{"id":3451,"date":"2021-11-19T17:22:15","date_gmt":"2021-11-19T09:22:15","guid":{"rendered":"https:\/\/cardiothinklab.com\/%e8%87%a8%e5%ba%8a%e7%97%87%e4%be%8b%ef%bc%9a%e6%80%a5%e6%80%a7%e5%bf%83%e7%96%be%e6%82%a3%e3%81%a8%e6%85%a2%e6%80%a7%e5%bf%83%e7%96%be%e6%82%a3%e3%81%a8%e3%81%ae%e9%91%91%e5%88%a5\/"},"modified":"2026-02-12T00:27:04","modified_gmt":"2026-02-11T16:27:04","slug":"clinical-cases-differentiating-acute-from-chronic-cardiac-conditions","status":"publish","type":"post","link":"https:\/\/cardiothinklab.com\/ja\/clinical-cases-differentiating-acute-from-chronic-cardiac-conditions\/","title":{"rendered":"\u81e8\u5e8a\u75c7\u4f8b\uff1a\u6025\u6027\u5fc3\u75be\u60a3\u3068\u6162\u6027\u5fc3\u75be\u60a3\u3068\u306e\u9451\u5225"},"content":{"rendered":"\n<meta name=\"viewport\" content=\"\u5e45 = \u6a5f\u5668\u5e45\u3001\u521d\u671f\u30b9\u30b1\u30fc\u30eb = 1\"\/><style type=\"text\/css\">\n.case-study{\n\twidth: 80%;\n}\n.case-study table {\nmargin:0px !important;\n}\n#ctl-right-arrow{\n\twidth: 10px;\n}\n@media only screen and (min-width: 200px) and (max-width: 767px)  {\n\t.case-study{\n\t\twidth: 100%;\n\t}\n\t.case-study table tbody tr td{\n\t\twidth: 100% !important;\n\t\tdisplay: inline-block;\n\t}\n\t#ctl-right-arrow{\n\t\tdisplay: none;\n\t}\n}\n<\/style><div class=\"case-study\">\n<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td height=\"15\" style=\"font-size:1px; line-height:1px;\">\u00a0<\/td>\n\t\t\t<\/tr><tr><td align=\"center\" valign=\"top\">\n\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#0063ac; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: bold;border-top:1px solid #000000;border-bottom:1px solid #000000;\" valign=\"top\" width=\"30%\">\u75c7\u4f8b<\/td>\n\t\t\t\t\t\t\t\t<td align=\"middle\" valign=\"middle\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: bold;border-top:1px solid #000000;border-bottom:1px solid #000000;\" valign=\"top\" width=\"60%\">64\u6b73\u7537\u6027<\/td>\n\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t<\/tr><tr><td align=\"center\" valign=\"top\">\n\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;border-top:1px solid #000000;border-bottom:1px solid #000000;\" valign=\"top\" width=\"30%\">\u4e3b\u306a\u5fb4\u5019\u304a\u3088\u3073\u75c7\u72b6<\/td>\n\t\t\t\t\t\t\t\t<td align=\"middle\" valign=\"middle\" width=\"2%\"><img decoding=\"async\" id=\"ctl-right-arrow\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-case-studies-right-arrow.png\" alt=\"\"\/><\/td>\n\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal;border-top:1px solid #000000;border-bottom:1px solid #000000;background:#d3def2;padding:0 4px;\" valign=\"top\" width=\"60%\">\u904e\u53bb3\u9031\u9593\u3067\u547c\u5438\u56f0\u96e3\u304c\u5f90\u3005\u306b\u60aa\u5316\u3057\u3001\u76f4\u8fd1\u3067\u306f\u6700\u5c0f\u9650\u306e\u52b4\u4f5c\u3067\u52b4\u4f5c\u6027\u547c\u5438\u56f0\u96e3\u3092\u767a\u75c7\u30021\u9031\u9593\u3067\u4f53\u91cd\u304c3 kg\u5897\u52a0<\/td>\n\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t<\/tr><tr><td align=\"center\" valign=\"top\">\n\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;border-top:1px solid #000000;border-bottom:1px solid #000000;\" valign=\"middle\" width=\"30%\">\u65e2\u5f80\u6b74<\/td>\n\t\t\t\t\t\t\t\t<td align=\"middle\" valign=\"middle\" width=\"2%\"><img decoding=\"async\" id=\"ctl-right-arrow\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-case-studies-right-arrow.png\" alt=\"\"\/><\/td>\n\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal;border-top:1px solid #000000;border-bottom:1px solid #000000;background:#d3def2;padding:0 4px;\" valign=\"top\" width=\"60%\">3\u5e74\u524d\u306b\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u3068\u8a3a\u65ad<\/td>\n\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t<\/tr><tr><td align=\"center\" valign=\"top\">\n\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;border-top:1px solid #000000;border-bottom:1px solid #000000;\" valign=\"middle\" width=\"30%\">\n\t\t\t\t\t\t\t\t\u8a3a\u5bdf<\/td>\n\t\t\t\t\t\t\t\t<td align=\"middle\" valign=\"middle\" width=\"2%\"><img decoding=\"async\" id=\"ctl-right-arrow\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-case-studies-right-arrow.png\" alt=\"\"\/><\/td>\n\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal;border-top:1px solid #000000;border-bottom:1px solid #000000;background:#d3def2;padding:0 4px;\" valign=\"top\" width=\"60%\">\u7b2c3\u5fc3\u97f3\u3001\u4e21\u5074\u80ba\u5e95\u90e8\u306e\u30e9\u97f3\u3001\u9838\u9759\u8108\u6012\u5f35\uff0812\u00a0cm\u00a0H<sub>2<\/sub>O\uff09\u3001\u8efd\u5ea6\u306e\u8db3\u9996\u6d6e\u816b<\/td>\n\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t<\/tr><tr><td align=\"center\" valign=\"top\">\n\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;border-top:1px solid #000000;border-bottom:1px solid #000000;\" valign=\"middle\" width=\"30%\">\u81e8\u5e8a\u691c\u67fb<br\/>\n\t\t\t\t\t\t\t\t\u7d50\u679c<\/td>\n\t\t\t\t\t\t\t\t<td align=\"middle\" valign=\"middle\" width=\"2%\"><img decoding=\"async\" id=\"ctl-right-arrow\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-case-studies-right-arrow.png\" alt=\"\"\/><\/td>\n\t\t\t\t\t\t\t\t<td align=\"left\" style=\"border-top:1px solid #000000;border-bottom:1px solid #000000;padding:0 0px;\" valign=\"top\" width=\"60%\">\n\t\t\t\t\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"center\" style=\"background:#d3def2;padding:0 2px;\" valign=\"top\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal;padding:0 0px;\" valign=\"top\" width=\"50%\"><strong>\u7d50\u679c<\/strong><\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\"><strong>\u57fa\u6e96\u7bc4\u56f2<\/strong><\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t\t\t\t\t\t\t\t\t<\/tr><tr><td align=\"center\" style=\"background:#d3def2;padding:0 2px;\" valign=\"top\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">C\u53cd\u5fdc\u6027\u30bf\u30f3\u30d1\u30af (CRP) 4\u00a0mg\/L  <\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td><\/tr><\/tbody><\/table><\/td>\n\t\t\t\t\t\t\t\t\t\t\t<\/tr><tr><td align=\"center\" style=\"background:#d3def2;padding:0 2px;\" valign=\"top\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3 1.2\u00a0mg\/dL<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td><\/tr><\/tbody><\/table><\/td>\n\t\t\t\t\t\t\t\t\t\t\t<\/tr><tr><td align=\"center\" style=\"background:#d3def2;padding:0 2px;\" valign=\"top\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">\u7cf8\u7403\u4f53\u308d\u904e\u91cf (GFR) 90 mL\/min\/1.73 m<sup>2<\/sup><\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">>90\u00a0mL\/min\/1.73 m2<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t\t\t\t\t\t\t\t\t<\/tr><tr><td align=\"center\" style=\"background:#d3def2;padding:0 2px;\" valign=\"top\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">\u30d2\u30c8\u8133\u6027\u30ca\u30c8\u30ea\u30a6\u30e0\u5229\u5c3f\u30da\u30d7\u30c1\u30c9\u524d\u99c6\u4f53N\u7aef\u30d5\u30e9\u30b0\u30e1\u30f3\u30c8 (NT-proBNP) 1375\u00a0ng\/L<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:14px; line-height:24px; font-weight: normal\" valign=\"top\" width=\"50%\">900\u00a0ng\/L\u306f\u300150\uff5e75\u6b73\u306e\u5834\u5408\u3001\u5fc3\u4e0d\u5168 (HF) \u306e\u53ef\u80fd\u6027\uff08\u753b\u50cf\u691c\u67fb\u306b\u3088\u308b\u78ba\u8a8d\uff09<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t\t\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t<\/tr><tr><td align=\"center\" valign=\"top\">\n\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal; border-top: 1px solid #000;\" valign=\"top\" width=\"30%\"><strong>\u5fc3\u96fb\u56f3 (ECG)<\/strong><br\/>\n\t\t\t\t\t\t\t\t\t\u5fc3\u623f\u7d30\u52d5\u3002I\u3001II\u3001aVL\u3001V2\uff5eV6\u8a98\u5c0e\u306b\u3066\u975e\u7279\u7570\u7684\u306a\u518d\u5206\u6975\u7570\u5e38\u3002<\/td>\n\t\t\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t<td align=\"right\" class=\"hero_image1\" valign=\"middle\" width=\"60%\" style=\"border-top: 1px solid #000;\"><img decoding=\"async\" alt=\"\u753b\u50cf\" height=\"auto\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/case-2-ecg.png\" style=\"border: none;display: block;\" width=\"100%\"\/><\/td>\n\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t<\/tr><tr><td height=\"15\" style=\"font-size:1px; line-height:1px;\">\u00a0<\/td>\n\t\t\t<\/tr><tr><td align=\"center\" valign=\"top\">\n\t\t\t\t\t<table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"left\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;\" valign=\"top\" width=\"30%\"><strong>\u30c8\u30ed\u30dd\u30cb\u30f3\u52d5\u614b\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb<\/strong><\/td>\n\t\t\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t\t\t<td align=\"right\" class=\"hero_image1\" valign=\"middle\" width=\"60%\"><img decoding=\"async\" alt=\"\u753b\u50cf\" height=\"auto\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/case-2-Troponin-kinetic-profile.png\" style=\"border: none;display: block;\" width=\"100%\"\/><\/td>\n\t\t\t\t\t\t\t<\/tr><\/tbody><\/table><\/td>\n\t\t\t<\/tr><tr><td height=\"15\" style=\"font-size:1px; line-height:1px;\">\u00a0<\/td>\n\t\t\t<\/tr><tr><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tr><td align=\"left\" width=\"49%\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;\" valign=\"top\"><strong>\u78c1\u6c17\u5171\u9cf4\u753b\u50cf (MRI)<\/strong><\/td>\n\t\t\t\t\t\t<td align=\"left\" valign=\"top\" width=\"2%\">\u00a0<\/td>\n\t\t\t\t\t\t<td align=\"center\" class=\"hero_image1\" valign=\"middle\" width=\"49%\"><img decoding=\"async\" alt=\"\u753b\u50cf\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/case-2-MRI.png\" style=\"border: none;display: block;\" width=\"100%\"\/><\/td>\n\t\t\t\t\t<\/tr><\/table><\/tr><tr><td height=\"10\" style=\"font-size:1px; line-height:1px;\">\u00a0<\/td>\n\t\t\t<\/tr><tr><td><input type=\"hidden\" id=\"ays_finish_poll_34\" name=\"ays_finish_poll_34\" value=\"364c00a5d7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3451\" \/><input type=\"hidden\" id=\"ays_finish_poll_show_res_34\" name=\"ays_finish_poll_show_res_34\" value=\"364c00a5d7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3451\" \/><style>        #ays-poll-id-69dfda8943b30.box-apm {            width: 100%;                        margin: 0 auto !important;            border-style: solid;            border-color: #db305d;            border-radius: 14px;            border-width: 3px;            box-shadow: 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solid #db305d;\t\t    border-radius: 3px;\t\t}\t\t.ays-poll-id-69dfda8943b30.ays-minimal-theme .ays_poll_passed_count i.ays_poll_fa:before{\t\t    color: #db305d !important;\t\t    \t\t}        .ays-poll-id-69dfda8943b30.ays-minimal-theme .answer-percent{        \tcolor: initial !important;\t\t}        .ays-poll-id-69dfda8943b30.box-apm span.ays_poll_passed_count{            background-color: #db305d;            color: rgba(0,0,0,0);        }        #ays-poll-id-69dfda8943b30.box-apm span.ays_poll_passed_count i{            color: rgba(0,0,0,0);        }        #ays-poll-id-69dfda8943b30.box-apm .apm-title-box{            background-color: rgba(0,0,0,0);        }        .ays-poll-id-69dfda8943b30 .answer-percent {            background-color: #7a7a7a;            color: rgba(0,0,0,0) !important;        }        .ays-poll-id-69dfda8943b30 .ays-poll-btn{            color: rgba(0,0,0,0) !important;            background-color: #7a7a7a !important;            overflow: hidden;        }        #ays-poll-id-69dfda8943b30 .ays-poll-view-more-button{\t\t    border-radius: 0;\t\t}        .ays-poll-id-69dfda8943b30.box-apm * {            color: #db305d;        }        .ays-poll-id-69dfda8943b30.box-apm .apm-title-box div {            color: #db305d;            text-transform: inherit;            font-family: inherit;\t\t\t        }        #ays-poll-id-69dfda8943b30.box-apm i {            color: #db305d;            font-size: 24px;            font-style: normal;                    }\t\t#ays-poll-id-69dfda8943b30 .ays-poll-btn{       \t\twidth: auto;\t\t\tfont-size: 17px;\t\t\tpadding: 10px 20px;\t\t\tborder-radius: 3px;\t\t\tcolor: rgba(0,0,0,0) !important;\t\t\tbackground: #7a7a7a !important;\t\t\tborder: none;\t\t\tline-height: 12px !important;\t\t}\t\t#ays-poll-id-69dfda8943b30 .apm-add-answer input.ays-poll-new-answer-apply-text{            width: 100%;\t\t\tmargin-bottom: 0;\t\t\tmargin-right: 5px;\t\t\tborder-color: #7a7a7a; \t\t\tpadding: 7px;\t\t\tfont-size: 14px;\t\t\tcolor: black;\t\t\theight: 40px; \t\t\toutline: none;\t\t\tdisplay: inline-block;        }        #ays-poll-id-69dfda8943b30.box-apm i.ays_poll_far{                        font-family: 'Font Awesome 5 Free';        }        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-each-answer-list{            \t\t\twidth: initial;\t\t\ttext-align: initial;\t\t\tdisplay: initial;\t\t\tpadding: 10px;        }        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-each-answer-grid{            \t\t\twidth: 100%;\t\t\ttext-align: left;\t\t\tdisplay: inline-block;\t\t\tword-break: break-word;        }\t\t        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays_label_poll{            \t\t\twidth: 100%;\t\t\ttext-align: center;\t\t\tdisplay: flex;\t\t\t;\t\t\talign-items: center;\t\t\tpadding: 10px;        }        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-each-image{            \t\t\theight: 150px;\t\t\tborder-radius: 0px;\t\t\tobject-fit: cover;        }        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-each-image-list{\t\t\twidth: 220px;        }        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-each-image-grid{\t\t\twidth: 100%;        }        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-answer-container-label-grid{\t\t\talign-items: center;        }        #ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-answer-container-label-list{\t\t\tflex-direction: row;        }        #ays-poll-id-69dfda8943b30.box-apm .ays_poll_grid_view_container{\t\t\tdisplay: flex;\t\t\tflex-wrap: wrap;\t\t\tjustify-content: space-between;\t\t\talign-items: flex-start;        }        #ays-poll-id-69dfda8943b30.box-apm .ays-poll-answer-container-gird{\t\t\twidth: calc(50% - 5px);\t\t\tmargin-bottom: 1px;        }\t\t        #ays-poll-id-69dfda8943b30.box-apm .ays_poll_label_without_padding{\t\t\tpadding: 10px;\t\t\talign-items: center;\t\t\tflex-direction: column;        }        #ays-poll-id-69dfda8943b30.box-apm .apm-title-box div{\t\t\tfont-size: 20px;\t\t\tword-break: break-word;\t\t\tword-wrap: break-word;\t\t\ttext-align: center;        }        #ays-poll-id-69dfda8943b30.box-apm .ays-poll-answer-container-list{\t\t\t\t\t\tmargin-bottom: 1px;\t\t\tdisplay: flex;\t\t\twidth: 100%;        }        #ays-poll-id-69dfda8943b30.box-apm .ays-poll-maker-text-answer-main input,\t\t#ays-poll-id-69dfda8943b30.box-apm .ays-poll-maker-text-answer-main textarea{\t\t\tmin-width: 150px;\t\t\tmax-width: 100%;\t\t\twidth: %;        }        #ays-poll-id-69dfda8943b30.box-apm .ays-poll-password-box .ays-poll-password-button-box .ays-poll-password-button{\t\t\tbackground-color: #7a7a7a;\t\t\tcolor: rgba(0,0,0,0);\t\t\tborder-color: #7a7a7a;\t\t\toutline: none;\t\t\tbox-shadow: unset;\t\t\tborder: 0;\t\t\ttransition: .5s;        }        #ays-poll-id-69dfda8943b30.box-apm .ays-poll-password-box .ays-poll-password-button-box .ays-poll-password-button:hover{\t\t\tbackground-color: #7a7a7ab5;        }        #ays-poll-id-69dfda8943b30.box-apm .ays-poll-password-box .ays-poll-password-input-box .ays-poll-password-input{\t\t\tborder-color: #7a7a7a;        }\t\t#ays-poll-id-69dfda8943b30.box-apm .apm-answers .apm-choosing label.ays_label_poll{            \t\t\tbox-shadow:unset;\t\t\tborder-radius: 0px;        }\t\t#ays-poll-id-69dfda8943b30.box-apm.text-poll .apm-answers .ays-poll-text-types-inputs{            \t\t\tfont-size: 16px;        }\t\t\t\t\t        .ays-poll-id-69dfda8943b30.choosing-poll input[type=radio]:checked + label,\t\t.ays-poll-id-69dfda8943b30:not(.ays-minimal-theme).choosing-poll input[type='checkbox']:checked + label,        .ays-poll-id-69dfda8943b30.choosing-poll label.ays_enable_hover:hover {        \tbackground-color: #db305d !important;            color: rgba(0,0,0,0);        }\t\t.ays-poll-id-69dfda8943b30:not(.ays-minimal-theme).choosing-poll input[type='checkbox']{\t\t\tdisplay: none;\t\t}        .ays-poll-id-69dfda8943b30.choosing-poll input[type=radio]:checked + label *,        .ays-poll-id-69dfda8943b30.choosing-poll input[type=checkbox]:checked + label *,        .ays-poll-id-69dfda8943b30.choosing-poll label.ays_enable_hover:hover * {            color: rgba(0,0,0,0);        }.ays-poll-id-69dfda8943b30 .apm-info-form input {            border-color: #7a7a7a;        }        div[class~=ays-poll-id-69dfda8943b30] label.ays_label_font_size {            font-size: 16px;        }        button.ays-poll-next-btn:focus {            background: unset;            outline: none;        }        button.ays-poll-next-btn:disabled {            cursor: not-allowed;            background: dimgrey !important;            color: white !important;        }        button.ays-poll-next-btn:enabled {            cursor: pointer;        }        .ays-poll-id-69dfda8943b30 .apm-info-form input {            color: #db305d !important;            background-color: rgba(0,0,0,0) !important;        }         .ays-poll-main #ays-poll-id-69dfda8943b30 .ays-poll-img {            object-fit: cover;\t\t\theight: 100%;         }        .ays-poll-id-69dfda8943b30 div.apm-loading-gif .apm-loader svg path,        .ays-poll-id-69dfda8943b30 div.apm-loading-gif .apm-loader svg rect {            fill: #7a7a7a;        }.ays-poll-id-69dfda8943b30 div.apm-loading-gif .apm-loader{\t\t\t\tdisplay: flex;\t\t\t\tjustify-content: center;\t\t\t\talign-items: center;\t\t\t\tpadding-top: 10px;\t\t\t}\t\t\t.ays-poll-id-69dfda8943b30 div.apm-loading-gif{\t\t\t\twidth: 100%;    \t\t\theight: 100%;\t\t\t}\t\t\t.ays-poll-id-69dfda8943b30.box-apm .ays_question p{\t\t\tfont-size: 16px;\t\t}\t\t\t\t@media only screen and (max-width: 768px){\t\t\t#ays-poll-id-69dfda8943b30.box-apm {\t\t\t\twidth: 100%;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30.box-apm .ays-poll-btn{\t\t\t\twidth: auto;\t\t\t}\t\t\t.ays-poll-id-69dfda8943b30.box-apm .ays_question p{\t\t\t\tfont-size: 16px;\t\t\t}\t\t\t\t\t\t.ays-poll-id-69dfda8943b30 .apm-answers .apm-rating i.ays_poll_fa-star {\t\t\t\tfont-size: 4vw !important;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30.box-apm .ays-poll-answer-container-gird{\t\t\t\twidth: 100%;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30.box-apm .apm-title-box div{\t\t\t\tfont-size: 20px;\t\t\t\ttext-align: center;\t\t\t\tword-break: break-word;\t\t\t\tword-wrap: break-word;\t\t\t}\t\t\t.ays-poll-id-69dfda8943b30.box-apm label.ays_label_font_size {\t\t\t\tfont-size: 16px;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30.box-apm.text-poll .apm-answers .ays-poll-text-types-inputs{            \t\t\t\tfont-size: 16px;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30.box-apm .apm-answers > .apm-choosing > .ays_label_poll > div.ays-poll-answer-image > img.ays-poll-each-image{\t\t\t\theight: 150px;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30.box-apm .apm-answers .apm-choosing > label.ays-poll-answer-container-label-list > p.ays-poll-answers > span.ays-poll-each-answer-list {\t\t\t\tpadding: unset;\t\t\t\tword-wrap: break-word;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30 .ays-poll-btn{\t\t\t\tfont-size: 17px;\t\t\t\tline-height: 1;\t\t\t\twhite-space: normal;\t\t\t\tword-break: break-word;\t\t\t}\t\t}\t\t@media screen and (max-width: 768px){\t\t\t#ays-poll-id-69dfda8943b30{\t\t\t\tmax-width: 100%;\t\t\t}\t\t}\t\t#ays-poll-container-34{        \twidth: 100%;\t\t}\t\t@media screen and (max-width: 768px){\t\t\t#ays-poll-container-34{\t\t\t\twidth: 100%;\t\t\t\tmax-width: 96%;\t\t\t}\t\t\t#ays-poll-id-69dfda8943b30.box-apm .apm-choosing .ays-poll-each-image-list{\t\t\t\twidth: 100%;        \t}\t\t}\t\t\t           <\/style>        <script>            var dataCss = {\t\t\t\twidth: '100%',                maxWidth: '98%',                fontSize: '16px',                padding: '10px',                margin: '0 auto',                marginTop: '-1rem',                borderStyle: 'solid',                borderWidth: '2px',                borderColor: '#7a7a7a',                background: 'rgba(0,0,0,0)',                color: '#7a7a7a',                transition: '.3s ease',                WebkitAppearance: 'none',                appearance: 'none',                };            var hoverCss = {                background: '#7a7a7a',                color: 'rgba(0,0,0,0)',                borderColor: 'rgba(0,0,0,0)',            };        <\/script><div style='margin-bottom: 1rem;' class='ays-poll-main ' id='ays-poll-container-34' data-load-method=''>        <form style='margin-bottom: 0;' >                        <div                dir='ltr'        data-loading='load_gif'        data-load-gif='plg_default'        data-load-gif-font-size='64'                data-hide-bg-image='false'        data-gradient-check=''        data-gradient-dir='to bottom'        data-gradient-c1='#103251'        data-gradient-c2='#607593'        data-hide-bg-image-def-color='rgba(0,0,0,0)'        data-show-social=''        class='box-apm ays-minimal-theme choosing-poll ays-poll-id-69dfda8943b30 '        id='ays-poll-id-69dfda8943b30'        data-res='0'        data-res-sort='none'        data-restart ='false'        data-redirection = '0'        data-redirect-check = '0'        data-url-href = ''        data-href = ''        data-delay = '0'        data-id='34'        data-res-rgba = ''        data-percent-color = '#db305d'        data-enable-top-animation = ''        data-top-animation-scroll = '100'        data-info-form=''        data-enable-social-links=''        ><span class='ays_poll_passed_count'><i class='ays_poll_fa ays_poll_fa-users' aria-hidden='true'><\/i> 15<\/span><div class='ays_poll_cb_and_a'><\/div><div class='apm-title-box'><div>Dr Giannitsis Clinical Case - 4<\/div><\/div><div class='ays-poll-id-69dfda8943b30 ays_question'><p>What is the diagnosis of this case?<\/p><\/div><div class='ays-poll-id-69dfda8943b30 hideResults ays-poll-hide-result-box'> <\/div><div class='apm-answers apm-answers-without-submit ays_poll_list_view_container'>\t\t\t\t\t\t\t\t\t\t\t<div class='apm-choosing answer-ays-poll-id-69dfda8943b30  ays-poll-field ays-poll-answer-container-list' >\t\t\t\t\t\t\t\t\t\t\t<input type=radio name='answer' id='radio-0-ays-poll-id-69dfda8943b30' value='129' autocomplete=\"off\">\t\t\t\t\t\t\t\t\t\t\t<label \t\t\t\t\t\t\t\t\t\t\t\tfor='radio-0-ays-poll-id-69dfda8943b30' \t\t\t\t\t\t\t\t\t\t\t\tclass='ays_label_poll   ays_enable_hover ays_label_font_size   ays-poll-answer-container-label-list' \t\t\t\t\t\t\t\t\t\t\t\tdata-answers-url=''\t\t\t\t\t\t\t\t\t\t\t> <p style='' class='ays-poll-answers'><span class='ays-poll-each-answer-grid'>NSTEMI<\/span><\/p><\/label>\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t<div class='apm-choosing answer-ays-poll-id-69dfda8943b30  ays-poll-field ays-poll-answer-container-list' >\t\t\t\t\t\t\t\t\t\t\t<input type=radio name='answer' id='radio-1-ays-poll-id-69dfda8943b30' value='130' autocomplete=\"off\">\t\t\t\t\t\t\t\t\t\t\t<label \t\t\t\t\t\t\t\t\t\t\t\tfor='radio-1-ays-poll-id-69dfda8943b30' \t\t\t\t\t\t\t\t\t\t\t\tclass='ays_label_poll   ays_enable_hover ays_label_font_size   ays-poll-answer-container-label-list' \t\t\t\t\t\t\t\t\t\t\t\tdata-answers-url=''\t\t\t\t\t\t\t\t\t\t\t> <p style='' class='ays-poll-answers'><span class='ays-poll-each-answer-grid'>Acute Myocarditis<\/span><\/p><\/label>\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t<div class='apm-choosing answer-ays-poll-id-69dfda8943b30  ays-poll-field ays-poll-answer-container-list' >\t\t\t\t\t\t\t\t\t\t\t<input type=radio name='answer' id='radio-2-ays-poll-id-69dfda8943b30' value='131' autocomplete=\"off\">\t\t\t\t\t\t\t\t\t\t\t<label \t\t\t\t\t\t\t\t\t\t\t\tfor='radio-2-ays-poll-id-69dfda8943b30' \t\t\t\t\t\t\t\t\t\t\t\tclass='ays_label_poll   ays_enable_hover ays_label_font_size   ays-poll-answer-container-label-list' \t\t\t\t\t\t\t\t\t\t\t\tdata-answers-url=''\t\t\t\t\t\t\t\t\t\t\t> <p style='' class='ays-poll-answers'><span class='ays-poll-each-answer-grid'>Acute decompensated Heart Failure with dilated cardiomyopathy<\/span><\/p><\/label>\t\t\t\t\t\t\t\t\t\t\t<\/div>\t\t\t\t\t\t\t\t\t\t\t<div class='apm-choosing answer-ays-poll-id-69dfda8943b30  ays-poll-field ays-poll-answer-container-list' >\t\t\t\t\t\t\t\t\t\t\t<input type=radio name='answer' id='radio-3-ays-poll-id-69dfda8943b30' value='132' autocomplete=\"off\">\t\t\t\t\t\t\t\t\t\t\t<label \t\t\t\t\t\t\t\t\t\t\t\tfor='radio-3-ays-poll-id-69dfda8943b30' \t\t\t\t\t\t\t\t\t\t\t\tclass='ays_label_poll   ays_enable_hover ays_label_font_size   ays-poll-answer-container-label-list' \t\t\t\t\t\t\t\t\t\t\t\tdata-answers-url=''\t\t\t\t\t\t\t\t\t\t\t> <p style='' class='ays-poll-answers'><span class='ays-poll-each-answer-grid'>Non Cardiac Chest Pain<\/span><\/p><\/label>\t\t\t\t\t\t\t\t\t\t\t<\/div><\/div><div class='apm-cashed-fa'><div>                                <i class='ays_poll_fas ays_poll_fa-star' style='font-size: 0'><\/i>                           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class=\"readmorebtnPoll1\">\n\t\t\t\t\n\t\t\t\t\t<div class=\"wp-block-buttons\">\n\t\t\t\t\t\t<div class=\"wp-block-button readmorebtnPoll1\">\n\t\t\t\t\t\t\t<a class=\"wp-block-button__link\">\u30af\u30ea\u30c3\u30af\u3057\u3066\u56de\u7b54\u3092\u8868\u793a<\/a>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\n\t\t\t\t<\/div>\n\t\t\t<tr><td>\n\t\t\t\t\t<table><tr class=\"answer\"><td height=\"15\" style=\"font-size:1px; line-height:1px;\">\u00a0<\/td>\n\t\t\t\t\t\t<\/tr><tr class=\"answer\"><td align=\"left\" width=\"100%\" style=\"color:#0063ac; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;\" valign=\"top\">\n\t\t\t\t\t\t\t\t<strong style=\"color: #0063ac;\">\u8a3a\u65ad<\/strong>\n\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t<\/tr><tr class=\"answer\"><td align=\"left\" class=\"answer\" style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;\" valign=\"top\" 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style=\"color:#000; font-family: imago, Arial !important; font-size:16px; line-height:24px; font-weight: normal;\" valign=\"top\"><strong>AMI\u306e\u8a3a\u65ad\u306b\u5fc5\u8981\u306acTnT-hs\u5024\u306e\u4e0a\u6607\u307e\u305f\u306f\u4f4e\u4e0b\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><\/td>\n\t\t\t\t\t<\/tr><tr><td height=\"20\" style=\"font-size:1px; line-height:1px;\">\u00a0<\/td>\n\t\t\t\t\t<\/tr><\/table><\/tr><\/tbody><\/table><\/div>\n","protected":false},"excerpt":{"rendered":"<p>  \u75c7\u4f8b   64\u6b73\u7537\u6027 \u4e3b\u306a\u5fb4\u5019\u304a\u3088\u3073\u75c7\u72b6 \u904e\u53bb3\u9031\u9593\u3067\u547c\u5438\u56f0\u96e3\u304c\u5f90\u3005\u306b\u60aa\u5316\u3057\u3001\u76f4\u8fd1\u3067\u306f\u6700\u5c0f\u9650\u306e\u52b4\u4f5c\u3067\u52b4\u4f5c\u6027\u547c\u5438\u56f0\u96e3\u3092\u767a\u75c7\u30021\u9031\u9593\u3067\u4f53\u91cd\u304c3 kg\u5897\u52a0 \u65e2\u5f80\u6b74 3\u5e74\u524d\u306b\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u3068\u8a3a\u65ad \u8a3a\u5bdf 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