{"created":"2021-03-01T06:28:25.253872+00:00","id":23190,"links":{},"metadata":{"_buckets":{"deposit":"b260511c-3a17-48a8-bfbb-ea30a0a3e4be"},"_deposit":{"id":"23190","owners":[],"pid":{"revision_id":0,"type":"depid","value":"23190"},"status":"published"},"_oai":{"id":"oai:niigata-u.repo.nii.ac.jp:00023190","sets":["453:456","471:537:538:1214"]},"item_7_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Hypertension and the Heart(Hypertension : Pathophysiology and Treatment)"}]},"item_7_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1989-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"7","bibliographicPageStart":"4","bibliographicVolumeNumber":"103","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":"Various trials had been shown that the active treatment of hypertension reduced the rate of stroke, but not of coronary events. Recently, MRC trial showed that the coronary event rate was reduced in non-smokers taking propranolol. By the way, the left ventricular wall tension due to hypertension leads to striking structual, biochemical and physiological changes in the myocardium and develops LV hypertrophy. The LV hypertrophy helps to maintein left ventricular stroke volume, but dilatation of LV and eventually frank congestive heart failure may supervene. Heart failure may be attributed not only to only to the primary functional changes in the hypertrophied myocardium but also to the interraction of a number of facters. The interraction of coronary artery disease with hypertension is particularly important in the pathophysiology. However, concentric LV hypertrophy is not a permanent mechanism of compensation, because the hypertrophied heart cannot sustain the increased pressure load indefinitely and cardiac function will become impaired in the time course of cardiac hypertrophy. Consequently, a medical therapy will prevents the developement of LV hypertrophy or regress an already established LV hypertrophy equal to a causative treatment of hypertensive heart failure. A step-care of hypertensive heart disease should be considered through antihypertensive drugs, which can a) regress LV hypertrophy, b) increase myocardial perfusion and c) improve LV function depending on the stage of hypertensive heart disease.","subitem_description_type":"Abstract"}]},"item_7_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"139901","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Tsuda, Takashi"}]},{"nameIdentifiers":[{"nameIdentifier":"139902","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Aizawa, Yoshifusa"}]},{"nameIdentifiers":[{"nameIdentifier":"139903","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Shibata, Akira"}]}]},"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":"津田, 隆志"}],"nameIdentifiers":[{"nameIdentifier":"139898","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"相沢, 義房"}],"nameIdentifiers":[{"nameIdentifier":"139899","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"柴田, 昭"}],"nameIdentifiers":[{"nameIdentifier":"139900","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":"2019-08-19"}],"displaytype":"detail","filename":"103(1)_4-7.pdf","filesize":[{"value":"960.7 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"103(1)_4-7.pdf","url":"https://niigata-u.repo.nii.ac.jp/record/23190/files/103(1)_4-7.pdf"},"version_id":"3d54fe2d-11c3-40c4-a630-ea868bf531cf"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"hypertensive heart disease","subitem_subject_scheme":"Other"},{"subitem_subject":"ischemic heart disease","subitem_subject_scheme":"Other"},{"subitem_subject":"Left ventricular hypertrophy","subitem_subject_scheme":"Other"},{"subitem_subject":"dissecting aneurysma of the aorta and regression of hypertensive hypertrophy","subitem_subject_scheme":"Other"},{"subitem_subject":"高血圧性心疾患","subitem_subject_scheme":"Other"},{"subitem_subject":"虚血性心疾患","subitem_subject_scheme":"Other"},{"subitem_subject":"左室肥大","subitem_subject_scheme":"Other"},{"subitem_subject":"解離性大動脈瘤","subitem_subject_scheme":"Other"},{"subitem_subject":"高血圧性心肥大の退縮","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":"2) 心疾患に伴う高血圧(シンポジウム 高血圧の病態と治療, 第437回新潟医学会)","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"2) 心疾患に伴う高血圧(シンポジウム 高血圧の病態と治療, 第437回新潟医学会)"},{"subitem_title":"2) 心疾患に伴う高血圧(シンポジウム 高血圧の病態と治療, 第437回新潟医学会)","subitem_title_language":"en"}]},"item_type_id":"7","owner":"1","path":["456","1214"],"pubdate":{"attribute_name":"公開日","attribute_value":"2016-04-08"},"publish_date":"2016-04-08","publish_status":"0","recid":"23190","relation_version_is_last":true,"title":["2) 心疾患に伴う高血圧(シンポジウム 高血圧の病態と治療, 第437回新潟医学会)"],"weko_creator_id":"1","weko_shared_id":null},"updated":"2022-12-15T03:53:28.433932+00:00"}