{"_buckets": {"deposit": "8488bcbf-8d0b-440d-a745-3935e1cc6c74"}, "_deposit": {"id": "10282", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "10282"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00010282", "sets": ["456", "962"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Successful Upgrading to CRT for Severe Heart Failure in an Infant with Congenital Complete Atrioventricular Block"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2010-10", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "10", "bibliographicPageEnd": "575", "bibliographicPageStart": "570", "bibliographicVolumeNumber": "124", "bibliographic_titles": [{"bibliographic_title": "新潟医学会雑誌"}, {"bibliographic_title": "新潟医学会雑誌", "bibliographic_titleLang": "en"}]}]}, "item_7_description_4": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "症例は1歳7ヶ月の男児. 主訴は浮腫. 在胎中に先天性完全房室ブロックと胎児水腫と診断され, 出生日に開胸下で永久ペースメーカーを植え込まれた (VVI, リードは右室前壁). その後順調に経過していたが, 1歳7ヶ月時に浮腫を認め, 当科に入院した. 胸部エックス線写真で心胸郭比69%, 心エコーで左室拡張末期径42.1mm (139% of normal), 左室駆出率27%, BNP 901 pg/ml と拡張型心筋症様であった. 心電図はペーシング調律で心拍数120/分, QRS時間136 msecond, 左脚ブロックであった. 保存的治療で改善せず, 1歳8ヶ月時に開胸下に心再同期療法を施行された. 術中経食道心エコーによる他のペーシング法との比較で最も有効と判断された. 右室リードは既存のものを利用され, 新たに心室を左心耳に, 左室リードを心尖部側壁に装着された. 心再同期療法後1年で症状はなく, 胸部レントゲンで心胸郭比60%心エコーで左室拡張末期径34.1mm (109% of Normal) 左室駆出率71.2% BNP16.7pg/ml と著明に改善した. 先天性完全房室ブロックの右室ペーシング後の重症心不全に, 心再同期療法は有効な治療と考えられた.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "70636", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Numano, Fujito"}]}, {"nameIdentifiers": [{"nameIdentifier": "70637", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Suzuki, Hiroshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "70638", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hoshina, Satoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "70639", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Hasegawa, Satoshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "70640", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Uchiyama, Makoto"}]}, {"nameIdentifiers": [{"nameIdentifier": "70641", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Takahashi, Masashi"}]}, {"nameIdentifiers": [{"nameIdentifier": "70642", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Watanabe, Hiroshi"}]}]}, "item_7_publisher_7": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "新潟医学会"}]}, "item_7_select_19": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_select_item": "publisher"}]}, "item_7_source_id_11": {"attribute_name": "書誌レコードID", "attribute_value_mlt": [{"subitem_source_identifier": "AN00182415", "subitem_source_identifier_type": "NCID"}]}, "item_7_source_id_9": {"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "00290440", "subitem_source_identifier_type": "ISSN"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "沼野, 藤人"}], "nameIdentifiers": [{"nameIdentifier": "70629", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "鈴木, 博"}], "nameIdentifiers": [{"nameIdentifier": "70630", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "星名, 哲"}], "nameIdentifiers": [{"nameIdentifier": "70631", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "長谷川, 聡"}], "nameIdentifiers": [{"nameIdentifier": "70632", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "内山, 聖"}], "nameIdentifiers": [{"nameIdentifier": "70633", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "高橋, 昌"}], "nameIdentifiers": [{"nameIdentifier": "70634", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "渡辺, 弘"}], "nameIdentifiers": [{"nameIdentifier": "70635", "nameIdentifierScheme": "WEKO"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2019-08-06"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "124(10)_570-575.pdf", "filesize": [{"value": "1.4 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1400000.0, "url": {"label": "124(10)_570-575.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/10282/files/124(10)_570-575.pdf"}, "version_id": "48fb2232-e9ff-477c-9a29-f0ea3b6ebd15"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "先天性完全房室ブロック", "subitem_subject_scheme": "Other"}, {"subitem_subject": "右室ペーシング", "subitem_subject_scheme": "Other"}, {"subitem_subject": "重症心不全", "subitem_subject_scheme": "Other"}, {"subitem_subject": "心再同期療法", "subitem_subject_scheme": "Other"}, {"subitem_subject": "幼児", "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": "departmental bulletin paper", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "心再同期療法への upgrade が著効した先天性完全房室ブロックの幼児例", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "心再同期療法への upgrade が著効した先天性完全房室ブロックの幼児例"}, {"subitem_title": "心再同期療法への upgrade が著効した先天性完全房室ブロックの幼児例", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "962"], "permalink_uri": "http://hdl.handle.net/10191/28859", "pubdate": {"attribute_name": "公開日", "attribute_value": "2014-07-25"}, "publish_date": "2014-07-25", "publish_status": "0", "recid": "10282", "relation": {}, "relation_version_is_last": true, "title": ["心再同期療法への upgrade が著効した先天性完全房室ブロックの幼児例"], "weko_shared_id": null}