{"id":3586,"date":"2021-05-20T16:15:50","date_gmt":"2021-05-20T08:15:50","guid":{"rendered":"https:\/\/cardiothinklab.com\/%e8%87%a8%e5%ba%8a%e7%97%87%e4%be%8b%ef%bc%9a%e6%9c%ab%e6%9c%9f%e8%85%8e%e4%b8%8d%e5%85%a8%e6%82%a3%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8bhs-tnt\/"},"modified":"2026-02-12T00:25:55","modified_gmt":"2026-02-11T16:25:55","slug":"clinical-cases-hs-tnt-in-patients-with-end-stage-renal-failure","status":"publish","type":"post","link":"https:\/\/cardiothinklab.com\/ja\/clinical-cases-hs-tnt-in-patients-with-end-stage-renal-failure\/","title":{"rendered":"\u81e8\u5e8a\u75c7\u4f8b\uff1a\u672b\u671f\u814e\u4e0d\u5168\u60a3\u8005\u306b\u304a\u3051\u308bhs-TnT"},"content":{"rendered":"\n<style type=\"text\/css\">\n.breadcrumb { background-color: #fff !important;}\n<\/style><link href=\"https:\/\/stackpath.bootstrapcdn.com\/bootstrap\/4.1.3\/css\/bootstrap.min.css\" rel=\"stylesheet\"><link rel=\"stylesheet\" type=\"text\/css\" media=\"screen\" 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<p>\u672b\u671f\u814e\u4e0d\u5168\uff08ESRD\uff09\u60a3\u8005\u306e\u4e00\u90e8\u306b\u5bfe\u3057\u3066\u3001NACB\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3\uff08cTn\uff09\u9ad8\u5024\u3092\u793a\u3059\u60a3\u8005\u306eMI\u306e\u8a3a\u65ad\u306b\u3001\u91cd\u8981\u306a\u6fc3\u5ea6\u5909\u5316\u306e\u6307\u6a19\u3068\u3057\u3066\u767a\u75c7\u304b\u30896\uff5e9\u6642\u9593\u5f8c\u306e20%\u4ee5\u4e0a\u306ecTn\u6fc3\u5ea6\u306e\u5909\u5316\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u5206\u6790\u306e5\uff5e7%\u306e\u5909\u52d5\u4fc2\u6570\u306b\u57fa\u3065\u304d\u3001cTn\u306e\u6709\u610f\u306a\uff083SD\uff09\u5909\u5316\u3092\u793a\u3059\u305f\u3081\u3067\u3059\u3002<sup>1<\/sup><\/p>\n            <p>\u3053\u306e\u75c7\u4f8b\u3067\u306f\u3001LVH\u304a\u3088\u3073\u6162\u6027\u5fc3\u75be\u60a3\u306e\u6240\u898b\u304c\u8a8d\u3081\u3089\u308c\u305f\u900f\u6790\u4e2d\u306eESRD\u60a3\u8005\u3067\u3001\u975e\u7279\u7570\u7684\u306a\u80f8\u75db\u75c7\u72b6\u3092\u5448\u3057\u3066\u3044\u307e\u3059\u3002\u8840\u6e05\u30c8\u30ed\u30dd\u30cb\u30f3T\u306e\u9023\u7d9a\u6e2c\u5b9a\u306f\u300148\u6642\u9593\u4ee5\u5185\u306b\u5024\u306e\u30c0\u30a4\u30ca\u30df\u30c3\u30af\u306a\u4e0a\u6607\u3084\u4e0b\u964d\u304c\u306a\u3044\u5834\u5408\u3001AMI\u3092\u30eb\u30fc\u30eb\u30a2\u30a6\u30c8\u3059\u308b\u306e\u306b\u6709\u7528\u3067\u3059\u3002<\/p>\n            <p>\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3T\uff08cTnT\uff09\u306e\u9023\u7d9a\u6e2c\u5b9a\u306b\u3088\u308a\u3001\u814e\u6a5f\u80fd\u969c\u5bb3\u60a3\u8005\u306e\u8a3a\u65ad\u7cbe\u5ea6\u304c\u5411\u4e0a\u3057\u307e\u3059\u3002<\/p>\n          <\/div>\n          <div class=\"row pt-2\">\n            <table class=\"table\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr><td align=\"center\" valign=\"top\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr class=\"row_1\"><td width=\"30%\" align=\"left\" valign=\"top\">\u75c7\u4f8b7<\/td>\n                          <td width=\"8%\"><\/td>\n                          <td width=\"62%\" align=\"left\" valign=\"top\">73\u6b73\u7537\u6027<\/td>\n                        <\/tr><tr class=\"row_2\"><td width=\"30%\" align=\"left\">\u4e3b\u306a\u5fb4\u5019\u304a\u3088\u3073\u75c7\u72b6<\/td>\n                          <td width=\"8%\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-arrow-symbol.png\" alt=\"arrow\" style=\"width:15px; height: auto;\"><\/td>\n                          <td width=\"62%\" align=\"left\">\u900f\u6790\u4e2d\u306e\u4f4e\u8840\u5727\u304a\u3088\u3073\u77ed\u6642\u9593\u306e\u523a\u3059\u3088\u3046\u306a\u80f8\u75db\u3001\u60aa\u5fc3<\/td>\n                        <\/tr><tr class=\"row_3\"><td width=\"30%\" align=\"left\">\u65e2\u5f80\u6b74<\/td>\n                          <td width=\"8%\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-arrow-symbol.png\" alt=\"arrow\" style=\"width:15px; height: auto;\"><\/td>\n                          <td width=\"62%\" align=\"left\">\u7cd6\u5c3f\u75c5\u309212\u5e74\u9593\u60a3\u3063\u3066\u304a\u308a\u30012\u5e74\u524d\u304b\u3089\u900f\u6790\u3001\u9577\u5e74\u306e\u9ad8\u8840\u5727<\/td>\n                        <\/tr><tr class=\"row_4\"><td width=\"30%\" align=\"left\">\u8a3a\u5bdf<\/td>\n                          <td width=\"8%\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-arrow-symbol.png\" alt=\"arrow\" style=\"width:15px; height: auto;\"><\/td>\n                          <td width=\"62%\" align=\"left\">\u7b2c3\u5fc3\u97f3\u3001\u8840\u5727 95\/60&nbsp;mmHg\u3001\u80ba\u6b63\u5e38\u3001\u6d6e\u816b\u306a\u3057\uff1bECG\u6b63\u5e38<\/td>\n                        <\/tr><tr class=\"row_5\"><td width=\"30%\" align=\"left\">\u81e8\u5e8a\u691c\u67fb\u7d50\u679c<\/td>\n                          <td width=\"8%\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-arrow-symbol.png\" alt=\"arrow\" style=\"width:15px; height: auto;\"><\/td>\n                          <td width=\"62%\" align=\"left\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\" class=\"table1\"><tbody><tr><td align=\"center\" valign=\"top\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr class=\"row_6\"><td width=\"40%\" align=\"left\">\u7d50\u679c<\/td>\n                                          <td width=\"10%\" align=\"left\"><\/td>\n                                          <td width=\"50%\" align=\"left\">\u57fa\u6e96\u7bc4\u56f2<\/td>\n                                        <\/tr><tr class=\"row_7\"><td width=\"40%\" align=\"left\">C\u53cd\u5fdc\u6027\u30bf\u30f3\u30d1\u30af (CRP)  3&nbsp;mg\/L<\/td>\n                                          <td width=\"10%\" align=\"left\"><\/td>\n                                          <td width=\"50%\" align=\"left\">\n                                        <\/td><\/tr><tr class=\"row_8\"><td width=\"40%\" align=\"left\">\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3 7.5&nbsp;mg\/dL<\/td>\n                                          <td width=\"10%\" align=\"left\"><\/td>\n                                          <td width=\"50%\" align=\"left\">\n                                        <\/td><\/tr><tr class=\"row_9\"><td width=\"40%\" align=\"left\">Hb 10.2&nbsp;g\/dL<\/td>\n                                          <td width=\"10%\" align=\"left\"><\/td>\n                                          <td width=\"50%\" align=\"left\">\u7537\u6027\uff1a13\uff5e18&nbsp;g\/dL\uff0f<br>\n                                            \u5973\u6027\uff1a12\uff5e16&nbsp;g\/dL<\/td>\n                                        <\/tr><tr class=\"row_10\"><td width=\"40%\" align=\"left\">\u7cf8\u7403\u4f53\u308d\u904e\u91cf (GFR) 7&nbsp;mL\/min\/1.73&nbsp;m<sup>2<\/sup><\/td>\n                                          <td width=\"10%\" align=\"left\"><\/td>\n                                          <td width=\"50%\" align=\"left\">&gt;90&nbsp;mL\/min\/1.73&nbsp;m<sup>2<\/sup><\/td>\n                                        <\/tr><\/tbody><\/table><\/td>\n                                <\/tr><\/tbody><\/table><\/td>\n                        <\/tr><\/tbody><\/table><\/td>\n                <\/tr><tr><td height=\"15\" valign=\"top\" align=\"left\" style=\"font-size: 1px; line-height: 1px;\"><\/td>\n                <\/tr><tr><td align=\"center\" valign=\"top\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr class=\"row_13\"><td width=\"30%\" class=\"td_resize\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\" class=\"table2\"><tbody><tr><td width=\"100%\" valign=\"top\" style=\"color:#544F40; font-family: Arial; font-size:16px; line-height:24px; font-weight: bold;border:none\">\u5fc3\u96fb\u56f3 (ECG)<\/td>\n                                <\/tr><tr><td width=\"100%\" valign=\"top\" style=\"color:#544F40; font-family: Arial; font-size:16px; line-height:24px; font-weight: normal;border:none;\">\u5074\u80f8\u90e8\u8a98\u5c0e\u3067Sokolow index\u304c\u967d\u6027\u3067\u4e0d\u4e00\u81f4\u306eST\u90e8\u5206\u5909\u5316\u3092\u4f34\u3046\u5de6\u5ba4\u80a5\u5927<\/td>\n                                <\/tr><\/tbody><\/table><\/td>\n                          <td width=\"8%\" class=\"td_resize1\"><\/td>\n\t\t\t\t\t\t\t<td width=\"62%\" class=\"td_resize2\">\n\t\t\t\t\t\t\t\t  <table width=\"100%\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"table2\"><tbody><tr><td height=\"0\" align=\"left\" valign=\"top\" style=\"line-height: 0px; font-size: 1px;\" class=\"mob_height\"><\/td>\n\t\t\t\t\t\t\t\t\t\t<\/tr><tr><td width=\"100%\" valign=\"top\" align=\"left\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-ecg-img.png\" alt=\"ecg\" style=\"width:100%\" class=\"image-responsive\"><\/td>\n\t\t\t\t\t\t\t\t\t  <\/tr><\/tbody><\/table><\/td>\n                          \n                        <\/tr><\/tbody><\/table><\/td>\n                <\/tr><tr><td height=\"15\" valign=\"top\" align=\"left\" style=\"font-size: 1px; line-height: 1px;\"><\/td>\n                <\/tr><tr><td align=\"center\" valign=\"top\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr class=\"row_12\"><td width=\"30%\" class=\"td_resize\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\" class=\"table2\"><tbody><tr><td width=\"100%\" valign=\"top\" style=\"color:#544F40; font-family: Arial; font-size:16px; line-height:24px; font-weight: bold;border:none\">\u30c8\u30ed\u30dd\u30cb\u30f3\u52d5\u614b\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb<\/td>\n                                <\/tr><\/tbody><\/table><\/td>\n                          <td width=\"8%\" class=\"td_resize1\"><\/td>\n\t\t\t\t\t\t\t<td width=\"62%\" class=\"td_resize2\">\n\t\t\t\t\t\t\t\t  <table width=\"100%\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"table2\"><tbody><tr><td height=\"0\" align=\"left\" valign=\"top\" style=\"line-height: 0px; font-size: 1px;\" class=\"mob_height\"><\/td>\n\t\t\t\t\t\t\t\t\t\t<\/tr><tr><td width=\"100%\" valign=\"top\" align=\"left\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-bar-graph.png\" alt=\"bar_graph\" style=\"width:100%\" class=\"image-responsive\"><\/td>\n\t\t\t\t\t\t\t\t\t  <\/tr><\/tbody><\/table><\/td>\n                          \n                        <\/tr><\/tbody><\/table><\/td>\n                <\/tr><tr><td height=\"15\" valign=\"top\" align=\"left\" style=\"font-size: 1px; line-height: 1px;\"><\/td>\n                <\/tr><tr><td align=\"center\" valign=\"top\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\"><tbody><tr class=\"row_12\"><td width=\"30%\" class=\"td_resize\"><table border=\"0\" cellpadding=\"0\" cellspacing=\"0\" width=\"100%\" class=\"table2\"><tbody><tr><td width=\"100%\" valign=\"top\" style=\"color:#544F40; font-family: Arial; font-size:16px; line-height:24px; font-weight: bold;border:none\">\u51a0\u52d5\u8108\u9020\u5f71<\/td>\n                                <\/tr><\/tbody><\/table><\/td>\n                          <td width=\"8%\" class=\"td_resize1\"><\/td>\n\t\t\t\t\t\t\t<td width=\"62%\" class=\"td_resize2\">\n\t\t\t\t\t\t\t\t  <table width=\"100%\" border=\"0\" cellpadding=\"0\" cellspacing=\"0\" class=\"table2\"><tbody><tr><td height=\"0\" align=\"left\" valign=\"top\" style=\"line-height: 0px; font-size: 1px;\" class=\"mob_height\"><\/td>\n\t\t\t\t\t\t\t\t\t\t<\/tr><tr><td width=\"100%\" valign=\"top\" align=\"left\"><img decoding=\"async\" src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-pulmonary-img.png\" alt=\"pulmonary_img\" style=\"width:500px; height: auto;\" class=\"image-responsive1\"><\/td>\n\t\t\t\t\t\t\t\t\t  <\/tr><\/tbody><\/table><\/td>\n                          \n                        <\/tr><\/tbody><\/table><\/td>\n                <\/tr><\/tbody><\/table><\/div>\n        <\/div>\n      <\/div>\n    <\/section><div class=\"clear\"><\/div>\n  <\/section><section class=\"pt-4 pb-3\"><div class=\"row\">\n      <div class=\"col-sm-12\">\n        <input type=\"hidden\" id=\"ays_finish_poll_14\" name=\"ays_finish_poll_14\" value=\"364c00a5d7\" \/><input 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input[type='button'].ays-poll-btn:hover, .ays-poll-id-69dfda8b7a665.ays-minimal-theme input[type='button'].ays-poll-btn:focus{\t\t\ttext-decoration: none;\t\t}\t\t.ays-poll-id-69dfda8b7a665.ays-minimal-theme input[type='button'].ays-poll-btn{\t\t    color: initial !important;\t\t    background: initial !important;\t\t    border: 1px solid #ffffff;\t\t    border-radius: 3px;\t\t}\t\t.ays-poll-id-69dfda8b7a665.ays-minimal-theme .ays_poll_passed_count{\t\t    color: #ffffff !important;\t\t    background: initial !important;\t\t    border: 1px solid #ffffff;\t\t    border-radius: 3px;\t\t}\t\t.ays-poll-id-69dfda8b7a665.ays-minimal-theme .ays_poll_passed_count i.ays_poll_fa:before{\t\t    color: #ffffff !important;\t\t    \t\t}        .ays-poll-id-69dfda8b7a665.ays-minimal-theme .answer-percent{        \tcolor: initial !important;\t\t}        .ays-poll-id-69dfda8b7a665.box-apm span.ays_poll_passed_count{            background-color: #ffffff;            color: #dc305f;        }        #ays-poll-id-69dfda8b7a665.box-apm span.ays_poll_passed_count i{            color: #dc305f;        }        #ays-poll-id-69dfda8b7a665.box-apm .apm-title-box{            background-color: #dc305f;        }        .ays-poll-id-69dfda8b7a665 .answer-percent {            background-color: #ffffff;            color: #dc305f !important;        }        .ays-poll-id-69dfda8b7a665 .ays-poll-btn{            color: #dc305f !important;            background-color: #ffffff !important;            overflow: hidden;        }        #ays-poll-id-69dfda8b7a665 .ays-poll-view-more-button{\t\t    border-radius: 0;\t\t}        .ays-poll-id-69dfda8b7a665.box-apm * {            color: #ffffff;        }        .ays-poll-id-69dfda8b7a665.box-apm .apm-title-box div {            color: #ffffff;            text-transform: inherit;            font-family: inherit;\t\t\t        }        #ays-poll-id-69dfda8b7a665.box-apm i {            color: #db305d;            font-size: 24px;            font-style: normal;                    }\t\t#ays-poll-id-69dfda8b7a665 .ays-poll-btn{       \t\twidth: auto;\t\t\tfont-size: 17px;\t\t\tpadding: 10px 20px;\t\t\tborder-radius: 3px;\t\t\tcolor: #dc305f !important;\t\t\tbackground: #ffffff !important;\t\t\tborder: none;\t\t\tline-height: 12px !important;\t\t}\t\t#ays-poll-id-69dfda8b7a665 .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: #ffffff; \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-69dfda8b7a665.box-apm i.ays_poll_far{                        font-family: 'Font Awesome 5 Free';        }        #ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.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-69dfda8b7a665.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-69dfda8b7a665.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-69dfda8b7a665.box-apm .apm-choosing .ays-poll-each-image-list{\t\t\twidth: 220px;        }        #ays-poll-id-69dfda8b7a665.box-apm .apm-choosing .ays-poll-each-image-grid{\t\t\twidth: 100%;        }        #ays-poll-id-69dfda8b7a665.box-apm .apm-choosing .ays-poll-answer-container-label-grid{\t\t\talign-items: center;        }        #ays-poll-id-69dfda8b7a665.box-apm .apm-choosing .ays-poll-answer-container-label-list{\t\t\tflex-direction: row;        }        #ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.box-apm .ays-poll-answer-container-gird{\t\t\twidth: calc(50% - 5px);\t\t\tmargin-bottom: 1px;        }\t\t        #ays-poll-id-69dfda8b7a665.box-apm .ays_poll_label_without_padding{\t\t\tpadding: 10px;\t\t\talign-items: center;\t\t\tflex-direction: column;        }        #ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.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-69dfda8b7a665.box-apm .ays-poll-maker-text-answer-main input,\t\t#ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.box-apm .ays-poll-password-box .ays-poll-password-button-box .ays-poll-password-button{\t\t\tbackground-color: #ffffff;\t\t\tcolor: #dc305f;\t\t\tborder-color: #ffffff;\t\t\toutline: none;\t\t\tbox-shadow: unset;\t\t\tborder: 0;\t\t\ttransition: .5s;        }        #ays-poll-id-69dfda8b7a665.box-apm .ays-poll-password-box .ays-poll-password-button-box .ays-poll-password-button:hover{\t\t\tbackground-color: #ffffffb5;        }        #ays-poll-id-69dfda8b7a665.box-apm .ays-poll-password-box .ays-poll-password-input-box .ays-poll-password-input{\t\t\tborder-color: #ffffff;        }\t\t#ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.box-apm.text-poll .apm-answers .ays-poll-text-types-inputs{            \t\t\tfont-size: 16px;        }\t\t\t\t\t\t        #ays-poll-id-69dfda8b7a665.choosing-poll label {\t            background-color: #dc305f;\t            border: 1px solid #ffffff;\t            text-transform: inherit;\t        }        .ays-poll-id-69dfda8b7a665.choosing-poll input[type=radio]:checked + label,\t\t.ays-poll-id-69dfda8b7a665:not(.ays-minimal-theme).choosing-poll input[type='checkbox']:checked + label,        .ays-poll-id-69dfda8b7a665.choosing-poll label.ays_enable_hover:hover {        \tbackground-color: #ffffff !important;            color: #dc305f;        }\t\t.ays-poll-id-69dfda8b7a665:not(.ays-minimal-theme).choosing-poll input[type='checkbox']{\t\t\tdisplay: none;\t\t}        .ays-poll-id-69dfda8b7a665.choosing-poll input[type=radio]:checked + label *,        .ays-poll-id-69dfda8b7a665.choosing-poll input[type=checkbox]:checked + label *,        .ays-poll-id-69dfda8b7a665.choosing-poll label.ays_enable_hover:hover * {            color: #dc305f;        }.ays-poll-id-69dfda8b7a665 .apm-info-form input {            border-color: #ffffff;        }        div[class~=ays-poll-id-69dfda8b7a665] 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-69dfda8b7a665 .apm-info-form input {            color: #ffffff !important;            background-color: #dc305f !important;        }         .ays-poll-main #ays-poll-id-69dfda8b7a665 .ays-poll-img {            object-fit: cover;\t\t\theight: 100%;         }        .ays-poll-id-69dfda8b7a665 div.apm-loading-gif .apm-loader svg path,        .ays-poll-id-69dfda8b7a665 div.apm-loading-gif .apm-loader svg rect {            fill: #ffffff;        }.ays-poll-id-69dfda8b7a665 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-69dfda8b7a665 div.apm-loading-gif{\t\t\t\twidth: 100%;    \t\t\theight: 100%;\t\t\t}\t\t\t.ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.box-apm {\t\t\t\twidth: 100%;\t\t\t}\t\t\t#ays-poll-id-69dfda8b7a665.box-apm .ays-poll-btn{\t\t\t\twidth: auto;\t\t\t}\t\t\t.ays-poll-id-69dfda8b7a665.box-apm .ays_question p{\t\t\t\tfont-size: 16px;\t\t\t}\t\t\t\t\t\t.ays-poll-id-69dfda8b7a665 .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-69dfda8b7a665.box-apm .ays-poll-answer-container-gird{\t\t\t\twidth: 100%;\t\t\t}\t\t\t#ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.box-apm label.ays_label_font_size {\t\t\t\tfont-size: 16px;\t\t\t}\t\t\t#ays-poll-id-69dfda8b7a665.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-69dfda8b7a665.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-69dfda8b7a665.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-69dfda8b7a665 .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-69dfda8b7a665{\t\t\t\tmax-width: 100%;\t\t\t}\t\t}\t\t#ays-poll-container-14{        \twidth: 100%;\t\t}\t\t@media screen and (max-width: 768px){\t\t\t#ays-poll-container-14{\t\t\t\twidth: 100%;\t\t\t\tmax-width: 96%;\t\t\t}\t\t\t#ays-poll-id-69dfda8b7a665.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: '#ffffff',                background: '#dc305f',                color: '#ffffff',                transition: '.3s ease',                WebkitAppearance: 'none',                appearance: 'none',                };            var hoverCss = {                background: '#ffffff',                color: '#dc305f',                borderColor: '#dc305f',            };        <\/script><div style='margin-bottom: 1rem;' class='ays-poll-main ' id='ays-poll-container-14' 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='#dc305f'        data-show-social=''        class='box-apm ays-minimal-theme choosing-poll ays-poll-id-69dfda8b7a665 '        id='ays-poll-id-69dfda8b7a665'        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='14'        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> 18<\/span><div class='ays_poll_cb_and_a'><\/div><div class='apm-title-box'><div>hs-TnT in patients with End stage Renal failure<\/div><\/div><div class='ays-poll-id-69dfda8b7a665 ays_question'><p>What is the diagnosis of this case?<\/p><\/div><div class='ays-poll-id-69dfda8b7a665 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-69dfda8b7a665  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-69dfda8b7a665' value='59' 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-69dfda8b7a665' \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'>End stage Renal Failure<\/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-69dfda8b7a665  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-69dfda8b7a665' value='60' 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-69dfda8b7a665' \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'>Unstable Angina<\/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-69dfda8b7a665  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-69dfda8b7a665' value='61' 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-69dfda8b7a665' \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-69dfda8b7a665  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-69dfda8b7a665' value='62' 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-69dfda8b7a665' \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>                            <\/div><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>                                <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_14\" name=\"ays_finish_poll_show_res_14\" value=\"364c00a5d7\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/ja\/wp-json\/wp\/v2\/posts\/3586\" \/><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-69dfda8b7a665'\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-69dfda8b7a665']  = 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src=\"https:\/\/dianews.roche.com\/rs\/106-RRW-330\/images\/Cardio-Thinklab-article7-script.js\"><\/script>\n","protected":false},"excerpt":{"rendered":"<p>\u672b\u671f\u814e\u4e0d\u5168\uff08ESRD\uff09\u60a3\u8005\u306e\u4e00\u90e8\u306b\u5bfe\u3057\u3066\u3001NACB\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u3001\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3\uff08cTn\uff09\u9ad8\u5024\u3092\u793a\u3059\u60a3\u8005\u306eMI\u306e\u8a3a\u65ad\u306b\u3001\u91cd\u8981\u306a\u6fc3\u5ea6\u5909\u5316\u306e\u6307\u6a19\u3068\u3057\u3066\u767a\u75c7\u304b\u30896\uff5e9\u6642\u9593\u5f8c\u306e20%\u4ee5\u4e0a\u306ecTn\u6fc3\u5ea6\u306e\u5909\u5316\u3092\u63a8\u5968\u3057\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u5206\u6790\u306e5\uff5e7%\u306e\u5909\u52d5\u4fc2\u6570\u306b\u57fa\u3065\u304d\u3001cTn\u306e\u6709\u610f\u306a\uff083SD\uff09\u5909\u5316\u3092\u793a\u3059\u305f\u3081\u3067\u3059\u30021 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\u900f\u6790\u4e2d\u306e\u4f4e\u8840\u5727\u304a\u3088\u3073\u77ed\u6642\u9593\u306e\u523a\u3059\u3088\u3046\u306a\u80f8\u75db\u3001\u60aa\u5fc3 \u65e2\u5f80\u6b74 \u7cd6\u5c3f\u75c5\u309212\u5e74\u9593\u60a3\u3063\u3066\u304a\u308a\u30012\u5e74\u524d\u304b\u3089\u900f\u6790\u3001\u9577\u5e74\u306e\u9ad8\u8840\u5727 \u8a3a\u5bdf \u7b2c3\u5fc3\u97f3\u3001\u8840\u5727 95\/60&nbsp;mmHg\u3001\u80ba\u6b63\u5e38\u3001\u6d6e\u816b\u306a\u3057\uff1bECG\u6b63\u5e38 \u81e8\u5e8a\u691c\u67fb\u7d50\u679c \u7d50\u679c \u57fa\u6e96\u7bc4\u56f2 C\u53cd\u5fdc\u6027\u30bf\u30f3\u30d1\u30af (CRP) 3&nbsp;mg\/L \u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3 7.5&nbsp;mg\/dL Hb 10.2&nbsp;g\/dL \u7537\u6027\uff1a13\uff5e18&nbsp;g\/dL\uff0f \u5973\u6027\uff1a12\uff5e16&nbsp;g\/dL \u7cf8\u7403\u4f53\u308d\u904e\u91cf (GFR) 7&nbsp;mL\/min\/1.73&nbsp;m2 &gt;90&nbsp;mL\/min\/1.73&nbsp;m2 \u5fc3\u96fb\u56f3 (ECG) \u5074\u80f8\u90e8\u8a98\u5c0e\u3067Sokolow index\u304c\u967d\u6027\u3067\u4e0d\u4e00\u81f4\u306eST\u90e8\u5206\u5909\u5316\u3092\u4f34\u3046\u5de6\u5ba4\u80a5\u5927 \u30c8\u30ed\u30dd\u30cb\u30f3\u52d5\u614b\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb \u51a0\u52d5\u8108\u9020\u5f71 \u30af\u30ea\u30c3\u30af\u3057\u3066\u56de\u7b54\u3092\u8868\u793a \u8a3a\u65ad \u672b\u671f\u814e\u4e0d\u5168 \u60a3\u8005\u306f\u3001\u900f\u6790\u4e2d\u306b\u975e\u7279\u7570\u7684\u306a\u75c7\u72b6\u3092\u5448\u3057\u307e\u3057\u305f\u3002ECG\u3067\u306f\u5de6\u5ba4\u80a5\u5927\u306e\u5fb4\u5019\u304c\u793a\u3055\u308c\u3001\u51a0\u52d5\u8108\u9020\u5f71\u3067\u306f\u5de6\u56de\u65cb\u679d\u306e\u3089\u305b\u3093\u72b6\u86c7\u884c\u304c\u8a8d\u3081\u3089\u308c\u3001\u6162\u6027\u9ad8\u8840\u5727\u3092\u4f34\u3063\u3066\u3044\u307e\u3057\u305f\u3002\u51a0\u52d5\u8108\u6027\u5fc3\u75be\u60a3\uff08CHD\uff09\u306e\u81e8\u5e8a\u7684\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3053\u3068\u3092\u8003\u616e\u3057\u3001\u614e\u91cd\u306b\u8a55\u4fa1\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u3001\u3053\u308c\u3089\u306e\u60a3\u8005\u3067\u306f\u9ad8\u611f\u5ea6\u5fc3\u7b4b\u30c8\u30ed\u30dd\u30cb\u30f3T\uff08cTnT-hs\uff09\u9ad8\u5024\u304c\u4e88\u60f3\u3055\u308c\u308b\u305f\u3081\u3001\u9023\u7d9a\u6e2c\u5b9a\u304c\u5fc5\u8981\u3067\u3059\u3002NACB\u304c\u767a\u8868\u3057\u305f\u63a8\u5968\u4e8b\u9805\u306b\u3088\u308b\u3068\u3001\u611f\u5ea6\u306e\u4f4e\u3044cTn\u4e16\u4ee3\uff08\u4f8b\uff1a\u7b2c4\u4e16\u4ee3cTnT\uff09\u306e\u4f7f\u7528\u306b\u304a\u3044\u3066\u30016\uff5e9\u6642\u9593\u5f8c\u306e\u518d\u6e2c\u5b9a\u306720%\u8d85\u306e\u4e0a\u6607\u304c\u898b\u3089\u308c\u305f\u5834\u5408\u306b\u6025\u6027\u30a4\u30d9\u30f3\u30c8\u304c\u793a\u5506\u3055\u308c\u308b\u3068\u3057\u3066\u3044\u307e\u3059\u300222 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