{"id":305,"date":"2015-06-26T17:46:58","date_gmt":"2015-06-26T08:46:58","guid":{"rendered":"http:\/\/seki1.sakura.ne.jp\/ehime_med2\/?page_id=305"},"modified":"2015-12-24T11:54:22","modified_gmt":"2015-12-24T02:54:22","slug":"movie","status":"publish","type":"page","link":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/course\/circulatory_organ\/echocardiography\/movie\/","title":{"rendered":"\u30a8\u30b3\u30fc\u52d5\u753b\u96c6"},"content":{"rendered":"<h2>\u5fc3\u7b4b\u75c7\u306b\u3064\u3044\u3066<\/h2>\n<h3>\u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u3067\u5fc3\u7b4b\u75c7\u3092\u8a3a\u308b<\/h3>\n<p>\u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u306f\u5fc3\u7b4b\u75c7\u306e\u9451\u5225\u8a3a\u65ad\u3067\u975e\u5e38\u306b\u91cd\u8981\u306a\u975e\u4fb5\u8972\u7684\u691c\u67fb\u3067\u3042\u308b\u3002\u5fc3\u81d3\u306e\u8a73\u7d30\u306a\u5f62\u614b\u3001\u8840\u884c\u52d5\u614b\u306e\u8a55\u4fa1\u306b\u3088\u308a\u6b63\u78ba\u306a\u8a3a\u65ad\u304c\u53ef\u80fd\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u8a3a\u65ad\u306e\u307f\u306a\u3089\u305a\u6cbb\u7642\u4e2d\u306e\u7d4c\u904e\u89b3\u5bdf\u306b\u304a\u3044\u3066\u3082\u4e2d\u5fc3\u7684\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u3066\u3044\u308b\u3002<\/p>\n<h3>\uff081\uff09\u80a5\u5927\u578b\u5fc3\u7b4b\u75c7\uff08Hypertrophic cardiomyopathy\uff09<\/h3>\n<p>\u80a5\u5927\u578b\u5fc3\u7b4b\u75c7\u306f\u5de6\u5ba4\u5185\u5727\u8f03\u5dee\u306e\u6709\u7121\u306b\u3088\u308a\uff081\uff09\u9589\u585e\u6027\u3001\uff082\uff09\u975e\u9589\u585e\u6027\u306b\u5206\u985e\u3055\u308c\u308b\u3002\u5de6\u5ba4\u5185\u5727\u8f03\u5dee\u306f\u7c21\u6613\u30d9\u30eb\u30cc\u30fc\u30a4\u306e\u5f0f\uff08Bernoulli\u00a0 equation: P= 4V\uff12\uff09\u306b\u3088\u3063\u3066\u6c42\u3081\u3089\u308c\u308b\u3002\u9589\u585e\u6027\u80a5\u5927\u578b\u5fc3\u7b4b\u75c7\u306f\u5de6\u5ba4\u5185\u5727\u8f03\u5dee\u3092\u8efd\u6e1b\u3059\u308b\u3053\u3068\u304c\u7b2c\u4e00\u306e\u6cbb\u7642\u76ee\u6a19\u3068\u306a\u308a\u3001\u5de6\u5ba4\u5185\u5727\u8f03\u5dee\u306f\uff081\uff09\u8ca0\u8377\u72b6\u6cc1\uff08Loading condition: \u524d\u8ca0\u8377\u3001\u5f8c\u8ca0\u8377\uff09\u3001 \uff082\uff09\u5de6\u5ba4\u30b5\u30a4\u30ba\uff08LV size\uff09\u3001\uff083\uff09\u5de6\u5ba4\u5fc3\u7b4b\u53ce\u7e2e\u80fd \uff08Contractility\uff09\u306b\u4f9d\u3063\u3066dynamic\u306b\u5909\u52d5\u3059\u308b\u3002<\/p>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/MoDGSVeYnQk\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"text-align: left; vertical-align: top;\">(A) \u508d\u80f8\u9aa8\u5de6\u7e01\u9577\u8ef8\u50cf (B mode)\uff1a\u50e7\u5e3d\u5f01\u524d\u5c16\u306e\u524d\u65b9\u904b\u52d5\uff08SAM:\u00a0 systolic anterior motion\uff09\u3092\u8a8d\u3081\u308b\u3002SAM\u306f\u9589\u585e\u6027\u80a5\u5927\u578b\u5fc3\u7b4b\u75c7\u306e\u91cd\u8981\u306a\u6240\u898b\u3067\u3042\u308b\u3002SAM\u306f\u5fc3\u5ba4\u4e2d\u9694\u306e\u80a5\u5927\u306b\u3088\u308a\u72ed\u5c0f\u5316\u3057\u305f\u5de6\u5ba4\u6d41\u51fa\u8def\u306b\u52a0\u901f\u8840\u6d41\u304c\u751f\u3058\u3001\u30d9\u30f3\u30c1\u30e5 \u30ea\u30fc\u52b9\u679c\uff08Venturi\u00a0 effect\uff09\u306b\u3088\u308a\u50e7\u5e3d\u5f01\u524d\u5c16\u304c\u4e2d\u9694\u306b\u5f15\u304d\u5bc4\u305b\u3089\u308c\u3066\u8d77\u3053\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><img decoding=\"async\" class=\" size-full wp-image-309 alignleft\" src=\"http:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/benmaku4.jpg\" alt=\"benmaku4\" width=\"425\" height=\"289\" srcset=\"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/benmaku4.jpg 425w, https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/benmaku4-300x204.jpg 300w\" sizes=\"(max-width: 425px) 100vw, 425px\" \/>(B) M\u30e2\u30fc\u30c9\u6cd5\uff1a\u50e7\u5e3d\u5f01\u524d\u5c16\u306e\u524d\u65b9\u904b\u52d5\uff08SAM: systolic anterior motion\uff09\u3092\u8a8d\u3081\u308b\u3002 <\/p>\n<div style=\"clear:both;\"><\/div>\n<p> <img decoding=\"async\" class=\" size-full wp-image-310 alignleft\" src=\"http:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/benmaku41.jpg\" alt=\"benmaku41\" width=\"425\" height=\"290\" srcset=\"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/benmaku41.jpg 425w, https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/benmaku41-300x205.jpg 300w\" sizes=\"(max-width: 425px) 100vw, 425px\" \/>(C) \u9023\u7d9a\u30c9\u30d7\u30e9\u6cd5\uff1a\u5de6\u5ba4\u6d41\u51fa\u8def\u306b\u52a0\u901f\u8840\u6d41\u3092\u8a8d\u3081\u3001\u305d\u306e\u6d41\u901f\u306f3.51m\/sec\u3067\u3042\u3063\u305f\u3002\u7c21\u6613\u30d9\u30eb\u30cc\u30fc\u30a4\u306e\u5f0f\u3088\u308a\u5727\u8f03\u5dee\u306f\uff14\u00d73.51\u00d73.51= 49.3mmHg\u3068\u7b97\u51fa\u3055\u308c\u305f\u3002 <\/p>\n<div style=\"clear:both;\"><\/div>\n<\/p>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/Vfry5-MmOYM\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">(D) \u5de6\u5ba4\u5f8c\u58c1\u306b\u6bd4\u3057\u5fc3\u5ba4\u4e2d\u9694\u306e\u8457\u660e\u306a\u5fc3\u80a5\u5927\u3092\u8a8d\u3081\u308b\uff08\u975e\u5bfe\u79f0\u6027\u5fc3\u80a5\u5927\uff1aasymmetric septal hypertrophy; ASH\uff09\u3002\u50e7\u5e3d\u5f01\u524d\u5c16\u306e\u524d\u65b9\u904b\u52d5\u306f\u660e\u3089\u304b\u3067\u306f\u306a\u3044\u305f\u3081\u3001\u975e\u9589\u585e\u6027\u80a5\u5927\u578b\u5fc3\u7b4b\u75c7\u3068\u8a3a\u65ad\u3057\u305f\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><div style=\"clear:both;\"><\/div>\n<p> (E) \u5fc3\u5c16\u90e8\u80a5\u5927\u578b\u5fc3\u7b4b\u75c7\uff08APH: Apical hypertrophy\uff09\u306e\u5de6\u5ba4\u4e8c\u8154\u65ad\u9762\u50cf\u3092\u793a\u3059\u3002\u62e1\u5f35\u672b\u671f\u3067\u306f\u5de6\u5ba4\u5185\u8154\u306f\u30b9\u30da\u30fc\u30c9\u578b\u3092\u793a\u3057\u3066\u304a\u308a\u3001\u5fc3\u96fb\u56f3\u3067\u306fgiant negative T wave\u304c\u7279\u5fb4\u7684\u3067\u3042\u308b\u3002\u672c\u75c7\u4f8b\u306f\u6b27\u7c73\u306b\u6bd4\u3057\u65e5\u672c\u3067\u591a\u3044\u3002<\/p>\n<h3>\uff082\uff09\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\uff08Dilated cardiomyopathy: DCM\uff09<\/h3>\n<p>\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306f\u5de6\u5ba4\u306e\u62e1\u5927\u3001\u5de6\u5ba4\u53ce\u7e2e\u80fd\u4f4e\u4e0b\u3001\u58c1\u306e\u83f2\u8584\u5316\u3092\u7279\u5fb4\u3068\u3059\u308b\u3002\u6cbb\u7642\u306e\u76ee\u6a19\u306f\u3044\u304b\u306b\u8840\u884c\u52d5\u614b\u3092\u5b89\u5b9a\u5316\u3055\u305b\u3001\u5de6\u5ba4\u3092\u5c0f\u3055\u304f\u304b\u3064\u6955\u5186\u5f62 \uff08ellipsoidal\uff09\u3067\u304d\u308b\u304b\u3067\u3042\u308b\u3002\u5de6\u5ba4\u304c\u5927\u304d\u304f\u306a\u308b\u3068\u5de6\u5ba4\u5f62\u72b6\u306f\u7403\u5f62\uff08spherical\uff09\u3068\u306a\u308a\u3001\u58c1\u5fdc\u529b\uff08wall stress\uff09\u304c\u5897\u3059\u3002\u3055\u3089\u306b\u306f\u975e\u540c\u671f\u904b\u52d5\uff08dyssynchrony\uff09\u304c\u751f\u3058\u3001\u5fc3\u4e0d\u5168\u3092\u767a\u75c7\u3059\u308b\u53ef\u80fd\u6027\u304c\u5897\u52a0\u3059\u308b\u3002<\/p>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/DPP6_CwmhwE\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\uff08F\uff09\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306e\u5fc3\u5c16\u90e8\u56db\u8154\u65ad\u9762\u50cf\u3092\u793a\u3059\u3002\u3073\u307e\u3093\u6027\u306b\u5de6\u5ba4\u53ce\u7e2e\u80fd\u306f\u4f4e\u4e0b\u3057\u3066\u304a\u308a\u3001\u5de6\u5ba4\u5f62\u72b6\u306f\u6b63\u5e38\u306b\u6bd4\u3057\u7403\u5f62\uff08spherical\uff09\u3067\u3042\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><div style=\"clear:both;\"><\/div>\n<\/p>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/Fw2EKceWwqs\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\uff08G\uff09\u5b8c\u5168\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u3092\u4f34\u3046\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306e\u5de6\u5ba4\u77ed\u8ef8\u50cf\u3067\u3042\u308b\u3002\u53ce\u7e2e\u671f\u306b\u4e2d\u9694\u306e\u4e8c\u6bb5\u30e2\u30fc\u30b7\u30e7\u30f3\uff08septal flash\uff09\u3092\u8a8d\u3081\u3001\u8996\u899a\u7684\u306b\u975e\u540c\u671f\u904b\u52d5\uff08dyssynchrony\uff09\u304c\u660e\u3089\u304b\u3067\u3042\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><div style=\"clear:both;\"><\/div>\n<\/p>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/qsM15pjJLOU\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\uff08H\uff09\u5b8c\u5168\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u3092\u4f34\u3046\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306e\u5de6\u5ba4\u5fc3\u5c16\u90e8\u56db\u8154\u65ad\u9762\u50cf\u3067\u3042\u308b\u3002\u5de6\u5ba4\u5fc3\u5c16\u90e8\u306bapical shuffle\uff08\u5de6\u5ba4\u5fc3\u5c16\u90e8\u304c\u5074\u65b9\u306b\u30b9\u30a6\u30a3\u30f3\u30b0\u3059\u308b\u52d5\u304d\uff09\u3092\u8a8d\u3081\u3001septal flash\u3068\u540c\u69d8\u306b\u975e\u540c\u671f\u904b\u52d5\uff08dyssynchrony\uff09\u306e\u5b9a\u6027\u7684\u6240\u898b\u3067\u3042\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><div style=\"clear:both;\"><\/div>\n<\/p>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/qfvUC9oOSwQ\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\uff08I\uff09\u5b8c\u5168\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u3092\u4f34\u3046\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306b\u5bfe\u3059\u308b\u5fc3\u81d3\u518d\u540c\u671f\u7642\u6cd5\uff08CRT: Cardiac resynchronization therapy\uff09\u65bd\u884c\u5f8c\u306e\u5fc3\u30a8\u30b3\u30fc\u6240\u898b\u3067\u3042\u308b\uff08\u5de6\u5ba4\u77ed\u8ef8\u50cf\uff09\u3002Septal flash\u306f\u6d88\u5931\u3057\u3066\u3044\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/pA5WGupEDz4\"width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\uff08J\uff09\u5b8c\u5168\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u3092\u4f34\u3046\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306b\u5bfe\u3059\u308b\u5fc3\u81d3\u518d\u540c\u671f\u7642\u6cd5\uff08CRT: Cardiac resynchronization therapy\uff09\u65bd\u884c\u5f8c\u306e\u5fc3\u30a8\u30b3\u30fc\u6240\u898b\u3067\u3042\u308b\uff08\u5de6\u5ba4\u5fc3\u5c16\u90e8\u56db\u8154\u50cf\uff09\u3002Apical shuffle\u306f\u6d88\u5931\u3057\u3066\u3044\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td><iframe src=\"https:\/\/www.youtube.com\/embed\/tPTtxC4U8dY\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\uff08K\uff09\u5de6\u5ba4\u62e1\u5927\u306b\u4f34\u3046\u6a5f\u80fd\u6027\u50e7\u5e3d\u5f01\u9589\u9396\u4e0d\u5168\u4f8b\uff08Functional MR:Functional mitral regurgitation\uff09\u3092\u793a\u3059\u3002\u5de6\u5ba4\u62e1\u5927\u306b\u4f34\u3044\u524d\u5f8c\u4e73\u982d\u7b4b\u306e\u8ddd\u96e2\u304c\u96e2\u308c\u3001\u50e7\u5e3d\u5f01\u306f\u5de6\u5ba4\u5fc3\u5c16\u90e8\u5074\u306b\u727d\u5f15\u3055\u308c\u308b\uff08Leaflettethering\u306b\u3088\u308bMR, tethering\u3068\u306f\u9396\u306b\u7e4b\u304c\u308c\u305f\u3068\u3044\u3046\u610f\u5473\u3067\u3042\u308b\uff09\u3002\u7d50\u679c\u3068\u3057\u3066\u50e7\u5e3d\u5f01\u306e\u63a5\u5408\uff08coaptation\uff09\u4e0d\u826f\u3092\u304d\u305f\u3057\u3001\u50e7\u5e3d\u5f01\u9589\u9396\u4e0d\u5168\u3092\u4f75\u767a\u3059\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>\u00a0\uff083\uff09\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9\uff08Cardiac amyloidosis\uff09<\/h3>\n<p>\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9\u306f\u30a2\u30df\u30ed\u30a4\u30c9\u86cb\u767d\u304c\u5fc3\u7b4b\u5185\u306b\u6c88\u7740\u3059\u308b\u3053\u3068\u306b\u3088\u308a\u5fc3\u81d3\u306e\u69cb\u9020\u304a\u3088\u3073\u6a5f\u80fd\u7570\u5e38\u3092\u304d\u305f\u3059\u75be\u60a3\u3067\u3042\u308b\u3002\u5de6\u5ba4\u53ce\u7e2e\u80fd\u4f4e\u4e0b\u306b\u6bd4\u3057\u62e1\u5f35\u80fd\u306f\u9ad8\u5ea6\u306b\u969c\u5bb3\u3055\u308c\u3066\u304a\u308a\u3001\u5de6\u5ba4\u5185\u5727\u306f\u5bb9\u6613\u306b\u4e0a\u6607\u3059\u308b\u3002\u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u306f\u5f62\u614b\u7570\u5e38\uff08\u58c1\u539a\u5897\u52a0\u3001\u5de6\u623f\u62e1\u5927\uff09\u306e\u307f\u306a\u3089\u305a\u3001\u8840\u884c\u52d5\u614b\u306e\u72b6\u614b\u3092\u628a\u63e1\u3059\u308b\u4e0a\u3067\u975e\u5e38\u306b\u91cd\u8981\u3067\u3042\u308b\u3002\u672c\u75be\u60a3\u3067\u306f\u5de6\u623f\u5727\u306e\u4e0a\u6607\u3092\u304d\u305f\u3059\u3053\u3068\u304c\u591a\u3044\u304c\u3001\u5de6\u623f\u5727\u306e\u63a8\u5b9a\u306b\u306f\u50e7\u5e3d\u5f01\u6d41\u5165\u6ce2\u5f62\uff08E\u6ce2\u3001A\u6ce2\u3001E\u6ce2\u6e1b\u8870\u6642\u9593\uff09\u3068\u50e7\u5e3d\u5f01\u8f2a\u901f\u5ea6\uff08e\u2019: \u30a4\u30fc\u30d7\u30e9\u30a4\u30e0\uff09\u3092\u540c\u6642\u306b\u6e2c\u5b9a\u3057\u3066\u5c0e\u304b\u308c\u305f\u8d85\u97f3\u6ce2\u6307\u6a19\uff08E\/e\u2019: \u30a4\u30fc\u30aa\u30fc\u30d0\u30fc\u30a4\u30fc\u30d7\u30e9\u30a4\u30e0\uff09\u304c\u6709\u7528\u3067\u3042\u308b\u3002<\/p>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/G84SQ7nwKrE\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td>\uff08L\uff09\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9\u306e\u508d\u80f8\u9aa8\u9577\u8ef8\u50cf\u3067\u3042\u308b\u3002\u5de6\u5ba4\u306f\u3073\u307e\u3093\u6027\u306b\u80a5\u5927\u3057\u3066\u304a\u308a\u3001\u53ce\u7e2e\u80fd\u306e\u307f\u306a\u3089\u305a\u62e1\u5f35\u80fd\u304c\u9ad8\u5ea6\u969c\u5bb3\u3055\u308c\u3066\u3044\u308b\u5370\u8c61\u3067\u3042\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>\u00a0\uff08\uff14\uff09\u5fc3\u30b5\u30eb\u30b3\u30a4\u30c9\u30fc\u30b7\u30b9\uff08Cardiac sarcoidosis\uff09<\/h3>\n<p>\u30b5\u30eb\u30b3\u30a4\u30c9\u30fc\u30b7\u30b9\u306f\u4e7e\u916a\u58ca\u6b7b\u3092\u8a8d\u3081\u306a\u3044\u985e\u4e0a\u76ae\u7d30\u80de\u8089\u82bd\u816b\u304c\u5f62\u6210\u3055\u308c\u308b\u5168\u8eab\u6027\u306e\u8089\u82bd\u816b\u6027\u75be\u60a3\u3067\u3042\u308a\u3001\u540c\u75c5\u5909\u304c\u5fc3\u7b4b\u306b\u53ca\u3076\u3068\u523a\u6fc0\u4f1d\u5c0e\u969c\u5bb3\uff08\u623f\u5ba4\u30d6\u30ed\u30c3\u30af\uff09\u3001\u5fc3\u4e0d\u5168\u3001\u81f4\u6b7b\u7684\u4e0d\u6574\u8108\uff08\u5fc3\u5ba4\u983b\u62cd\u306a\u3069\uff09\u3092\u767a\u75c7\u3057\u305d\u306e\u4e88\u5f8c\u306f\u4e0d\u826f\u3067\u3042\u308b\u3002\u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u306f\u672c\u75be\u60a3\u3092\u62fe\u3044\u4e0a\u3052\u308b\u91cd\u8981\u306a\u691c\u67fb\u6cd5\u3067\u3042\u308a\u3001\u308f\u305a\u304b\u306a\u7570\u5e38\u3082\u898b\u9003\u3055\u306a\u3044\u3088\u3046\u306b\u7559\u610f\u3057\u3066\u691c\u67fb\u306b\u671b\u3080\u5fc5\u8981\u304c\u3042\u308b\u3002\u672c\u75be\u60a3\u304c\u78ba\u5b9a\u8a3a\u65ad\u3055\u308c\u305f\u3089\u3001\u30b9\u30c6\u30ed\u30a4\u30c9\u306e\u6cbb\u7642\u304c\u594f\u529f\u3059\u308b\u305f\u3081\u65e9\u671f\u6cbb\u7642\u304c\u53ef\u80fd\u3068\u306a\u308a\u4e88\u5f8c\u306e\u6539\u5584\u304c\u671f\u5f85\u3067\u304d\u308b\u3002<\/p>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/ulhkRxw760M\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td>\uff08M\uff09\u5fc3\u30b5\u30eb\u30b3\u30a4\u30c9\u30fc\u30b7\u30b9\u306e\u508d\u80f8\u9aa8\u9577\u8ef8\u50cf\u3067\u3042\u308b\u3002\u5de6\u5ba4\u4e2d\u9694\u57fa\u90e8\u306f\u83f2\u8584\u5316\u3057\u3066\u304a\u308a\u3001\u672c\u75c7\u4f8b\u3092\u5f37\u304f\u7591\u308f\u305b\u308b\u6240\u898b\u3067\u3042\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2>\u00a0\u5f01\u819c\u75c7\u306b\u3064\u3044\u3066<\/h2>\n<h3>\u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u3067\u5fc3\u81d3\u5f01\u819c\u75c7\u3092\u8a3a\u308b<\/h3>\n<p>\u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u306f\u5fc3\u81d3\u5f01\u819c\u75c7\u306b\u304a\u3051\u308bdynamic\u306a\u8840\u6d41\u3001\u8840\u884c\u52d5\u614b\u3092\u975e\u4fb5\u8972\u7684\uff08non-invasive\uff09\u306b\u8a55\u4fa1\u53ef\u80fd\u3067\u3042\u308b\u3002\u5fc3\u81d3\u5f01\u819c\u75c7\u306e\u624b\u8853\u306e\u9069\u5fdc\u3092\u5224\u65ad\u3059\u308b\u305f\u3081\u306b\u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u6240\u898b\u304c\u6700\u91cd\u8981\u3067\u3042\u308b\u3068\u3044\u3063\u3066\u3082\u904e\u8a00\u3067\u306f\u306a\u3044\u3002<\/p>\n<h3>\uff081\uff09\u50e7\u5e3d\u5f01\u72ed\u7a84\u75c7<\/h3>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/wPjI5AK4NvU\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\uff08A\uff09\u508d\u80f8\u9aa8\u5de6\u7e01\u9577\u8ef8\u50cf\uff1a\u50e7\u5e3d\u5f01\u306e\u958b\u653e\u5236\u9650\u3092\u8a8d\u3081\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><img decoding=\"async\" class=\" size-full wp-image-318 alignleft\" src=\"http:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/echo2.jpg\" alt=\"(B)\" width=\"425\" height=\"289\" srcset=\"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/echo2.jpg 425w, https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/echo2-300x204.jpg 300w\" sizes=\"(max-width: 425px) 100vw, 425px\" \/>\uff08B\uff09\u50e7\u5e3d\u5f01\u53e3\u9762\u7a4d\u6e2c\u5b9a\uff11\uff1aArea trace\u6cd5\uff1b\u50e7\u5e3d\u5f01\u30ec\u30d9\u30eb\u77ed\u8ef8\u50cf\uff08\u62e1\u5927\u56f3\uff09\u3067\u3042\u308b\u3002\u50e7\u5e3d\u5f01\u53e3\u9762\u7a4d\u306f1.17c\u33a1\u3068\u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u5ea6\u306e\u50e7\u5e3d\u5f01\u72ed\u7a84\u75c7\u3067\u3042\u308b\u3002 <\/p>\n<div style=\"clear:both;\"><\/div>\n<p> <img decoding=\"async\" class=\"alignleft size-full wp-image-319\" src=\"http:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/echo31.jpg\" alt=\"C1\" width=\"425\" height=\"289\" srcset=\"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/echo31.jpg 425w, https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wordpress\/wp-content\/uploads\/2015\/06\/echo31-300x204.jpg 300w\" sizes=\"(max-width: 425px) 100vw, 425px\" \/>\uff08C1\uff09\u50e7\u5e3d\u5f01\u53e3\u9762\u7a4d\u6e2c\u5b9a\uff12\uff1aPressure half time\uff08PHT\uff09\u6cd5\uff1b\u50e7\u5e3d\u5f01\u6d41\u5165\u6ce2\u5f62\uff08E\u6ce2\uff09\u306e\u6e1b\u8870\u6642\u9593\u304b\u3089\u50e7\u5e3d\u5f01\u53e3\u9762\u7a4d\u3092PHT\u6cd5\u3092\u7528\u3044\u3066\u7b97\u51fa\u3057\u305f\u3002 <\/p>\n<div style=\"clear:both;\"><\/div>\n<p> A. \u9023\u7d9a\u30c9\u30d7\u30e9\u6cd5\u3092\u7528\u3044\u3066\u5de6\u5ba4\u6d41\u5165\u8840\u6d41\u3092\u8a18\u9332\u3059\u308b\u3002\u50e7\u5e3d\u5f01\u53e3\u9762\u7a4d\u304c\u72ed\u5c0f\u5316\u3059\u308b\u306b\u5f93\u3044E\u6ce2\u306e\u6e1b\u8870\u6642\u9593\u304c\u5ef6\u9577\u3059\u308b\u3002\u6700\u5927\u8840\u6d41\u901f\uff08V1\uff09\u304b\u3089V1\u00d71\/\u221a2\uff08V2\uff09 \u307e\u3067\u6e1b\u5c11\u3059\u308b\u901f\u5ea6\u307e\u3067\u306e\u6642\u9593\u304cPHT\uff08pressure half time\uff09\u306b\u76f8\u5f53\u3059\u308b\u3002\u50e7\u5e3d\u5f01\u53e3\u9762\u7a4d\uff08MVA\uff09\u306f\u4ee5\u4e0b\u306e\u5f0f\u3067\u7b97\u51fa\u3055\u308c\u308b\u3002 MVA= 220 \/ PHT; \uff0aMVA: mitral valve area MVA= 220 \/ 216= 1.02 c\u33a1 (C2)B. \u50e7\u5e3d\u5f01\u72ed\u7a84\u75c7\u4f8b\u306e\u5de6\u5ba4-\u5de6\u623f\u5727\u95a2\u4fc2\u3092\u793a\u3059\u3002\u62e1\u5f35\u65e9\u671f\u6642\u76f8\u306b\u304a\u3051\u308b\u5de6\u623f\u3068\u5de6\u5ba4\u3068\u306e\u5727\u8f03\u5dee\u304c\u6700\u5927\u3068\u306a\u308b\u6642\u76f8\uff08P1\uff09\u304b\u3089\u5727\u8f03\u5dee\u304c1\/2\u3068\u306a\u308b\u6642\u76f8\uff08P2\uff09\u307e\u3067\u306e\u6642\u9593\u304cPHT\u3067\u3042\u308b\u3002<\/p>\n<h3>\uff08\uff12\uff09\u50e7\u5e3d\u5f01\u9589\u9396\u4e0d\u5168\u75c7<\/h3>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/WskMxgfXgFg\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td>(D) \u508d\u80f8\u9aa8\u5de6\u7e01\u9577\u8ef8\u50cf (B mode)\uff1a\u53ce\u7e2e\u671f\u306b\u50e7\u5e3d\u5f01\u5f8c\u5c16\u3092\u4e3b\u4f53\u306b\u5de6\u623f\u5074\u3078\u306e\u843d\u3061\u8fbc\u3093\u3067\u3044\u308b\u3002\u9038\u8131\u3057\u305f\u50e7\u5e3d\u5f01\u306b\u7d10\u72b6\u306e\u69cb\u9020\u7269\u304c\u3072\u3089\u3072\u3089\u3057\u3066\u304a\u308a\u50e7\u5e3d\u5f01\u8171\u7d22\u65ad\u88c2\u304c\u7591\u308f\u308c\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/ETBrxGdwUSU\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td>(E) \u508d\u80f8\u9aa8\u5de6\u7e01\u9577\u8ef8\u50cf (color flow imaging)\uff1a\u53ce\u7e2e\u671f\u306b\u9ad8\u5ea6\u306e\u50e7\u5e3d\u5f01\u9006\u6d41\u3092\u8a8d\u3081\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/tbDtsuvIPGQ\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td>(F) \u4e09\u6b21\u5143\u7d4c\u98df\u9053\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\uff08surgeon\u2019s view, 3D transesophageal echo, 3DTEE)\uff1a(D), (E) \u540c\u4e00\u4f8b\u306e3DTEE\u50cf\u3002Surgeon\u2019s view\u3068\u306f\u624b\u8853\u6642\u306b\u5916\u79d1\u533b\u304c\u89b3\u5bdf\u3059\u308bview\u3067\u3042\u308b\u3002\u3059\u306a\u308f\u3061\u3001\u50e7\u5e3d\u5f01\u3092\u5de6\u623f\u5074\u304b\u3089\u89b3\u5bdf\u3057\u3066\u3044\u308b\u3002\u50e7\u5e3d\u5f01\u5f8c\u5c16\u5185\u5074\uff08P3\uff09\u306b\u50e7\u5e3d\u5f01\u8171\u7d22\u65ad\u88c2\u306e\u6240\u898b\u3092\u8a8d\u3081\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><div style=\"clear:both;\"><\/div>\n<\/p>\n<h3>\uff083\uff09\u5927\u52d5\u8108\u72ed\u7a84\u75c7<\/h3>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/WagOFnsBPB0\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td>(G) \u508d\u80f8\u9aa8\u5de6\u7e01\u9577\u8ef8\u50cf (B mode)\uff1a\u5927\u52d5\u8108\u5f01\u958b\u653e\u5236\u9650\u3092\u8a8d\u3081\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td>(H)<\/td>\n<td>\u5927\u52d5\u8108\u5f01\u53e3\u9762\u7a4d\u6e2c\u5b9a\uff1aArea trace\u6cd5\uff1b\u5927\u52d5\u8108\u5f01\u77ed\u8ef8\u50cf\uff08\u62e1\u5927\u56f3\uff09\u3067\u3042\u308b\u3002\u5927\u52d5\u8108\u5f01\u53e3\u9762\u7a4d\u306f0.90c\u33a1\u3068\u91cd\u5ea6\u306e\u5927\u52d5\u8108\u5f01\u72ed\u7a84\u75c7\u3067\u3042\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<td>(I)<\/td>\n<td>\u5fc3\u5c16\u90e8\u5de6\u5ba4\u9577\u8ef8\u50cf\u304b\u3089\u5f97\u3089\u308c\u305f\u5927\u52d5\u8108\u5f01\u8840\u6d41\u6ce2\u5f62\u3067\u3042\u308b\u3002\u9023\u7d9a\u30c9\u30d7\u30e9\u6cd5\u30674m\/sec\u4ee5\u4e0a\u306e\u52a0\u901f\u8840\u6d41\u3092\u8a8d\u3081\u3001\u5e73\u5747\u5de6\u5ba4-\u5927\u52d5\u8108\u9593\u5727\u8f03\u5dee\u306f39.2mmHg\u3067\u3042\u3063\u305f\u3002\u4ee5\u4e0a\u3088\u308a\u91cd\u5ea6\u306e\u5927\u52d5\u8108\u5f01\u72ed\u7a84\u75c7\u3068\u8a3a\u65ad\u3057\u305f\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3>\uff084\uff09\u5927\u52d5\u8108\u9589\u9396\u4e0d\u5168\u75c7<\/h3>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/5MsIMhcq7us\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">(J) \u00a0\u508d\u80f8\u9aa8\u5de6\u7e01\u9577\u8ef8\u50cf (color flow imaging)\uff1a\u91cd\u5ea6\u306e\u5927\u52d5\u8108\u5f01\u9006\u6d41\u3092\u8a8d\u3081\u3001\u5de6\u5ba4\u306f\u9060\u5fc3\u6027\u306b\u62e1\u5927\u3057\u3066\u3044\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<table>\n<tbody>\n<tr>\n<td style=\"vertical-align: top;\"><iframe src=\"https:\/\/www.youtube.com\/embed\/y08zQuJegP4\" width=\"300\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/td>\n<td style=\"vertical-align: top;\">\u00a0(K)\u5fc3\u5c16\u90e8\u9577\u8ef8\u50cf (color flow imaging)\uff1a\u3084\u3084\u5f8c\u65b9\u306b\u504f\u4f4d\u3057\u305f\u91cd\u5ea6\u306e\u5927\u52d5\u8108\u5f01\u9006\u6d41\u3092\u8a8d\u3081\u308b\u3002(L1,2) \u5927\u52d5\u8108\u5f01\u9589\u9396\u4e0d\u5168\u4f8b\u3067\u306f\u3001\u9006\u6d41\u306e\u91cd\u75c7\u5ea6\u3092pressure half time\uff08PHT\uff09\u6cd5\u3092\u7528\u3044\u3066\u63a8\u5b9a\u3067\u304d\u308b\u3002\u91cd\u75c7\u5927\u52d5\u8108\u5f01\u9589\u9396\u4e0d\u5168\u4f8b\u3067\u306f\u62e1\u5f35\u671f\u306b\u304a\u3051\u308b\u5927\u52d5\u8108\u5727\u306f\u6025\u6fc0\u306b\u4f4e\u4e0b\u3057\u3001\u305d\u308c\u306b\u5f93\u3044\u5de6\u5ba4\u62e1\u5f35\u672b\u671f\u5727\u306f\u5897\u52a0\u3059\u308b\u3002\u9ad8\u5ea6\u306e\u5927\u52d5\u8108\u5f01\u9589\u9396\u4e0d\u5168\u4f8b\u3067\u306fPHT\u306f300ms\u672a\u6e80\u306b\u77ed\u7e2e\u3059\u308b\u3002<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u5fc3\u7b4b\u75c7\u306b\u3064\u3044\u3066 \u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u3067\u5fc3\u7b4b\u75c7\u3092\u8a3a\u308b \u8d85\u97f3\u6ce2\u5fc3\u30a8\u30b3\u30fc\u691c\u67fb\u306f\u5fc3\u7b4b\u75c7\u306e\u9451\u5225\u8a3a\u65ad\u3067\u975e\u5e38\u306b\u91cd\u8981\u306a\u975e\u4fb5\u8972\u7684\u691c\u67fb\u3067\u3042\u308b\u3002\u5fc3\u81d3\u306e\u8a73\u7d30\u306a\u5f62\u614b\u3001\u8840\u884c\u52d5\u614b\u306e\u8a55\u4fa1\u306b\u3088\u308a\u6b63\u78ba\u306a\u8a3a\u65ad\u304c\u53ef\u80fd\u3067\u3042\u308b\u3002\u307e\u305f\u3001\u8a3a\u65ad\u306e\u307f\u306a\u3089\u305a\u6cbb\u7642\u4e2d\u306e\u7d4c\u904e\u89b3\u5bdf\u306b [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":983,"parent":253,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-305","page","type-page","status-publish","has-post-thumbnail","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/pages\/305","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/comments?post=305"}],"version-history":[{"count":1,"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/pages\/305\/revisions"}],"predecessor-version":[{"id":1012,"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/pages\/305\/revisions\/1012"}],"up":[{"embeddable":true,"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/pages\/253"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/media\/983"}],"wp:attachment":[{"href":"https:\/\/www.m.ehime-u.ac.jp\/school\/int.med2\/wp-json\/wp\/v2\/media?parent=305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}