{"_buckets": {"deposit": "13764be6-d783-4f36-bafb-9325d8b9472b"}, "_deposit": {"id": "17832", "owners": [], "pid": {"revision_id": 0, "type": "depid", "value": "17832"}, "status": "published"}, "_oai": {"id": "oai:niigata-u.repo.nii.ac.jp:00017832", "sets": ["456", "1125"]}, "item_7_alternative_title_1": {"attribute_name": "その他のタイトル", "attribute_value_mlt": [{"subitem_alternative_title": "Influence of Therapeutic Modalities on In-hospital Mortality in Acute Myocardial Infarction : Role of Reperfusion Therapy"}]}, "item_7_biblio_info_6": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1996-10", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "10", "bibliographicPageEnd": "437", "bibliographicPageStart": "429", "bibliographicVolumeNumber": "110", "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": "The aim of our study was to determine whether therapeutic modalities have influences on the in-hospital prognosis in patients with acute myocardial infarction (AMI). The study population consisted of consecutive 275 patients from November 1988 to August 1995. After cardiac catheterization and cardiac surgery became available in our hospital on July 1992, we actively performed reperfusion therapy (intracoronary thrombolysis and/or coronary angioplasty) for treatment of AMI if indicated. The patients were divided into two groups according to therapeutic modalities:group A (conservative therapy era between November 1988 and June 1992, n=134) and group B (reperfusion therapy era after July 1992, n=141). The in-hospital mortality was compared between the two groups and the clinical variables related to in-hospital mortality were examined. None in group A were treated with reperfusion therapy, and 57 patients (40%) in group B were treated with reperfusion therapy. The overall in-hospital death developed in 65 patients (24%). The mortality in group A was significantly higher than in group B (29% vs. 18%, p\u003c0.05). In subgroup with age\u003c76 years old and ongoing chest pain of≦6h in duration, 46 (73%) of 63 group B patients received reperfusion therapy. In this subgroup, a significant reduction of in-hospital mortality was found in group B compared with group A (34% vs. 11%, p\u003c0.0001). By multivariate analysis, reperfusion therapy was an only independent negative predictor for in-hospital mortality (p=0.025). In conclusion, reperfusion therapy improves in-hospital prognosis in patients with AMI. Equipment of medical circumstances by which reperfusion therapy makes possible may contribute to local medical service.", "subitem_description_type": "Abstract"}]}, "item_7_full_name_3": {"attribute_name": "著者別名", "attribute_value_mlt": [{"nameIdentifiers": [{"nameIdentifier": "112110", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Yamaura, Masayuki"}]}, {"nameIdentifiers": [{"nameIdentifier": "112111", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Igarashi, Yutaka"}]}, {"nameIdentifiers": [{"nameIdentifier": "112112", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ito, Masahiro"}]}, {"nameIdentifiers": [{"nameIdentifier": "112113", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Watanabe, Hiroya"}]}, {"nameIdentifiers": [{"nameIdentifier": "112114", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Inuzuka, Hiroshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "112115", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Ojima, Kenji"}]}, {"nameIdentifiers": [{"nameIdentifier": "112116", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Furushima, Hiroshi"}]}, {"nameIdentifiers": [{"nameIdentifier": "112117", "nameIdentifierScheme": "WEKO"}], "names": [{"name": "Chinushi, Masaomi"}]}]}, "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": "山浦, 正幸"}], "nameIdentifiers": [{"nameIdentifier": "112102", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "五十嵐, 裕"}], "nameIdentifiers": [{"nameIdentifier": "112103", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "伊藤, 正洋"}], "nameIdentifiers": [{"nameIdentifier": "112104", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "渡辺, 裕哉"}], "nameIdentifiers": [{"nameIdentifier": "112105", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "犬塚, 博"}], "nameIdentifiers": [{"nameIdentifier": "112106", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "小島, 研司"}], "nameIdentifiers": [{"nameIdentifier": "112107", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "古島, 博司"}], "nameIdentifiers": [{"nameIdentifier": "112108", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "地主, 雅臣"}], "nameIdentifiers": [{"nameIdentifier": "112109", "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": "2019-08-08"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "110(10)_429-437.pdf", "filesize": [{"value": "1.6 MB"}], "format": "application/pdf", "future_date_message": "", "is_thumbnail": false, "licensetype": "license_free", "mimetype": "application/pdf", "size": 1600000.0, "url": {"label": "110(10)_429-437.pdf", "url": "https://niigata-u.repo.nii.ac.jp/record/17832/files/110(10)_429-437.pdf"}, "version_id": "cfbdb611-9c96-4e1a-b988-0535bef091a1"}]}, "item_keyword": {"attribute_name": "キーワード", "attribute_value_mlt": [{"subitem_subject": "Acute myocardial infarction", "subitem_subject_scheme": "Other"}, {"subitem_subject": "In-hospital Mortality", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Reperfusion Therapy", "subitem_subject_scheme": "Other"}, {"subitem_subject": "急性心筋梗塞", "subitem_subject_scheme": "Other"}, {"subitem_subject": "院内予後", "subitem_subject_scheme": "Other"}, {"subitem_subject": "再灌流療法", "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": "急性心筋梗塞の院内予後に及ぼす循環器診療体制の役割 : 早期再灌流療法の有効性", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "急性心筋梗塞の院内予後に及ぼす循環器診療体制の役割 : 早期再灌流療法の有効性"}, {"subitem_title": "急性心筋梗塞の院内予後に及ぼす循環器診療体制の役割 : 早期再灌流療法の有効性", "subitem_title_language": "en"}]}, "item_type_id": "7", "owner": "1", "path": ["456", "1125"], "permalink_uri": "http://hdl.handle.net/10191/43372", "pubdate": {"attribute_name": "公開日", "attribute_value": "2016-08-26"}, "publish_date": "2016-08-26", "publish_status": "0", "recid": "17832", "relation": {}, "relation_version_is_last": true, "title": ["急性心筋梗塞の院内予後に及ぼす循環器診療体制の役割 : 早期再灌流療法の有効性"], "weko_shared_id": null}