{"created":"2023-06-19T10:43:47.120579+00:00","id":4101,"links":{},"metadata":{"_buckets":{"deposit":"79dd1fee-58cd-46dc-b2da-f3d3ec2f5399"},"_deposit":{"created_by":11,"id":"4101","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4101"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004101","sets":["30:46:84"]},"author_link":["7867"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-05-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"5","bibliographicPageEnd":"1012","bibliographicPageStart":"1007","bibliographicVolumeNumber":"110","bibliographic_titles":[{"bibliographic_title":"日本内科学会雑誌"},{"bibliographic_title":"Journal of the Japanese Society of Internal Medicine","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"NAKAGAWA, Yoshihisa"}],"nameIdentifiers":[{},{}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"冠動脈痕患に対して血行再建を行うことは，病態に即した本質的な治療方法である．この手段には，冠動脈バイパス術(coronary artery bypass grafting : CABG)と経皮的冠動脈インターベンション(percutaneous coronary intervention : PCI)の2つがある．急性冠症候群(acute coronary syndrome : ACS)の患者においては， PCIによる血行再建の有効性は確立している．安定狭心症患者への血行再建としては， 3枝病変や糖尿病合併患者等のハイリスク症例ではCABGの方が優れていると考えられる．薬剤溶出性ステント（drug-elutingstent : DES）の導入により再狭窄が減少したことによりPCIの適応は拡大し，病変が左主幹部病変のみ，左主幹部病変+1枝病変であれば， PCIの成績はCABGに劣るものではないことも報告されている．International Study of Comparative Health Effectiveness with Medical and Invasive Approaches(ISCHEMIA)試験は，中等度から重度の虚血が証明された安定狭心症患者に対して，至適薬物治療の意義を示した. PCIまたはCABGの選択だけでなく，冠血行再建の前提として内科的治療の重要性を知る必要がある．","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本内科学会"}]},"item_4_relation_28":{"attribute_name":"論文ID（NAID）","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"40022596395","subitem_relation_type_select":"NAID"}}]},"item_4_relation_29":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2021208881","subitem_relation_type_select":"ICHUSHI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2021 一般社団法人 日本内科学会 "},{"subitem_rights":"日本内科学会の許可を得て掲載"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0021-5384","subitem_source_identifier_type":"ISSN"}]},"item_4_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00195836","subitem_source_identifier_type":"NCID"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中川, 義久"}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-05-10"}],"displaytype":"detail","filename":"naika.110.1007.pdf","filesize":[{"value":"4.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"naika.110.1007","url":"https://shiga-med.repo.nii.ac.jp/record/4101/files/naika.110.1007.pdf"},"version_id":"c863ac7f-c88d-4db4-88f8-5e652ed19449"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"冠動脈疾患(CAD)","subitem_subject_scheme":"Other"},{"subitem_subject":"血行再建","subitem_subject_scheme":"Other"},{"subitem_subject":"冠動脈バイパス術(CABG)","subitem_subject_scheme":"Other"},{"subitem_subject":"経皮的冠動脈インターベンション(PCI)","subitem_subject_scheme":"Other"},{"subitem_subject":"至適薬物治療(OMT)","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"医学と医療の最前線 : 冠血行再建術の最新のエビデンス","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"医学と医療の最前線 : 冠血行再建術の最新のエビデンス"}]},"item_type_id":"4","owner":"11","path":["84"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-01-27"},"publish_date":"2022-01-27","publish_status":"0","recid":"4101","relation_version_is_last":true,"title":["医学と医療の最前線 : 冠血行再建術の最新のエビデンス"],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T11:18:58.003675+00:00"}