{"created":"2023-06-19T10:28:27.463569+00:00","id":599,"links":{},"metadata":{"_buckets":{"deposit":"7afc172a-2a5b-4fdf-a783-b4eed9bd61fd"},"_deposit":{"created_by":25,"id":"599","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"599"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00000599","sets":["1709617079800:35:186:429"]},"author_link":["119986","119987","119988","119989","119990","119991","119992","119993","119994","119995","119996","119997","119998","119999","120000","120001"],"item_1694495855422":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_type":"VoR"}]},"item_3_biblio_info_12":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1987","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"104","bibliographicPageStart":"97","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_3_description_8":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_3_identifier_14":{"attribute_name":"URL","attribute_value_mlt":[{"subitem_identifier_type":"URI","subitem_identifier_uri":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/1987/KMJ13(1)97-104.1987.pdf"}]},"item_3_relation_20":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J13(1)97 ","subitem_relation_type_select":"DOI"}}]},"item_3_source_id_1":{"attribute_name":"雑誌書誌ID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_3_text_6":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学循環器内科"}]},"item_3_text_7":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Division of Cardiology, Department of Medicine, Kawasaki Medical School"}]},"item_3_textarea_10":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"聴診および心エコー図上,僧帽弁逸脱を認め頻拍発作を繰り返す37歳男性例に対して電気生理学的検査が行われた.その結果,二重房室伝導経路と潜在性WPW症候群をあわせもつことが判明した.90～220/分の心室ペーシングにて室房(V-A)伝導時間は一定であった.さらにアトロピン投与後120～240/分の心室ペーシングにても室房伝導時間は一定で,逆行性最早期心房興奮部位は左房(室-左房伝導時間は140msec)であった.多部位心房ペーシングにても顕性pre-excitationはみられなかった.これらの所見から左側副伝導路を逆行性に伝導する経路(concealed WPW)の存在が示唆された.本例における発作性上室性頻拍は,slow AV nodal pathwayを順行性に,左側副伝導路を逆行性に伝導する回帰性頻拍と考えられた.僧帽弁逸脱と2種の異常房室伝導路合併との関係は不明であるが,僧帽弁逸脱例に二重房室伝導経路と潜在性WPW症候群を合わせもつことはまれと思われた."}]},"item_3_textarea_11":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"An electrophysiologic study was performed on a 37-year-old male with auscultatory and echocardiographic findings of mitral valve prolapsed (MVP), because of frequent episodes of palpitation with tachycardia. It was found to have dual atrioventricular (AV) nodal pathways as well as the concealed Wolff-Parkinson-White (WPW) syndrome. As a result of atrial extrastimulus testing, a discontinuous AV nodal conduction curve, suggesting dual AV nodal pathways, was obtained. The ventriculoatrial (V-A) interval was constant at ventricular paced rates of 90 to 220 beats/min. In addition, ventricular pacing at a rate of 120 to 240/min after atropine revealed a V-A conduction time identical to that in the control period, and the earliest retrograde atrial activation occurred on left atrial site (LA) with a V-LA interval of 140 msec. Manifest pre-excitation was not demonstrated by means of pacing at multiple atrial sites. These findings suggested the presence of retrograde conduction via only the left-sided accessory pathway (concealed WPW syndrome). In this patient, paroxysmal supraventricular tachycardia was re-entrant arrhythmia utilizing the slow AV nodal pathway for antegrade conduction and the left-sided accessory pathway for retrograde conduction. Although the relationships of MVP and the combination of these two abnormal AV conduction pathways are unknown, this appears to be a rare case of coexistence of the dual AV nodal pathways and the concealed WPW syndrome in a patient with MVP."}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"長谷川, 浩一","creatorNameLang":"ja"},{"creatorName":"ハセガワ, コウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中尾, 正俊","creatorNameLang":"ja"},{"creatorName":"ナカオ, マサトシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"藤原, 武","creatorNameLang":"ja"},{"creatorName":"フジワラ, タケシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中村, 節","creatorNameLang":"ja"},{"creatorName":"ナカムラ, タカシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寒川, 昌信","creatorNameLang":"ja"},{"creatorName":"サムカワ, マサノブ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"米田, 元穂","creatorNameLang":"ja"},{"creatorName":"ヨネダ, モトオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鼠尾, 祥三","creatorNameLang":"ja"},{"creatorName":"ネズオ, ショウゾウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"沢山, 俊民","creatorNameLang":"ja"},{"creatorName":"サワヤマ, トシタミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hasegawa, Kouichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakao, Masatoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Fujiwara, Takeshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nakamura, Takashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Samukawa, Masanobu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoneda, Motoo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nezuo, Shoso","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sawayama, Toshitami","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-01-23"}],"displaytype":"detail","filename":"KJ00009816439.pdf","filesize":[{"value":"1.8 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"KJ00009816439.pdf","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/599/files/KJ00009816439.pdf"},"version_id":"c0870d94-637e-4c5b-adfc-2621b1eeed19"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Mitral valve prolapsed","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Dual AV nodal pathways","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Concealed WPW syndrome","subitem_subject_language":"en","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":"二重房室伝導経路と潜在性WPW症候群を合併した僧帽弁逸脱の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"二重房室伝導経路と潜在性WPW症候群を合併した僧帽弁逸脱の1例","subitem_title_language":"ja"},{"subitem_title":"A Case of Mitral Valve Prolapse Associated with Dual Atrio-Ventricular Nodal Pathways and the Concealed WPW Syndrome","subitem_title_language":"en"}]},"item_type_id":"3","owner":"25","path":["429"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2017-01-23"},"publish_date":"2017-01-23","publish_status":"0","recid":"599","relation_version_is_last":true,"title":["二重房室伝導経路と潜在性WPW症候群を合併した僧帽弁逸脱の1例"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-10-06T00:39:47.779524+00:00"}