{"id":3578,"date":"2021-10-12T16:14:39","date_gmt":"2021-10-12T08:14:39","guid":{"rendered":"https:\/\/cardiothinklab.com\/%e9%9f%93%e5%9b%bd%e3%81%ae%e8%87%a8%e5%ba%8a%e7%97%87%e4%be%8b%ef%bc%9a%e5%bf%83%e4%b8%8d%e5%85%a8%e3%81%ae%e9%91%91%e5%88%a5%e8%a8%ba%e6%96%ad%e3%81%ab%e6%9c%89%e7%94%a8%e3%81%aant-probnp%e9%ab%98\/"},"modified":"2026-02-12T00:26:40","modified_gmt":"2026-02-11T16:26:40","slug":"clinical-cases-from-korea-high-nt-probnp-levels-useful-in-differential-diagnosis-of-hf","status":"publish","type":"post","link":"https:\/\/cardiothinklab.com\/ja\/clinical-cases-from-korea-high-nt-probnp-levels-useful-in-differential-diagnosis-of-hf\/","title":{"rendered":"\u97d3\u56fd\u306e\u81e8\u5e8a\u75c7\u4f8b\uff1a\u5fc3\u4e0d\u5168\u306e\u9451\u5225\u8a3a\u65ad\u306b\u6709\u7528\u306aNT-proBNP\u9ad8\u5024"},"content":{"rendered":"\n<p>\u81e8\u5e8a\u75c7\u4f8b\u306e\u8a73\u7d30\u3092\u63d0\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u4ee5\u4e0b\u306e\u3046\u3061\u6700\u3082\u53ef\u80fd\u6027\u306e\u9ad8\u3044\u8a3a\u65ad\u3092\u9078\u629e\u3057\u3066\u304f\u3060\u3055\u3044\u3002 \u8a3a\u65ad\u304a\u3088\u3073\u5c02\u9580\u533b\u306e\u898b\u89e3\u306b\u95a2\u3059\u308b\u8a73\u7d30\u306f\u3001\u300c\u30af\u30ea\u30c3\u30af\u3057\u3066\u56de\u7b54\u3092\u8868\u793a\u300d\u30dc\u30bf\u30f3\u3092\u30af\u30ea\u30c3\u30af\u3057\u3066\u3054\u78ba\u8a8d\u304f\u3060\u3055\u3044\u3002<\/p>\n\n<p class=\"has-text-color\" style=\"color:#dc305f\"><em>\u4ee5\u4e0b\u306e\u30bf\u30d6\u3092\u30af\u30ea\u30c3\u30af\u3059\u308b\u3068\u3001\u75c7\u4f8b\u304c\u5207\u308a\u66ff\u308f\u308a\u307e\u3059\u3002<\/em><\/p>\n\n<link rel=\"stylesheet\" href=\"https:\/\/maxcdn.bootstrapcdn.com\/bootstrap\/3.4.1\/css\/bootstrap.min.css\"\/><link rel=\"stylesheet\" href=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-Case-Study-Oct.css\"\/><!-- <link rel=\"stylesheet\" href=\"CTL-Case-Study-Oct.css\"> --><!-- https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/ --><script src=\"https:\/\/ajax.googleapis.com\/ajax\/libs\/jquery\/3.5.1\/jquery.min.js\"><\/script><script src=\"https:\/\/maxcdn.bootstrapcdn.com\/bootstrap\/3.4.1\/js\/bootstrap.min.js\"><\/script><div class=\"CTL-container\">\n        <ul class=\"nav nav-tabs\"><li id=\"tab-one-list-item\" class=\"active\"><a data-toggle=\"tab\" href=\"#tab-one\">\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306b\u3088\u308b <br\/> \u9032\u884c\u6027\u5fc3\u4e0d\u5168\u306b\u304a\u3051\u308bNT-proBNP<\/a><\/li>\n            <li id=\"tab-two-list-item\"><a data-toggle=\"tab\" href=\"#tab-two\">\u6d78\u6f64\u6027\u5fc3\u75be\u60a3\u306b\u304a\u3051\u308bNT-proBNP<\/a><\/li>\n        <\/ul><div class=\"tab-content\">\n            <div id=\"tab-one\" class=\"tab-pane fade in active\">\n                <div class=\"heading\">\n                    <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Cardiomyopath-Asset-1.png\" style=\"width: 58px; height: 70px;\" alt=\"CTL-ProfCho-Case-Study-Oct-Asset-1\"\/><h2>58\u6b73\u7537\u6027<\/h2>\n                <\/div>\n                <div class=\"main-table\">\n                    <table><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-2.png\" class=\"img-1\" alt=\"\"\/><p>\u4e3b\u306a\u5fb4\u5019\u304a\u3088\u3073\u75c7\u72b6<\/p>\n                                        <\/td>\n                                        <td>\u52b4\u4f5c\u5236\u9650\u3092\u4f34\u3046\u547c\u5438\u56f0\u96e3<\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-3.png\" class=\"img-1\" alt=\"\"\/><p>\u65e2\u5f80\u6b74<\/p>\n                                        <\/td>\n                                        <td>10\u5e74\u524d\u306b\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u3068\u8a3a\u65ad\u3002<br\/>\n                                            8\u5e74\u524d\u306bICD\u3092\u633f\u5165\u3057\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u57fa\u3065\u304f\u85ac\u7269\u6cbb\u7642\uff08GDMT\uff09\u306b\u3088\u308a\u75c7\u72b6\u304c\u6539\u5584\u3057\u305f\u3002<br\/>\n                                            \u6700\u8fd1\u3001\u52b4\u4f5c\u6027\u547c\u5438\u56f0\u96e3\u304c\u60aa\u5316\u3057\u3001LVEF\u304c\u6301\u7d9a\u7684\u306b\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3002<\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-4.png\" class=\"img-1\" alt=\"\"\/><p>\u8a3a\u5bdf<\/p>\n                                        <\/td>\n                                        <td>\u8840\u5727 94\/60\u00a0mmHg <br\/>\n                                            \u5fc3\u62cd\u6570 86\/min <br\/>\n                                            \u7b2c3\u5fc3\u97f3\uff08S3\uff09 (+) <br\/>\n                                            \u9838\u52d5\u8108\u5727\uff08JVP\uff09\u4e0a\u6607<\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-5.png\" class=\"img-1\" alt=\"\"\/><p>\u81e8\u5e8a\u691c\u67fb\u7d50\u679c<\/p>\n                                        <\/td>\n                                        <td>\u96fb\u89e3\u8cea\uff1aNa 138\u00a0mmol\/L <br\/> K 4.0\u00a0mmol\/L <br\/>\n                                            BUN 13.9\u00a0mg\/dL <br\/>\n                                            Cr 0.7\u00a0mg\/dL <br\/>\n                                            Hb 16.6\u00a0g\/dL <br\/>\n                                            NT-proBNP 3120\u00a0pg\/mL<\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><\/table><\/div>\n                <div class=\"plan-table\">\n                    <table><tr><td width=\"30%\"><p>\u7d4c\u80f8\u58c1\u5fc3\u30a8\u30b3\u30fc\uff08TTE\uff09\u304a\u3088\u3073MRI\u753b\u50cf<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td style=\"\">\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Cardiomyopath-Asset-2.png\" style=\"\" alt=\"\"\/><\/td>\n                                    <\/tr><tr><td><span>\u30a8\u30b3\u30fcCG\u3067\u3001LVEF 17%\u306e\u91cd\u5ea6\u306e\u5168\u5fc3\u5ba4\u58c1\u904b\u52d5\u4f4e\u4e0b\u3001\u8efd\u5ea6\u304b\u3089\u4e2d\u7b49\u5ea6\u306eMR<\/span><\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\u00a0<\/td>\n                        <\/tr><tr><td width=\"30%\"><p>\u51a0\u52d5\u8108\u9020\u5f71\uff08CAG\uff09<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td width=\"50%\">\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Cardiomyopath-Asset-3.png\" style=\"\" alt=\"\"\/><\/td>\n                                        <td width=\"50%\">\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Cardiomyopath-Asset-4.png\" style=\"\" alt=\"\"\/><\/td>\n                                    <\/tr><tr><td width=\"50%\">\n                                            <table><tr><td>\n                                                        <span>CAG\u50cf\u6b63\u5e38\u3001ICD\u30ea\u30fc\u30c9\u306f\u6240\u5b9a\u306e\u4f4d\u7f6e\u306b\u3042\u308a<\/span>\n                                                    <\/td>\n                                                <\/tr><\/table><\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\u00a0<\/td>\n                        <\/tr><tr><td width=\"30%\"><p>\u80f8\u90e8X\u7dda\uff08CXR\uff09<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td width=\"50%\">\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Cardiomyopath-Asset-5.png\" style=\"\" alt=\"\"\/><\/td>\n                                        <td width=\"50%\">\n                                            \u00a0\n                                        <\/td>\n                                    <\/tr><tr><td width=\"50%\">\n                                            <span>\u80f8\u90e8PA\u50cf\u3067\u5fc3\u62e1\u5927\u304a\u3088\u3073 <br\/> \u80ba\u3046\u3063\u8840\u3042\u308a\u3001ICD\u306f\u6240\u5b9a\u306e\u4f4d\u7f6e\u306b\u3042\u308a<\/span>\n                                        <\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\u00a0<\/td>\n                        <\/tr><tr><td width=\"30%\"><p>\u5fc3\u96fb\u56f3 (ECG)<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td width=\"100%\">\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Cardiomyopath-Asset-6.png\" style=\"\" alt=\"\"\/><\/td>\n                                    <\/tr><tr><td width=\"100%\">\n                                            <span>ECG\u3067\u306f\u6b63\u5e38\u6d1e\u8abf\u5f8b\u3001\u4e21\u5fc3\u623f\u62e1\u5927\u3001RBBB\u3001VPC\u3092\u793a\u3059\u6240\u898b <\/span>\n                                        <\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><\/table><\/div>\n                <div class=\"col-sm-12 section-three\">\n                    <div class=\"row\">\n                        <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Cardiomyopath-Asset-8.png\" width=\"100%\" alt=\"\"\/><\/div>\n                <\/div>\n                <div class=\"container\">\n                    <div class=\"row\">\n                        <input type=\"hidden\" id=\"ays_finish_poll_20\" name=\"ays_finish_poll_20\" value=\"667c5fc5b5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3578\" \/><input type=\"hidden\" id=\"ays_finish_poll_show_res_20\" name=\"ays_finish_poll_show_res_20\" value=\"667c5fc5b5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3578\" \/><style>        #ays-poll-id-69debc8b457a0.box-apm {            width: 100%;                        margin: 0 auto !important;            border-style: solid;            border-color: #db305d;            border-radius: 14px;            border-width: 3px;            box-shadow: none;background-color: rgba(0,0,0,0);            background-position: center center;            background-repeat: no-repeat;            background-size: cover;            max-width: 100%;            position: relative;            padding-bottom: 60px;        }        .ays-poll-id-69debc8b457a0.ays-minimal-theme .apm-choosing{\t\t    display: flex;\t\t    align-items: center;\t\t}        .ays-poll-id-69debc8b457a0 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#ays-poll-id-69debc8b457a0.box-apm span.ays_poll_passed_count i{            color: rgba(0,0,0,0);        }        #ays-poll-id-69debc8b457a0.box-apm .apm-title-box{            background-color: rgba(0,0,0,0);        }        .ays-poll-id-69debc8b457a0 .answer-percent {            background-color: #7a7a7a;            color: rgba(0,0,0,0) !important;        }        .ays-poll-id-69debc8b457a0 .ays-poll-btn{            color: rgba(0,0,0,0) !important;            background-color: #7a7a7a !important;            overflow: hidden;        }        #ays-poll-id-69debc8b457a0 .ays-poll-view-more-button{\t\t    border-radius: 0;\t\t}        .ays-poll-id-69debc8b457a0.box-apm * {            color: #db305d;        }        .ays-poll-id-69debc8b457a0.box-apm .apm-title-box div {            color: #db305d;            text-transform: inherit;            font-family: inherit;\t\t\t        }        #ays-poll-id-69debc8b457a0.box-apm i {            color: #db305d;            font-size: 24px;            font-style: normal;                    }\t\t#ays-poll-id-69debc8b457a0 .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-69debc8b457a0 .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-69debc8b457a0.box-apm i.ays_poll_far{                        font-family: 'Font Awesome 5 Free';        }        #ays-poll-id-69debc8b457a0.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-69debc8b457a0.box-apm 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and (max-width: 768px){\t\t\t#ays-poll-container-20{\t\t\t\twidth: 100%;\t\t\t\tmax-width: 96%;\t\t\t}\t\t\t#ays-poll-id-69debc8b457a0.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-20' 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-69debc8b457a0 '        id='ays-poll-id-69debc8b457a0'        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='20'        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> 32<\/span><div class='ays_poll_cb_and_a'><\/div><div class='apm-title-box'><div>NT-proBNP in advanced heart failure due to dilated cardiomyopathy<\/div><\/div><div class='ays-poll-id-69debc8b457a0 ays_question'><p>What is the management of this case ?<\/p><\/div><div class='ays-poll-id-69debc8b457a0 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-69debc8b457a0  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-69debc8b457a0' value='83' 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-69debc8b457a0' \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'>Continue to optimize medication and change the ICD<\/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-69debc8b457a0  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-69debc8b457a0' value='84' 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-69debc8b457a0' \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'>Continue to optimize the medication and assess for Heart Transplant or LVAD<\/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>                            <\/div><div>                                <i class='ays_poll_fas ays_poll_fa-star' style='font-size: 0'><\/i>                            <\/div><\/div><input type=\"hidden\" id=\"ays_finish_poll_show_res_20\" name=\"ays_finish_poll_show_res_20\" value=\"667c5fc5b5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3578\" \/><div class='apm-button-box'><input type='button' \t                    name='ays_finish_poll'\t                    class='btn ays-poll-btn choosing-btn ays_finish_poll'\t                    data-form='ays-poll-id-69debc8b457a0'\t                    value=\"Vote\"\t                    ><\/div><div class='apm-title-box ays_res_mess'> 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                           <td><p>\u60a3\u8005\u306f\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306b\u3088\u308b\u9032\u884c\u6027\u5fc3\u4e0d\u5168\u3068\u8a3a\u65ad\u3055\u308c\u3001\u6295\u85ac\u3092ACE\u963b\u5bb3\u85ac\u304b\u3089\u30b5\u30af\u30d3\u30c8\u30ea\u30eb\uff0f\u30d0\u30eb\u30b5\u30eb\u30bf\u30f3100\u00a0mg 1\u65e52\u56de\u306b\u5207\u308a\u66ff\u3048\u3001\u30a4\u30d0\u30d6\u30e9\u30b8\u30f3\u304c\u8ffd\u52a0\u3055\u308c\u307e\u3057\u305f\u3002<\/p><\/td>\n                                            <\/tr><\/table><\/td>\n                                <\/tr><tr><td>\u00a0<\/td>\n                                <\/tr><tr><td class=\"diagnosis-td\">\n                                        <table><tr><td style=\"width: 25px;\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-13.png\" alt=\"\"\/><\/td>\n                                                <td><p>\u6295\u85ac\u8abf\u6574\u5f8c\u3001\u60a3\u8005\u306eNT-proBNP\u5024\u306f1443\u00a0pg\/mL\u306b\u4f4e\u4e0b\u3057\u3001\u75c7\u72b6\u306e\u308f\u305a\u304b\u306a\u6539\u5584\u304c\u8a8d\u3081\u3089\u308c\u307e\u3057\u305f\u3002<\/p><\/td>\n                                            <\/tr><\/table><\/td>\n                                <\/tr><tr><td>\u00a0<\/td>\n                                <\/tr><tr><td class=\"diagnosis-td\">\n                                        <table><tr><td style=\"width: 25px;\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-13.png\" alt=\"\"\/><\/td>\n                                                <td><p>\u3057\u304b\u3057\u300118\u30f5\u6708\u9593\u306e\u7ba1\u7406\u5f8c\u306b\u518d\u3073\u75c7\u72b6\u304c\u60aa\u5316\u3057\u3001NT-proBNP\u5024\u306f\u6700\u59273592\u00a0pg\/mL\u307e\u3067\u6301\u7d9a\u7684\u306b\u4e0a\u6607\u3057\u307e\u3057\u305f\u3002\u4e0d\u6574\u8108\u3001\u611f\u67d3\u3001\u8ca7\u8840\u307e\u305f\u306f\u7532\u72b6\u817a\u6a5f\u80fd\u969c\u5bb3\u306e\u6240\u898b\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f\u3002\n                                                <\/p><\/td>\n                                            <\/tr><\/table><\/td>\n                                <\/tr><tr><td>\u00a0<\/td>\n                                <\/tr><tr><td class=\"diagnosis-td\">\n                                        <table><tr><td style=\"width: 25px;\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-13.png\" alt=\"\"\/><\/td>\n                                                <td><p>\u60a3\u8005\u306f\u305d\u306e\u4ed6\u306e\u60aa\u5316\u8981\u56e0\u3067\u3042\u308b\u9ad8\u5869\u5206\u98df\u306e\u6442\u53d6\u3001\u85ac\u5264\u306e\u98f2\u307f\u5fd8\u308c\u307e\u305f\u306fNSAID\u306a\u3069\u306e\u6295\u85ac\u306b\u3064\u3044\u3066\u5426\u5b9a\u3057\u307e\u3057\u305f\u3002\u5fc3\u4e0d\u5168\u306e\u60aa\u5316\u306b\u3088\u308a\u30016\u30f5\u6708\u524d\u304b\u3089\u306e2\u5ea6\u76ee\u306e\u5165\u9662\u3068\u306a\u308a\u307e\u3057\u305f\u3002\n                                                <\/p><\/td>\n                                            <\/tr><\/table><\/td>\n                                <\/tr><tr><td>\u00a0<\/td>\n                                <\/tr><tr><td class=\"diagnosis-td\">\n                                        <table><tr><td style=\"width: 25px;\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-13.png\" alt=\"\"\/><\/td>\n                                                <td><p>\u60a3\u8005\u306f\u73fe\u6642\u70b9\u3067\u306f\u3001LVAD\u3084\u5fc3\u81d3\u79fb\u690d\u306a\u3069\u306e\u5fc3\u4e0d\u5168\u624b\u8853\u304c\u9069\u5fdc\u3068\u306a\u308c\u3070\u3001\u3059\u3050\u306b\u5fc3\u4e0d\u5168\u306e\u9ad8\u5ea6\u6cbb\u7642\u30bb\u30f3\u30bf\u30fc\u306b\u7d39\u4ecb\u3059\u308b\u3053\u3068\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\n                                                <\/p><\/td>\n                                            <\/tr><\/table><\/td>\n                                <\/tr><\/table><\/div>\n                    <\/div>\n                    <div class=\"row\">\n                        <div class=\"author\" id=\"author-one\">\n                            <h3>\u8457\u8005\u306e\u898b\u89e3<\/h3>\n                            <ul><li><p>\u6700\u65b0\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u5f93\u3063\u305f\u5185\u79d1\u7684\u6cbb\u7642\u3067\u306f\u75c7\u72b6\u306f\u6539\u5584\u305b\u305a\u3001NT-proBNP\u5024\u304c3000\u00a0pg\/mL\u8d85\u3068\u9ad8\u5024\u304c\u7d9a\u3044\u3066\u3044\u308b\u305f\u3081\u3001\u60a3\u8005\u306fLVAD\u3084\u5fc3\u81d3\u79fb\u690d\u306a\u3069\u306e\u5916\u79d1\u7684\u5fc3\u4e0d\u5168\u6cbb\u7642\u306e\u5019\u88dc\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\n                                    \u00a0 <\/p><\/li>\n                                <li><p>\u60a3\u8005\u306b\u306f\u53f3\u5fc3\u30ab\u30c6\u30fc\u30c6\u30eb\u691c\u67fb\u3084\u6700\u5927\u9178\u7d20\u6442\u53d6\u91cf\u3092\u6e2c\u5b9a\u3059\u308b\u904b\u52d5\u8ca0\u8377\u8a66\u9a13\u306a\u3069\u306e\u691c\u67fb\u3092\u53d7\u3051\u3066\u3082\u3089\u3044\u3001LVAD\u624b\u8853\u3084\u5fc3\u81d3\u79fb\u690d\u306e\u9069\u5fdc\u5bfe\u8c61\u3067\u3042\u308b\u304b\u3092\u78ba\u5b9a\u3057\u307e\u3059\u3002<\/p><\/li>\n                            <\/ul><\/div>\n                    <\/div>\n                    <div class=\"row\">\n                        <div class=\"references\" id=\"references-one\">\n                            <ol><li>\n                                    Domingo A. Pascual-Figal. et al, European Hear Journal, Volume 29, Issue 8, April 2008, Pages 1011-1018\n                                <\/li>\n                            <\/ol><\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n            <div id=\"tab-two\" class=\"tab-pane fade\">\n                <div class=\"heading\">\n                    <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-1.png\" style=\"width: 58px; height: 70px;\" alt=\"CTL-ProfCho-Case-Study-Oct-Asset-1\"\/><h2>61\u6b73\u5973\u6027<\/h2>\n                <\/div>\n                <div class=\"main-table\">\n                    <table><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-2.png\" class=\"img-1\" alt=\"\"\/><p>\u4e3b\u306a\u5fb4\u5019\u304a\u3088\u3073\u75c7\u72b6<\/p>\n                                        <\/td>\n                                        <td>\u6700\u8fd1\u60aa\u5316\u3057\u305f\u52b4\u4f5c\u6642\u80f8\u75db\u3092\u4f34\u3046\u52b4\u4f5c\u6027\u547c\u5438\u56f0\u96e3<\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-3.png\" class=\"img-1\" alt=\"\"\/><p>\u65e2\u5f80\u6b74<\/p>\n                                        <\/td>\n                                        <td>1\u5e74\u524d\u306b\u52b4\u4f5c\u6027\u547c\u5438\u56f0\u96e3\uff08fc 2\uff09 <br\/> \u6700\u8fd1\u3001NYHA III\u306b\u60aa\u5316(\u52b4\u4f5c\u6642\u80f8\u75db\u3092\u4f34\u3046\uff09 <br\/>\n                                            \u8efd\u5ea6\u306e\u6c42\u5fc3\u6027LVH <br\/> LV\u6a5f\u80fd\u6b63\u5e38 <br\/>\n                                            RV\u6a5f\u80fd\u6b63\u5e38 <br\/>\n                                            \u8a3a\u65ad\u6b74\u306b\u58f0\u9580\u4e0b\u764c\u304c\u3042\u308b\u304c\u3001\u73fe\u6642\u70b9\u3067\u518d\u767a\u306e\u6240\u898b\u306a\u3057 <br\/>\n                                            \u8a73\u7d30\u306a\u691c\u67fb\u3092\u884c\u3046\u3088\u3046\u63d0\u6848\u3055\u308c\u305f\n                                            <\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-4.png\" class=\"img-1\" alt=\"\"\/><p>\u8a3a\u5bdf<\/p>\n                                        <\/td>\n                                        <td>\u8840\u5727 91\/63\u00a0mmHg <br\/>\n                                            \u5fc3\u62cd\u6570 63\/min <br\/>\n                                            \u811b\u9aa8\u524d\u9762\u306e\u5727\u75d5\u6d6e\u816b (+\/+)<\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\n                                <table><tr><td>\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-5.png\" class=\"img-1\" alt=\"\"\/><p>\u81e8\u5e8a\u691c\u67fb\u7d50\u679c<\/p>\n                                        <\/td>\n                                        <td>Hb 14.7\u00a0g\/dL <br\/>\n                                            \u96fb\u89e3\u8cea\uff1aNa 143\u00a0mmol\/L <br\/>\n                                            K 3.9\u00a0mmol\/L <br\/>\n                                            BUN 16\u00a0mg\/dL <br\/>\n                                            Cr 1.19\u00a0mg\/dL <br\/>\n                                            NT-proBNP 4430\u00a0pg\/mL <br\/>\n                                            TnI 0.059\u00a0ng\/mL <br\/>\n                                            \u8840\u6e05\u4e2d\u306e\u904a\u96e2\u30ab\u30c3\u30d1\u8efd\u9396 474\u00a0mg\/L <br\/>\n                                            \u8840\u6e05\u4e2d\u306e\u904a\u96e2\u30e9\u30e0\u30c0\u8efd\u9396 6.18\u00a0mg\/L <br\/><br\/><b>\u9aa8\u9ac4\u751f\u691c<\/b>\n                                            <p class=\"text-p\">\u5358\u30af\u30ed\u30fc\u30f3\u6027\u5f62\u8cea\u7d30\u80de\u5897\u6b96\u3068\u30a2\u30df\u30ed\u30a4\u30c9\u6c88\u7740\u3092\u4f34\u3046\u6b63\u5f62\u6210\u9aa8\u9ac4<\/p>\u5f62\u8cea\u7d30\u80de\u6027\u9aa8\u9ac4\u816b\uff08\u5f62\u8cea\u7d30\u80de\uff1a15\uff5e20%) <p class=\"text-p\">\u9aa8\u9ac4\u306b\u30a2\u30df\u30ed\u30a4\u30c9\u6c88\u7740\u3092\u4f34\u3046\u539f\u767a\u6027\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9<\/p>\n                                        <\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><\/table><\/div>\n                <div class=\"plan-table\">\n                    <table width=\"100%\"><tr><td width=\"30%\"><p>\u80f8\u90e8X\u7dda\uff08CXR\uff09<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td>\n                                            <table><tr><td width=\"50%\">\n                                                        <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Amyloidosis-Asset-9.png\" style=\"\" alt=\"\"\/><\/td>\n                                                    <td>\u00a0<\/td>\n                                                <\/tr><\/table><\/td>\n                                    <\/tr><tr><td>\n                                            <table><tr><td width=\"100%\">\n                                                        <span>\u80f8\u90e8PA\u50cf\u3067\u5fc3\u62e1\u5927\u3042\u308a\u3001\u6709\u610f\u306a\u6240\u898b\u306a\u3057<\/span>\n                                                    <\/td>\n                                                <\/tr><\/table><\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\u00a0<\/td><\/tr><tr><td width=\"30%\"><p>\u51a0\u52d5\u8108\u9020\u5f71\uff08CAG\uff09<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td>\n                                            <table><tr><td width=\"50%\">\n                                                        <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Amyloidosis-Asset-10.png\" style=\"\" alt=\"\"\/><\/td>\n                                                    \n                                                    <td width=\"50%\">\n                                                        <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Amyloidosis-Asset-11.png\" style=\"\" alt=\"\"\/><br\/><\/td>\n                                                <\/tr><\/table><\/td>\n                                    <\/tr><tr><td>\n                                            <table><tr><td>\n                                                        <span>CAG\u50cf\u6b63\u5e38\u3001LVEDP\u304c18\u00a0mmHg\u3068\u4e0a\u6607<\/span>\n                                                    <\/td>\n                                                <\/tr><\/table><\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\u00a0<\/td>\n                        <\/tr><tr><td width=\"30%\"><p>\u7d4c\u80f8\u58c1\u5fc3\u30a8\u30b3\u30fc\uff08TTE\uff09<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td>\n                                            <table><tr><td width=\"50%\">\n                                                        <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Amyloidosis-Asset-12.png\" style=\"\" alt=\"\"\/><\/td>\n                                                <\/tr><tr><td>\n                                                        <span>LVEF 63%\u3067\u6b63\u5e38<\/span>\n                                                    <\/td>\n                                                <\/tr><\/table><\/td>\n                                        <td>\n                                            <table><tr><td width=\"50%\">\n                                                        <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Amyloidosis-Asset-13.png\" style=\"\" alt=\"\"\/><\/td>\n                                                <\/tr><tr><td>\n                                                        \u00a0\n                                                    <\/td>\n                                                <\/tr><\/table><\/td>\n                                    <\/tr><tr><td>\n                                            <table><tr><td>\u00a0<\/td>\n                                                <\/tr><\/table><\/td>\n                                        <td>\n                                            <table><tr><td>\n                                                        <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Amyloidosis-Asset-14.png\" alt=\"\"\/><\/td>\n                                                <\/tr><tr><td>\n                                                       <span>E\/e\u2019\u304c28\u3068\u9ad8\u5024\u306aLVH  <br\/>\n                                                        \uff08\u6b63\u5e38 \n                                                <\/span><\/td><\/tr><\/table><\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\u00a0<\/td>\n                        <\/tr><tr><td width=\"30%\"><p>\u5fc3\u96fb\u56f3 (ECG)<\/p><\/td>\n                            \n                            <td width=\"70%\">\n                                <table><tr><td width=\"50%\">\n                                            <img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/NT-proBNP-Cardiac-Amyloidosis-Asset-15.png\" style=\"\" alt=\"\"\/><\/td>\n                                    <\/tr><tr><td width=\"50%\"><span>ECG\u3067\u306f\u6b63\u5e38\u6d1e\u8abf\u5f8b\u3001\u975e\u7279\u7570\u7684ST-T\u5909\u5316 <\/span><\/td>\n                                    <\/tr><\/table><\/td>\n                        <\/tr><tr><td>\u00a0<\/td>\n                        <\/tr><\/table><\/div>\n                <div class=\"container\">\n                    <div class=\"row\">\n                        <input type=\"hidden\" id=\"ays_finish_poll_21\" name=\"ays_finish_poll_21\" value=\"667c5fc5b5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3578\" \/><input type=\"hidden\" id=\"ays_finish_poll_show_res_21\" name=\"ays_finish_poll_show_res_21\" value=\"667c5fc5b5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3578\" \/><style>        #ays-poll-id-69debc8b477fd.box-apm {            width: 100%;                        margin: 0 auto !important;            border-style: solid;            border-color: #db305d;            border-radius: 14px;            border-width: 3px;            box-shadow: none;background-color: rgba(0,0,0,0);            background-position: center center;            background-repeat: no-repeat;            background-size: cover;            max-width: 100%;            position: relative;            padding-bottom: 60px;        }        .ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing{\t\t    display: flex;\t\t    align-items: center;\t\t}        .ays-poll-id-69debc8b477fd div.ays-image-logo-show{\t\t\tposition: absolute;\t\t\tbottom: -5px;    \t\tleft: 1px;\t\t\tmargin: 2px 0 0 0;\t\t\tpadding: 2px;\t\t\twidth: 100%;\t\t\theight: 65px;\t\t\ttext-align: left;\t\t\t\t}        .ays-poll-id-69debc8b477fd .ays-poll-image-logo{\t\t\twidth: 55px;\t\t\theight: 55px;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing input[type=radio]:checked + label, .ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing label.ays_enable_hover:hover{        \tbackground-color: #db305d !important;\t\t    color: #7a7a7a !important;\t\t    border-color: #7a7a7a !important;\t\t    font-weight: initial !important;\t\t    margin:3px 0 !important;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing input[type=radio]:checked + label *,\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing input[type=checkbox]:checked + label *,\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing label.ays_enable_hover:hover *{\t\t    color: #7a7a7a;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing input[type=radio]{\t\t\t\t\t\tborder-radius: 50%;\t\t\twidth: 20px;\t\t\theight: 19px;\t\t\tmargin: 3px !important;\t\t\tborder: 1px solid #1e8cbe;\t\t\topacity: 1;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-answers .apm-choosing input[type=radio]:checked::after{\t\t\tcontent: '';\t\t\tborder-radius: 50%;\t\t\twidth: 11px;\t\t\theight: 11px;\t\t\tbackground-color: #1e8cbe;\t\t\t \t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing input[type=radio]:focus{\t\t\toutline-offset: 0 !important;    \t\toutline: unset !important;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing label{\t\t\tborder-color: #db305d !important;\t\t    font-weight: initial !important;\t\t    margin:3px 0 !important;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .apm-choosing input[type='radio']{\t\t    display: block !important;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme input[type='button'].ays-poll-btn:hover, .ays-poll-id-69debc8b477fd.ays-minimal-theme input[type='button'].ays-poll-btn:focus{\t\t\ttext-decoration: none;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme input[type='button'].ays-poll-btn{\t\t    color: initial !important;\t\t    background: initial !important;\t\t    border: 1px solid #db305d;\t\t    border-radius: 3px;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .ays_poll_passed_count{\t\t    color: #db305d !important;\t\t    background: initial !important;\t\t    border: 1px solid #db305d;\t\t    border-radius: 3px;\t\t}\t\t.ays-poll-id-69debc8b477fd.ays-minimal-theme .ays_poll_passed_count i.ays_poll_fa:before{\t\t    color: #db305d !important;\t\t    \t\t}        .ays-poll-id-69debc8b477fd.ays-minimal-theme .answer-percent{        \tcolor: initial !important;\t\t}        .ays-poll-id-69debc8b477fd.box-apm span.ays_poll_passed_count{            background-color: #db305d;            color: rgba(0,0,0,0);        }        #ays-poll-id-69debc8b477fd.box-apm span.ays_poll_passed_count i{            color: rgba(0,0,0,0);        }        #ays-poll-id-69debc8b477fd.box-apm .apm-title-box{            background-color: rgba(0,0,0,0);        }        .ays-poll-id-69debc8b477fd .answer-percent {            background-color: #7a7a7a;            color: rgba(0,0,0,0) !important;        }        .ays-poll-id-69debc8b477fd .ays-poll-btn{            color: rgba(0,0,0,0) !important;            background-color: #7a7a7a !important;            overflow: hidden;        }        #ays-poll-id-69debc8b477fd .ays-poll-view-more-button{\t\t    border-radius: 0;\t\t}        .ays-poll-id-69debc8b477fd.box-apm * {            color: #db305d;        }        .ays-poll-id-69debc8b477fd.box-apm .apm-title-box div {            color: #db305d;            text-transform: inherit;            font-family: inherit;\t\t\t        }        #ays-poll-id-69debc8b477fd.box-apm i {            color: #db305d;            font-size: 24px;            font-style: normal;                    }\t\t#ays-poll-id-69debc8b477fd .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-69debc8b477fd .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-69debc8b477fd.box-apm i.ays_poll_far{                        font-family: 'Font Awesome 5 Free';        }        #ays-poll-id-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd.box-apm .apm-choosing .ays-poll-each-image-list{\t\t\twidth: 220px;        }        #ays-poll-id-69debc8b477fd.box-apm .apm-choosing .ays-poll-each-image-grid{\t\t\twidth: 100%;        }        #ays-poll-id-69debc8b477fd.box-apm .apm-choosing .ays-poll-answer-container-label-grid{\t\t\talign-items: center;        }        #ays-poll-id-69debc8b477fd.box-apm .apm-choosing .ays-poll-answer-container-label-list{\t\t\tflex-direction: row;        }        #ays-poll-id-69debc8b477fd.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-69debc8b477fd.box-apm .ays-poll-answer-container-gird{\t\t\twidth: calc(50% - 5px);\t\t\tmargin-bottom: 1px;        }\t\t        #ays-poll-id-69debc8b477fd.box-apm .ays_poll_label_without_padding{\t\t\tpadding: 10px;\t\t\talign-items: center;\t\t\tflex-direction: column;        }        #ays-poll-id-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd.box-apm .ays-poll-maker-text-answer-main input,\t\t#ays-poll-id-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd.box-apm .ays-poll-password-box .ays-poll-password-button-box .ays-poll-password-button:hover{\t\t\tbackground-color: #7a7a7ab5;        }        #ays-poll-id-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd.box-apm.text-poll .apm-answers .ays-poll-text-types-inputs{            \t\t\tfont-size: 16px;        }\t\t\t\t\t        .ays-poll-id-69debc8b477fd.choosing-poll input[type=radio]:checked + label,\t\t.ays-poll-id-69debc8b477fd:not(.ays-minimal-theme).choosing-poll input[type='checkbox']:checked + label,        .ays-poll-id-69debc8b477fd.choosing-poll label.ays_enable_hover:hover {        \tbackground-color: #db305d !important;            color: rgba(0,0,0,0);        }\t\t.ays-poll-id-69debc8b477fd:not(.ays-minimal-theme).choosing-poll input[type='checkbox']{\t\t\tdisplay: none;\t\t}        .ays-poll-id-69debc8b477fd.choosing-poll input[type=radio]:checked + label *,        .ays-poll-id-69debc8b477fd.choosing-poll input[type=checkbox]:checked + label *,        .ays-poll-id-69debc8b477fd.choosing-poll label.ays_enable_hover:hover * {            color: rgba(0,0,0,0);        }.ays-poll-id-69debc8b477fd .apm-info-form input {            border-color: #7a7a7a;        }        div[class~=ays-poll-id-69debc8b477fd] 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-69debc8b477fd .apm-info-form input {            color: #db305d !important;            background-color: rgba(0,0,0,0) !important;        }         .ays-poll-main #ays-poll-id-69debc8b477fd .ays-poll-img {            object-fit: cover;\t\t\theight: 100%;         }        .ays-poll-id-69debc8b477fd div.apm-loading-gif .apm-loader svg path,        .ays-poll-id-69debc8b477fd div.apm-loading-gif .apm-loader svg rect {            fill: #7a7a7a;        }.ays-poll-id-69debc8b477fd 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-69debc8b477fd div.apm-loading-gif{\t\t\t\twidth: 100%;    \t\t\theight: 100%;\t\t\t}\t\t\t.ays-poll-id-69debc8b477fd.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-69debc8b477fd.box-apm {\t\t\t\twidth: 100%;\t\t\t}\t\t\t#ays-poll-id-69debc8b477fd.box-apm .ays-poll-btn{\t\t\t\twidth: auto;\t\t\t}\t\t\t.ays-poll-id-69debc8b477fd.box-apm .ays_question p{\t\t\t\tfont-size: 16px;\t\t\t}\t\t\t\t\t\t.ays-poll-id-69debc8b477fd .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-69debc8b477fd.box-apm .ays-poll-answer-container-gird{\t\t\t\twidth: 100%;\t\t\t}\t\t\t#ays-poll-id-69debc8b477fd.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-69debc8b477fd.box-apm label.ays_label_font_size {\t\t\t\tfont-size: 16px;\t\t\t}\t\t\t#ays-poll-id-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd.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-69debc8b477fd .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-69debc8b477fd{\t\t\t\tmax-width: 100%;\t\t\t}\t\t}\t\t#ays-poll-container-21{        \twidth: 100%;\t\t}\t\t@media screen and (max-width: 768px){\t\t\t#ays-poll-container-21{\t\t\t\twidth: 100%;\t\t\t\tmax-width: 96%;\t\t\t}\t\t\t#ays-poll-id-69debc8b477fd.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-21' 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-69debc8b477fd '        id='ays-poll-id-69debc8b477fd'        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='21'        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> 11<\/span><div class='ays_poll_cb_and_a'><\/div><div class='apm-title-box'><div>NT-proBNP in cardiac infiltrative disease<\/div><\/div><div class='ays-poll-id-69debc8b477fd ays_question'><p>What is the diagnosis of this case?<\/p><\/div><div class='ays-poll-id-69debc8b477fd 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-69debc8b477fd  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-69debc8b477fd' value='87' 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-69debc8b477fd' \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'>Idiopathic 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-69debc8b477fd  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-69debc8b477fd' value='88' 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-69debc8b477fd' \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'>Primary Cardiac Amyloidosis<\/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>                            <\/div><div>                                <i class='ays_poll_fas ays_poll_fa-star' style='font-size: 0'><\/i>                            <\/div><\/div><input type=\"hidden\" id=\"ays_finish_poll_show_res_21\" name=\"ays_finish_poll_show_res_21\" value=\"667c5fc5b5\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3578\" \/><div class='apm-button-box'><input type='button' \t                    name='ays_finish_poll'\t                    class='btn ays-poll-btn choosing-btn ays_finish_poll'\t                    data-form='ays-poll-id-69debc8b477fd'\t                    value=\"Vote\"\t                    ><\/div><div class='apm-title-box ays_res_mess'> <\/div><script>\t\t\t\tif(typeof aysPollOptions === 'undefined'){\t\t\t\t\tvar aysPollOptions = [];\t\t\t\t}\t\t\t\taysPollOptions['ays-poll-id-69debc8b477fd']  = '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                   <\/div>\n                    <div class=\"row\">\n                        <div class=\"wp-block-buttons\">\n                            <div class=\"wp-block-button readmorebtn-choi-two\">\n                                <a class=\"wp-block-button__link\">\u30af\u30ea\u30c3\u30af\u3057\u3066\u56de\u7b54\u3092\u8868\u793a<\/a>\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    <div class=\"row\">\n                        <div class=\"diagnosis\" id=\"diagnosis-two\">\n                            <h3>\u8a3a\u65ad<\/h3>\n                            <table width=\"100%\"><tr><td>\u00a0<\/td>\n                                <\/tr><tr><td class=\"diagnosis-td\"> \n                                        <table><tr><td style=\"width: 25px;\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-13.png\" alt=\"\"\/><\/td>\n                                                <td><p>\u5de6\u5ba4\u99c6\u51fa\u7387\u306e\u4fdd\u305f\u308c\u305f\u5fc3\u4e0d\u5168\uff08HFpEF\uff09\u306e\u5834\u5408\u3001NT-proBNP\u5024\u304c\u6975\u3081\u3066\u9ad8\u304f\u3001\u814e\u6a5f\u80fd\u304c\u6b63\u5e38\u3067\u3001\u6d1e\u8abf\u5f8b\u3067\u3042\u308c\u3070\u3001\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u3092\u8003\u3048\u307e\u3059\u3002\n                                                <\/p><\/td>\n                                            <\/tr><\/table><\/td>\n                                <\/tr><tr><td>\u00a0<\/td>\n                                <\/tr><tr><td class=\"diagnosis-td\">\n                                        <table><tr><td style=\"width: 25px;\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/CTL-ProfCho-Case-Study-Oct-Asset-13.png\" alt=\"\"\/><\/td>\n                                                <td><p>\u3053\u306e\u60a3\u8005\u306f\u5fc3\u81d3\u751f\u691c\u3068\u9aa8\u9ac4\u691c\u67fb\u306b\u3088\u308a\u3001\u539f\u767a\u6027\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9\u306e\u8a3a\u65ad\u304c\u78ba\u5b9a\u3057\u307e\u3057\u305f\u3002\n                                                <\/p><\/td>\n                                            <\/tr><\/table><\/td>\n                                <\/tr><\/table><\/div>\n                    <\/div>\n                    <div class=\"row\">\n                        <div class=\"author\" id=\"author-two\">\n                            <h3>\u8457\u8005\u306e\u898b\u89e3<\/h3>\n                            <ul><li><p>\u7d4c\u9a13\u8c4a\u5bcc\u306a\u65b9\u304c\u8aad\u5f71\u3059\u308c\u3070\u3001\u5fc3\u30a8\u30b3\u30fc\u50cf\u304b\u3089\u30a2\u30df\u30ed\u30a4\u30c9\u306e\u30d2\u30f3\u30c8\u304c\u78ba\u8a8d\u3067\u304d\u305f\u53ef\u80fd\u6027\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u521d\u671f\u8a3a\u65ad\u306b\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9\u306f\u542b\u307e\u308c\u3066\u3044\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p><\/li>\n                                <li><p>\u99c6\u51fa\u7387\u304c\u6b63\u5e38\u304b\u3064\u6d1e\u8abf\u5f8b\u3067\u3001\u91cd\u5927\u306a\u814e\u6a5f\u80fd\u969c\u5bb3\u304c\u306a\u3044\u5834\u5408\u3001NT-proBNP\u5024\u304c3000\u00a0pg\/mL\u8d85\u3067\u3042\u308c\u3070\u3001\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u3092\u8003\u3048\u308b\u3079\u304d\u3067\u3059\u3002<sup>1<\/sup><\/p><\/li>\n                                <li><p>\u307e\u305f\u3001\u5178\u578b\u7684\u306a\u72ed\u5fc3\u75c7\u80f8\u75db\u3067CAG\u50cf\u304c\u6b63\u5e38\u306e\u5834\u5408\u3001LVEDP\u306e\u6e2c\u5b9a\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p><\/li>\n                                <li><p>LVEDP\u306e\u4e0a\u6607\u3001NT-proBNP\u306e\u6975\u9ad8\u5024\u3001\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3\u306e\u8efd\u5ea6\u4e0a\u6607\u304c\u3042\u308a\u3001\u814e\u4e0d\u5168\u306e\u6240\u898b\u304c\u306a\u3051\u308c\u3070\u3001CAG\u50cf\u304c\u6b63\u5e38\u306a\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9\u306e\u8a3a\u65ad\u306e\u624b\u304c\u304b\u308a\u3068\u306a\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p><\/li>\n                                <li><p>\u3053\u306e\u60a3\u8005\u306e\u8a3a\u65ad\u306f\u3001\u5fc3\u81d3\u751f\u691c\u3068\u9aa8\u9ac4\u691c\u67fb\u306b\u3088\u308a\u539f\u767a\u6027\u5fc3\u30a2\u30df\u30ed\u30a4\u30c9\u30fc\u30b7\u30b9\u3067\u3042\u308b\u3053\u3068\u304c\u78ba\u5b9a\u3057\u3001\u5f62\u8cea\u7d30\u80de\u75be\u60a3\u306b\u5bfe\u3059\u308b\u5316\u5b66\u7642\u6cd5\u3092\u5b9f\u65bd\u3057\u307e\u3057\u305f\u3002<\/p><\/li>\n                            <\/ul><\/div>\n                    <\/div>\n                    <div class=\"row\">\n                        <div class=\"references\" id=\"references-two\">\n                            <ol><li>\n                                    G. Merlini et al, Leukemia (2016) 30, 1979\u20131986\n                                <\/li>\n                            <\/ol><\/div>\n                    <\/div>\n                <\/div>\n            <\/div>\n        <\/div>\n    <\/div>\n\n<script>\n    function toggleIcon(e) {\n        $(e.target)\n            .prev('.panel-heading')\n            .find(\".more-less\")\n            .toggleClass('glyphicon-plus glyphicon-minus');\n    }\n    $('.panel-group').on('hidden.bs.collapse', toggleIcon);\n    $('.panel-group').on('shown.bs.collapse', toggleIcon);\n\n    $(document).ready(function(){\n        function getParameterByName(name, url) {\n            if (!url) url = window.location.href;\n            name = name.replace(\/[\\[\\]]\/g, '\\\\$&');\n            var regex = new RegExp('[?&]' + name + '(=([^&#]*)|&|#|$)'),\n                results = regex.exec(url);\n            if (!results) return null;\n            if (!results[2]) return '';\n            return 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\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u306b\u3088\u308b \u9032\u884c\u6027\u5fc3\u4e0d\u5168\u306b\u304a\u3051\u308bNT-proBNP \u6d78\u6f64\u6027\u5fc3\u75be\u60a3\u306b\u304a\u3051\u308bNT-proBNP 58\u6b73\u7537\u6027 \u4e3b\u306a\u5fb4\u5019\u304a\u3088\u3073\u75c7\u72b6 \u52b4\u4f5c\u5236\u9650\u3092\u4f34\u3046\u547c\u5438\u56f0\u96e3 \u65e2\u5f80\u6b74 10\u5e74\u524d\u306b\u62e1\u5f35\u578b\u5fc3\u7b4b\u75c7\u3068\u8a3a\u65ad\u3002 8\u5e74\u524d\u306bICD\u3092\u633f\u5165\u3057\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306b\u57fa\u3065\u304f\u85ac\u7269\u6cbb\u7642\uff08GDMT\uff09\u306b\u3088\u308a\u75c7\u72b6\u304c\u6539\u5584\u3057\u305f\u3002 \u6700\u8fd1\u3001\u52b4\u4f5c\u6027\u547c\u5438\u56f0\u96e3\u304c\u60aa\u5316\u3057\u3001LVEF\u304c\u6301\u7d9a\u7684\u306b\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3002 \u8a3a\u5bdf \u8840\u5727 94\/60\u00a0mmHg \u5fc3\u62cd\u6570 86\/min \u7b2c3\u5fc3\u97f3\uff08S3\uff09 (+) \u9838\u52d5\u8108\u5727\uff08JVP\uff09\u4e0a\u6607 \u81e8\u5e8a\u691c\u67fb\u7d50\u679c \u96fb\u89e3\u8cea\uff1aNa 138\u00a0mmol\/L K 4.0\u00a0mmol\/L BUN 13.9\u00a0mg\/dL Cr 0.7\u00a0mg\/dL Hb 16.6\u00a0g\/dL NT-proBNP 3120\u00a0pg\/mL \u7d4c\u80f8\u58c1\u5fc3\u30a8\u30b3\u30fc\uff08TTE\uff09\u304a\u3088\u3073MRI\u753b\u50cf \u30a8\u30b3\u30fcCG\u3067\u3001LVEF 17%\u306e\u91cd\u5ea6\u306e\u5168\u5fc3\u5ba4\u58c1\u904b\u52d5\u4f4e\u4e0b\u3001\u8efd\u5ea6\u304b\u3089\u4e2d\u7b49\u5ea6\u306eMR \u00a0 \u51a0\u52d5\u8108\u9020\u5f71\uff08CAG\uff09 CAG\u50cf\u6b63\u5e38\u3001ICD\u30ea\u30fc\u30c9\u306f\u6240\u5b9a\u306e\u4f4d\u7f6e\u306b\u3042\u308a \u00a0 \u80f8\u90e8X\u7dda\uff08CXR\uff09 \u00a0 \u80f8\u90e8PA\u50cf\u3067\u5fc3\u62e1\u5927\u304a\u3088\u3073 \u80ba\u3046\u3063\u8840\u3042\u308a\u3001ICD\u306f\u6240\u5b9a\u306e\u4f4d\u7f6e\u306b\u3042\u308a \u00a0 \u5fc3\u96fb\u56f3 (ECG) ECG\u3067\u306f\u6b63\u5e38\u6d1e\u8abf\u5f8b\u3001\u4e21\u5fc3\u623f\u62e1\u5927\u3001RBBB\u3001VPC\u3092\u793a\u3059\u6240\u898b 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