{"created":"2023-06-20T15:49:15.332072+00:00","id":1600,"links":{},"metadata":{"_buckets":{"deposit":"5b51e192-6a60-452e-a1dd-64830d4dd693"},"_deposit":{"created_by":18,"id":"1600","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"1600"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00001600","sets":["99:64:66"]},"author_link":["315","286","285","316","290","324","294","305","288","312","310","308","287","298","320","311","321","131","323","292","295","301","300","299","293","307","306","297","313","309","314","296"],"item_5_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"107","bibliographicPageStart":"104","bibliographicVolumeNumber":"17","bibliographic_titles":[{"bibliographic_title":"徳島赤十字病院医学雑誌"},{"bibliographic_title":"Tokushima Red Cross Hospital Medical Journal","bibliographic_titleLang":"en"}]}]},"item_5_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"2種類以上の冠血管拡張薬を投与しても狭心症発作がコントロールできない難治性冠攣縮性狭心症に対し,生活改善が有効であった2症例を報告する.症例1は45歳,男性.冠攣縮に伴う急性心筋梗塞にて入院した.禁煙指導と硝酸薬内服で発作のコントロールがつき退院したが,5ヵ月後に再度心筋梗塞を発症した.硝酸薬とCa拮抗薬の併用治療を行うも,発作は何度も再発した.病歴から精神的ストレスの関与が疑われ,ストレスの回避法として自律訓練法を指導してからは発作の再発を認めていない.症例2は57歳,男性.冠攣縮に伴う心室頻拍,失神にて入院した.禁煙指導と硝酸薬,Ca拮抗薬内服にて発作のコントロールがつき退院したが,2年後に発作が再発した.患者は60本/日の喫煙を続けていたことが発覚し,禁煙指導を徹底してからは,再発を認めていない.冠攣縮の治療には,危険因子の管理が基本となることが改めて認識された.","subitem_description_type":"Abstract"}]},"item_5_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"309","nameIdentifierScheme":"WEKO"}],"names":[{"name":"TSUTSUMI, Satoshi"}]},{"nameIdentifiers":[{"nameIdentifier":"305","nameIdentifierScheme":"WEKO"}],"names":[{"name":"HIASA, Yoshikazu"}]},{"nameIdentifiers":[{"nameIdentifier":"308","nameIdentifierScheme":"WEKO"}],"names":[{"name":"SAITO, 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