{"created":"2023-06-20T15:59:54.509914+00:00","id":18050,"links":{},"metadata":{"_buckets":{"deposit":"dd39c6a8-bd84-4a50-9928-b471561977cc"},"_deposit":{"created_by":41,"id":"18050","owners":[41],"pid":{"revision_id":0,"type":"depid","value":"18050"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00018050","sets":["340","340:341","340:341:682"]},"author_link":["68675","68673","68676","68677","68674"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-04-22","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"28","bibliographicPageStart":"25","bibliographicVolumeNumber":"26","bibliographic_titles":[{"bibliographic_title":"高知赤十字病院医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Kochi Hospital","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は 50 代男性．慢性腎臓病の増悪で当院紹介となったが，同時に左室拡大・左室収縮力低\n下を伴う急性非代償性心不全を認め，一般的な心不全治療を行うも治療に難渋した．そこで ARB か\nらアンジオテンシン受容体ネプリライシン阻害薬（ARNI）（総称名：エンレスト，一般名：サクビ\nトリルバルサルタンナトリウム水和物）に切り替えを行ったところ，心不全は安定化し，経時的に著\n明な心臓逆リモデリングが見られ，数か月後には左室駆出率はほぼ正常化した．腎機能はその間悪化\nはなかった．その後も心不全再入院なく経過している．\n左室収縮力低下を伴う慢性心不全患者（HFrEF）に対して近年 ARNI の使用が推奨されており，本\n患者も有効であり，著明な心臓逆リモデリングが見られた．","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"高知赤十字病院"}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"高知赤十字病院"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0919-7427","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"高橋, 有紗"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西村, 拓哉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"古谷, 敏昭"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"川田, 泰正"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"有井, 薫"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-04-22"}],"displaytype":"simple","filename":"ARNI 導入後に著明な心臓逆リモデリングが見られた1 例.pdf","filesize":[{"value":"1.3 MB"}],"format":"application/pdf","licensetype":"license_9","mimetype":"application/pdf","url":{"label":"高知赤十字病院医学雑誌Vol.26-19","url":"https://redcross.repo.nii.ac.jp/record/18050/files/ARNI 導入後に著明な心臓逆リモデリングが見られた1 例.pdf"},"version_id":"aca3facd-c4ab-43cd-bf9c-1e6f27f66841"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"ARNI","subitem_subject_scheme":"Other"},{"subitem_subject":"サクビトリルバルサルタン","subitem_subject_scheme":"Other"},{"subitem_subject":"心臓逆リモデリング","subitem_subject_scheme":"Other"},{"subitem_subject":"臓器保護","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"ARNI 導入後に著明な心臓逆リモデリングが見られた 1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"ARNI 導入後に著明な心臓逆リモデリングが見られた 1例"}]},"item_type_id":"10001","owner":"41","path":["340","341","682"],"pubdate":{"attribute_name":"公開日","attribute_value":"2022-04-22"},"publish_date":"2022-04-22","publish_status":"0","recid":"18050","relation_version_is_last":true,"title":["ARNI 導入後に著明な心臓逆リモデリングが見られた 1例"],"weko_creator_id":"41","weko_shared_id":-1},"updated":"2023-06-20T17:48:00.777991+00:00"}