{"created":"2023-06-19T10:43:57.142109+00:00","id":4306,"links":{},"metadata":{"_buckets":{"deposit":"7306426c-5ca5-4664-8e04-a220eacfa76b"},"_deposit":{"created_by":11,"id":"4306","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"4306"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00004306","sets":["19:395:396","77:369:370","77:426:427"]},"author_link":["1938","9098","8776","8771"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"26","bibliographicPageStart":"14","bibliographicVolumeNumber":"42","bibliographic_titles":[{"bibliographic_title":"心電図"},{"bibliographic_title":"Japanese Journal of Electrocardiology","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"清水, 祥子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"芦原, 貴司"}],"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":"症例は83歳男性、高血圧症、脂肪肝で通院。初診時は53歳、30年間にわたる心電図経過の中で、5種類のQRS波形を呈した間欠性完全右脚ブロック、間欠性軸右方シフトを呈した。71歳時には洞調律で完全右脚ブロック型、QRS軸は+15°[C15]であったが、74歳時には洞調律で完全右脚ブロック型のまま、QRS軸が+60°と右方にシフトした[C60]。76歳時に心房細動が初発したが、[C60]は不変であった。78歳時、先行RR間隔が1.01秒以上では間欠性ながら[C15]に戻った。79歳時には、先行RR間隔が0.98秒以上では間欠性に不完全右脚ブロック型を呈したが、QRS軸は+60°[I60]のまま不変であった。80歳時には、[C60]、[C15]、不完全右脚ブロック型でQRS軸+15°[I15]の3種類のQRS波形を認め、83歳時には[I60]に加え、さらに先行RR間隔が0.44〜0.48秒と極端に短い状況では、QRS幅0.08秒でQRS軸+70°の過常期伝導と考えられる正常QRS波形[N70]を認めた。このように、QRS波形が右脚ブロック型のままでQRS幅とQRS軸のそれぞれが異なる臨界先行PR間隔で変化する現象は、右脚の伝導障害のみでは説明困難であり、ヒス束内縦解離によるtriple pathwayを想定することにより、はじめて説明可能と考えられた。","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":"日本不整脈心電学会 "}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.5105/jse.42.14"}],"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.5105/jse.42.14","subitem_relation_type_select":"DOI"}}]},"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":"2022112096","subitem_relation_type_select":"ICHUSHI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2008, Japan Science and 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貴司"}],"nameIdentifiers":[{},{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-08-09"}],"displaytype":"detail","filename":"jse.42.14.pdf","filesize":[{"value":"2.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jse.42.14","url":"https://shiga-med.repo.nii.ac.jp/record/4306/files/jse.42.14.pdf"},"version_id":"6d17e649-a254-48d1-a9e3-d0d5fc7f1a87"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ヒス束内縦解離","subitem_subject_scheme":"Other"},{"subitem_subject":"間欠性完全右脚ブロック","subitem_subject_scheme":"Other"},{"subitem_subject":"間欠性軸右方シフト","subitem_subject_scheme":"Other"},{"subitem_subject":"triple 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