\u306b\u308f\u305f\u308b\u8d64\u7dda\u306e\u9593\u3067\u5e83\u304f\u8a8d\u3081\u3089\u308c\u308b\u8840\u7ba1\u306e\u62e1\u5f35\u306f\u3001\u5168\u8eab\u7642\u6cd5\u306b\u3088\u3063\u3066\u3073\u307e\u3093\u6027\u30a2\u30c6\u30ed\u30fc\u30e0\u6027\u52d5\u8108\u786c\u5316\u306e\u9006\u8ee2\u304c\u6210\u529f\u88cf\u306b\u8a98\u5c0e\u3055\u308c\u305f\u3053\u3068\u3092\u88cf\u4ed8\u3051\u3066\u3044\u308b\u3002.<\/p>\n

III. \u8a73\u7d30\u306a\u8840\u7ba1\u9020\u5f71\u6bd4\u8f03\u89e3\u6790\uff082014\u5e74\u5bfe2018\u5e74\uff09<\/h3>\n

\u3053\u306e\u6bd4\u8f03\u304b\u3089\u3001\u75be\u60a3\u306e\u56de\u5fa9\u304c\u6210\u529f\u3057\u3001\u305d\u306e\u72b6\u614b\u304c\u6301\u7d9a\u3057\u3066\u3044\u308b\u3053\u3068\u3068\u4e00\u81f4\u3059\u308b\u3001\u9855\u8457\u304b\u3064\u5e83\u7bc4\u56f2\u306b\u308f\u305f\u308b\u5f62\u614b\u5b66\u7684\u5909\u5316\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3002.<\/p>\n

A. \u51a0\u52d5\u8108\u30bb\u30b0\u30e1\u30f3\u30c8\u306b\u304a\u3051\u308b\u63a8\u5b9a\u56de\u5e30\u7387<\/h4>\n

\u4ee5\u4e0b\u306e\u8868\u306f\u3001\u9ad8\u7cbe\u5ea6QCA\u624b\u6cd5\u3092\u524d\u63d0\u3068\u3057\u305f\u8996\u899a\u7684\u6bd4\u8f03\u306b\u57fa\u3065\u304d\u7b97\u51fa\u3055\u308c\u305f\u3001\u4e3b\u8981\u30bb\u30b0\u30e1\u30f3\u30c8\u306b\u304a\u3051\u308b\u53e3\u5f84\u306e\u5909\u5316\u7387\uff08\u76f4\u5f84\u72ed\u7a84\u7387\u3001\u307e\u305f\u306f%DS\uff09\u306e\u63a8\u5b9a\u5024\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002.<\/p>\n

B. \u591a\u91cd\u56de\u5e30\u306e\u5b9a\u6027\u7684\u304a\u3088\u3073\u5b9a\u91cf\u7684\u63a8\u8ad6<\/h4>\n
    \n
  1. \u5bfe\u89d2\u7dda\u7684\u306a\u30c8\u30ec\u30f3\u30c9\u53cd\u8ee2\uff1a<\/strong> 2014\u5e74\u3001\u7b2c1\u5bfe\u89d2\u679d\u8d77\u59cb\u90e8\uff08\u8d64\u4e38\uff09\u306b\u306f\u3001\u9ad8\u5ea6\u304b\u3064\u91cd\u5ea6\u306e\u72ed\u7a84\uff08\u76f4\u5f84\u306e\u6e1b\u5c11\u306f\u63a8\u5b9a60%\uff5e75%\uff09\u304c\u8a8d\u3081\u3089\u308c\u305f\u30022018\u5e74\u306e\u8ffd\u8de1\u8abf\u67fb\u3067\u306f\u3001\u3053\u306e\u30bb\u30b0\u30e1\u30f3\u30c8\u306f\u300c\u201c\u5b8c\u5168\u306b\u7279\u8a31\u3092\u53d6\u5f97\u3059\u308b<\/strong>,\u300d\u3001\u300c\u3053\u308c\u306f\u300110% \u304b\u3089 20% \u672a\u6e80\u3078\u3068\u6e1b\u5c11\u3057\u305f\u3053\u3068\u3092\u793a\u5506\u3057\u3066\u3044\u308b\u3002\u3053\u306e\u7a0b\u5ea6\u306e\u9006\u8ee2\u2015\u2015\u6700\u5927\u3067 65 \u30d1\u30fc\u30bb\u30f3\u30c6\u30fc\u30b8\u30dd\u30a4\u30f3\u30c8\u306e\u5909\u5316\u2015\u2015\u306f\u3001\u6975\u3081\u3066\u8106\u5f31\u3067\u8102\u8cea\u304c\u8c4a\u5bcc\u306a\u30a2\u30c6\u30ed\u30fc\u30e0\u6027\u52d5\u8108\u786c\u5316\u30d7\u30e9\u30fc\u30af\u306e\u9006\u8ee2\u304c\u6210\u529f\u3057\u305f\u4e8b\u4f8b\u3068\u4e00\u81f4\u3057\u3066\u3044\u308b\u3002.6<\/sup> \u8102\u8cea\u3084\u708e\u75c7\u6210\u5206\u3092\u591a\u304f\u542b\u3080\u30d7\u30e9\u30fc\u30af\u306f\u3001\u96c6\u4e2d\u6cbb\u7642\u306b\u5bfe\u3057\u3066\u9ad8\u3044\u53cd\u5fdc\u3092\u793a\u3059\u4e00\u65b9\u3001\u77f3\u7070\u5316\u3084\u9ad8\u5bc6\u5ea6\u306e\u7dda\u7dad\u5316\u3092\u4f34\u3046\u75c5\u5909\u306f\u3001\u6539\u5584\u304c\u56f0\u96e3\u3067\u3042\u308b\u3002.6<\/sup><\/li>\n
  2. LAD\u304a\u3088\u3073\u30b5\u30fc\u30ab\u30e0\u30d5\u30ec\u30c3\u30af\u30b9\u679d\u306e\u5168\u822c\u7684\u306a\u62e1\u5f35\uff1a<\/strong> \u5de6\u524d\u4e0b\u884c\u679d\uff08LAD\uff09\u304a\u3088\u3073\u56de\u65cb\u679d\u306e\u6a19\u6e96\u5316\u3055\u308c\u305f\u5404\u30bb\u30b0\u30e1\u30f3\u30c8\u306b\u308f\u305f\u3063\u3066\u4e00\u8cab\u3057\u3066\u898b\u3089\u308c\u308b\u62e1\u5f35\u306f\u3001\u52d5\u8108\u58c1\u5168\u4f53\u306b\u308f\u305f\u308b\u3073\u307e\u3093\u6027\u306e\u30a2\u30c6\u30ed\u30fc\u30e0\u6027\u52d5\u8108\u786c\u5316\u306e\u8ca0\u8377\u304c\u6e1b\u5c11\u3057\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u304a\u308a\u3001\u3053\u308c\u306f \u52d5\u8108\u306e\u30ea\u30e2\u30c7\u30ea\u30f3\u30b0\uff08\u967d\u6027\uff09<\/strong>.8<\/sup> \u3053\u306e\u3088\u3046\u306a\u5168\u822c\u7684\u306a\u6539\u5584\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304b\u3089\u3001\u5c40\u6240\u7684\u306a\u6539\u5584\u306b\u3068\u3069\u307e\u308b\u6a5f\u68b0\u7684\u4ecb\u5165\uff08\u30b9\u30c6\u30f3\u30c8\u7559\u7f6e\u3084\u8840\u7ba1\u5f62\u6210\u8853\u306a\u3069\uff09\u304c\u539f\u56e0\u3067\u3042\u308b\u53ef\u80fd\u6027\u306f\u6392\u9664\u3055\u308c\u308b\u3002.1<\/sup> \u3055\u3089\u306b\u3001\u7570\u5e38\u306a\u62e1\u5f35\u304c\u8a8d\u3081\u3089\u308c\u306a\u3044\u3053\u3068\u304b\u3089\u3001\u51a0\u52d5\u8108\u62e1\u5f35\u75c7\u306a\u3069\u306e\u75c5\u7684\u306a\u62e1\u5f35\u306f\u9664\u5916\u3055\u308c\u308b\u3002.9<\/sup><\/li>\n<\/ol>\n

    IV. \u75c5\u614b\u751f\u7406\u3068\u6cbb\u7642\u4e0a\u306e\u610f\u7fa9<\/h3>\n

    \u3053\u306e\u5287\u7684\u306a\u8840\u7ba1\u9020\u5f71\u4e0a\u306e\u5909\u5316\u306f\u3001\u52d5\u8108\u58c1\u5185\u90e8\u306b\u304a\u3051\u308b\u8457\u3057\u3044\u4ee3\u8b1d\u7684\u304a\u3088\u3073\u69cb\u9020\u7684\u5909\u5316\u306e\u7d50\u679c\u3067\u3042\u308a\u3001\u30a2\u30c6\u30ed\u30fc\u30e0\u306e\u6b63\u5473\u4f53\u7a4d\u304c\u9664\u53bb\u3055\u308c\u305f\u72b6\u614b\u3092\u3082\u305f\u3089\u3059\u3082\u306e\u3067\u3042\u308b\u3002.10<\/sup><\/p>\n

    A. \u30a2\u30c6\u30ed\u30fc\u30e0\u4f53\u7a4d\u306e\u6e1b\u5c11\u3092\u3082\u305f\u3089\u3059\u30e1\u30ab\u30cb\u30ba\u30e0<\/h4>\n

    \u30d7\u30e9\u30fc\u30af\u306e\u9000\u884c\u306f\u3001\u7279\u5b9a\u306e\u751f\u7269\u5b66\u7684\u6cbb\u7652\u30e1\u30ab\u30cb\u30ba\u30e0\u3001\u3068\u308a\u308f\u3051\u30a2\u30c6\u30ed\u30fc\u30e0\u4f53\u7a4d\u7387\uff08PAV\uff09\u306e\u7d14\u6e1b\u306b\u3088\u3063\u3066\u4fc3\u9032\u3055\u308c\u308b\u3002.10<\/sup> \u305d\u306e\u4e3b\u306a\u30e1\u30ab\u30cb\u30ba\u30e0\u3068\u3057\u3066\u306f\u3001\u6ce1\u6cab\u7d30\u80de\u304b\u3089\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u6d41\u51fa\u80fd\u529b\u3092\u9ad8\u3081\u3001\u30d7\u30e9\u30fc\u30af\u306e\u4e2d\u5fc3\u90e8\u306b\u542b\u307e\u308c\u308b\u58ca\u6b7b\u7d30\u80de\u7247\u3092\u9664\u53bb\u3059\u308b\u3053\u3068\u3067\u3001\u30d7\u30e9\u30fc\u30af\u306e\u7269\u7406\u7684\u306a\u7e2e\u5c0f\u3092\u3082\u305f\u3089\u3059\u3053\u3068\u304c\u6319\u3052\u3089\u308c\u308b\u3002.7<\/sup> \u3053\u306e\u30d7\u30ed\u30bb\u30b9\u3067\u306f\u3001\u6cbb\u7642\u74b0\u5883\u306b\u304a\u3044\u3066\u3001\u8840\u7ba1\u58c1\u304b\u3089\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u9664\u53bb\u7387\u304c\u8457\u3057\u304f \u4e0a\u56de\u308b<\/em> \u6c88\u7740\u901f\u5ea6\u306b\u3088\u308a\u3001\u30d7\u30e9\u30fc\u30af\u91cf\u306e\u7d14\u6e1b\u304c\u6301\u7d9a\u7684\u306b\u751f\u3058\u308b\u3002.11<\/sup><\/p>\n

    B. \u6cbb\u7642\u7684\u76f8\u95a2\uff1a\u96c6\u4e2d\u7684\u306a\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584<\/h4>\n

    \u3053\u306e\u9006\u8ee2\u306e\u7a0b\u5ea6\u3068\u30d1\u30bf\u30fc\u30f3\u2015\u2015\u91cd\u7be4\u3067\u6f5c\u5728\u7684\u306b\u4e0d\u5b89\u5b9a\u306a\u75c5\u5909\u304c\u5b8c\u5168\u306b\u89e3\u6d88\u3055\u308c\u308b\u3068\u3068\u3082\u306b\u3001\u591a\u679d\u306b\u308f\u305f\u308b\u5e83\u7bc4\u306a\u6539\u5584\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u2015\u2015\u306f\u3001\u6975\u3081\u3066\u6709\u52b9\u306a\u6cbb\u7642\u6cd5\u306b\u304a\u3051\u308b\u7279\u5fb4\u7684\u306a\u8ee2\u5e30\u3067\u3042\u308b\u3002\u3053\u306e\u30ec\u30d9\u30eb\u306e\u751f\u7269\u5b66\u7684\u6cbb\u7652\u306f\u3001\u4ee5\u4e0b\u306e\u5b9f\u65bd\u3068\u5f37\u304f\u95a2\u9023\u3057\u3066\u3044\u308b\u3002 \u96c6\u4e2d\u7684\u306a\u751f\u6d3b\u7fd2\u6163\u6539\u5584\uff08ILM\uff09<\/strong> \u30d7\u30ed\u30b0\u30e9\u30e0\u3002.10<\/sup><\/p>\n

    \u3053\u308c\u3089\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306f\u3001\u591a\u304f\u306e\u5834\u5408\u3001\u30aa\u30fc\u30cb\u30c3\u30b7\u30e5\u30fb\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u30fb\u30e1\u30c7\u30a3\u30b7\u30f3\u30fb\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u30e2\u30c7\u30eb\u3068\u3057\u3066\u304a\u308a\u3001\u5f93\u6765\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u8d85\u3048\u308b\u53b3\u683c\u3055\u304c\u6c42\u3081\u3089\u308c\u3001\u901a\u5e38\u306f\u4ee5\u4e0b\u306e\u5185\u5bb9\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u3059\u3002 10<\/sup>:<\/p>\n

      \n
    • \u8102\u80aa\u3068\u7cd6\u5206\u306e\u542b\u6709\u91cf\u304c\u6975\u3081\u3066\u5c11\u306a\u3044\u3001\u30db\u30fc\u30eb\u30d5\u30fc\u30c9\u30fb\u30d7\u30e9\u30f3\u30c8\u30d9\u30fc\u30b9\u306e\u98df\u4e8b\u3002.11<\/sup><\/li>\n
    • \u9069\u5ea6\u306a\u3001\u5b9a\u671f\u7684\u306a\u904b\u52d5\u3002.<\/li>\n
    • \u4f53\u7cfb\u7684\u306a\u30b9\u30c8\u30ec\u30b9\u7ba1\u7406\u6cd5\uff08\u4f8b\uff1a\u30e8\u30ac\u3084\u7791\u60f3\u306a\u3069\uff09\u3002.<\/li>\n
    • \u9577\u671f\u7684\u306a\u670d\u85ac\u9075\u5b88\u3092\u78ba\u4fdd\u3059\u308b\u305f\u3081\u306e\u793e\u4f1a\u7684\u652f\u63f4\u306e\u5f37\u5316\u3002.<\/li>\n<\/ul>\n

      2014\u5e74\u304b\u30892018\u5e74\u307e\u3067\u306e4\u5e74\u9593\u306b\u308f\u305f\u308a\u3001\u6301\u7d9a\u7684\u304b\u3064\u8457\u3057\u3044\u5bdb\u89e3\u304c\u8a8d\u3081\u3089\u308c\u305f\u3053\u3068\u306f\u3001\u3053\u306e\u3088\u3046\u306a\u53b3\u683c\u304b\u3064\u96c6\u4e2d\u7684\u306a\u6cbb\u7642\u6cd5\u3092\u7d99\u7d9a\u3057\u3066\u9075\u5b88\u3057\u3066\u304d\u305f\u3053\u3068\u3092\u793a\u3059\u5ba2\u89b3\u7684\u306a\u8a3c\u62e0\u3068\u306a\u3063\u3066\u3044\u308b\u3002.10<\/sup><\/p>\n

      V. \u81e8\u5e8a\u7684\u4e88\u5f8c<\/h3>\n

      \u8840\u7ba1\u9020\u5f71\u4e0a\u306e\u9000\u7e2e\u304c\u9054\u6210\u3055\u308c\u308c\u3070\u3001\u305d\u308c\u306f\u5c06\u6765\u306b\u304a\u3051\u308b\u4e3b\u8981\u306a\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\uff08MACE\uff09\u306e\u30ea\u30b9\u30af\u4f4e\u6e1b\u306b\u76f4\u7d50\u3059\u308b\u3002.<\/p>\n

        \n
      • \u30ea\u30b9\u30af\u4f4e\u6e1b\uff1a<\/strong> \u30e1\u30bf\u56de\u5e30\u5206\u6790\u306b\u3088\u308a\u3001\u30a2\u30c6\u30ed\u30fc\u30e0\u4f53\u7a4d\u7387\uff08PAV\uff09\u304c1%\u6e1b\u5c11\u3059\u308b\u3054\u3068\u306b\u3001MACE\u306e\u30aa\u30c3\u30ba\u304c20%\u6e1b\u5c11\u3059\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u305f\u3002.13<\/sup> \u672c\u75c7\u4f8b\u3067\u306f\u8996\u899a\u7684\u306a\u6539\u5584\u304c\u8457\u3057\u304b\u3063\u305f\u3053\u3068\u304b\u3089\u3001\u63a8\u5b9a\u3055\u308c\u308bPAV\u306e\u6e1b\u5c11\u5e45\u3082\u5927\u304d\u304f\u3001\u9ad8\u30ea\u30b9\u30af\u306e\u30a2\u30c6\u30ed\u30fc\u30e0\u6027\u52d5\u8108\u786c\u5316\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\uff082014\u5e74\uff09\u304b\u3089\u3001\u5b89\u5b9a\u5316\u3057\u6975\u3081\u3066\u4f4e\u30ea\u30b9\u30af\u306a\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\uff082018\u5e74\uff09\u3078\u3068\u3001\u8457\u3057\u3044\u5909\u5316\u304c\u898b\u3089\u308c\u305f\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u308b\u3002.13<\/sup><\/li>\n
      • \u30d7\u30e9\u30fc\u30af\u306e\u5b89\u5b9a\u5316\uff1a<\/strong> \u3053\u306e\u9000\u884c\u6027\u5909\u5316\u306f\u3001\u4ee5\u524d\u306f\u4e0d\u5b89\u5b9a\u3067\u7834\u88c2\u3057\u3084\u3059\u3044\u8102\u8cea\u8c4a\u5bcc\u306a\u75c5\u5909\u304c\u3001\u751f\u7269\u5b66\u7684\u306b\u5b89\u5b9a\u5316\u3057\u3001\u69cb\u9020\u7684\u306b\u3082\u7e2e\u5c0f\u3057\u305f\u3053\u3068\u3092\u793a\u3057\u3066\u3044\u308b\u3002\u3053\u306e\u5b89\u5b9a\u5316\u3053\u305d\u304c\u3001\u9577\u671f\u7684\u306a\u4e88\u5f8c\u6539\u5584\u306e\u4e3b\u306a\u8981\u56e0\u3067\u3042\u308b\u3002.6<\/sup><\/li>\n<\/ul>\n

        \u53c2\u8003\u6587\u732e<\/h3>\n
          \n
        1. Ibanez B\u3001Fern\u00e1ndez-Ortiz A\u3001Fern\u00e1ndez-Friera L\u3001Garc\u00eda-Lunar I\u3001Andr\u00e9s V\u3001Fuster V. \u65e9\u671f\u7121\u75c7\u5019\u6027\u30a2\u30c6\u30ed\u30fc\u30e0\u6027\u52d5\u8108\u786c\u5316\u75c7\u306e\u9032\u884c\uff08PESA\uff09\u7814\u7a76\uff1aJACC\u30d5\u30a9\u30fc\u30ab\u30b9\u30bb\u30df\u30ca\u30fc 7\/8\u3002.\u00a0\u7c73\u56fd\u5fc3\u81d3\u75c5\u5b66\u4f1a\u8a8c<\/i>. 2021;78(2):156-179. doi:10.1016\/j.jacc.2021.05.011<\/li>\n
        2. Superko HR\u3001Krauss RM. \u51a0\u52d5\u8108\u75be\u60a3\u306e\u9000\u884c\u3002\u7a4d\u6975\u7684\u306a\u30ea\u30dd\u30bf\u30f3\u30d1\u30af\u8cea\u7ba1\u7406\u306e\u6709\u76ca\u6027\u3092\u88cf\u4ed8\u3051\u308b\u8aac\u5f97\u529b\u306e\u3042\u308b\u8a3c\u62e0\u3002.\u00a0\u5faa\u74b0<\/i>. 1994;90(2):1056-1069. doi:10.1161\/01.cir.90.2.1056<\/li>\n
        3. Garrone P\u3001Biondi-Zoccai G\u3001Salvetti I\u3001\u4ed6\u3002\u73fe\u4ee3\u306b\u304a\u3051\u308b\u5b9a\u91cf\u7684\u51a0\u52d5\u8108\u9020\u5f71\uff1a\u539f\u7406\u3068\u5fdc\u7528\u3002.\u00a0J Interv Cardiol<\/i>. 2009;22(6):527-536. doi:10.1111\/j.1540-8183.2009.00491.x<\/li>\n
        4. Fencil LE\u3001Doi K\u3001Hoffman KR. \u7acb\u4f53DSA\u30b7\u30b9\u30c6\u30e0\u3092\u7528\u3044\u305f\u8840\u7ba1\u5f84\u304a\u3088\u3073\u72ed\u7a84\u75c5\u5909\u306e\u6b63\u78ba\u306a\u89e3\u6790\u3002.\u00a0Invest Radiol<\/i>. 1988;23(1):33-41. doi:10.1097\/00004424-198801000-00008<\/li>\n
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