WEKO3
アイテム
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Nocturnal oxygen therapy and nasal continuous positive airway pressure (NCPAP) reduce sleep-disordered breathing in stable CHF. However, the relation between sleep apnea and nocturnal desaturation inpatients with severe, stable CHF in Japan is unknown. Objectives : To examine nocturnal oxygen saturation (SaO_2) and sleep apnea in Japanese patients with severe, stable CHF. Methods : The subjects were 11 patients with severe, stable CHF (9 men and 2 women, LVEF=25.6±8.6%, NYHA class=III, severe CHF group) and 6 with mild, stable CHF (4 men and 2 women, LVEF=49.8±3.4 %, NYHA class=I or II, mild CHF group). SaO_2 was continuously recorded with a pulse oximeter under room air, and 4 % and 3 % SaO_2 dip rate per hour (GDIs) and the SaO_2 nadir were analyzed. In addition, SaO_2 and sleep variables were continuously recorded with a polysomnograph. Results : ODI frequency in the severe CHF group was significantly higher than that in the mild CHF group (4% ODI, 5.8±5.1 vs 0.6±0.5 times/hour, respectively, p\u003c0.01;3 % ODI, 8.6±7.1 vs 1.0±0.9 times/hour, respectively, p\u003c0.01.). SaO_2 nadir in the severe CHF group was significantly lower than that in the mild CHF group (82.2±7.1 vs 91.7±1.0 %, p\u003c0.01). All severe patients had sleep apnea, predominantly of the central type (74.0±3.6%). Conclusion : The frequency of nocturnal hypoxemia and apnea increases in patients with severe, stable CHF. Nocturnal hypoxemia and apnea may adversely effect the clinical status of these patients.", "subitem_description_type": "Other"}]}, "item_2_description_15": {"attribute_name": "表示順", "attribute_value_mlt": [{"subitem_description": "3", "subitem_description_type": "Other"}]}, "item_2_description_16": {"attribute_name": "アクセション番号", "attribute_value_mlt": [{"subitem_description": "KJ00004161774", "subitem_description_type": "Other"}]}, "item_2_description_8": {"attribute_name": "記事種別(日)", "attribute_value_mlt": [{"subitem_description": "原著", "subitem_description_type": "Other"}]}, "item_2_description_9": {"attribute_name": "記事種別(英)", "attribute_value_mlt": [{"subitem_description": "Original", "subitem_description_type": "Other"}]}, "item_2_source_id_1": {"attribute_name": "雑誌書誌ID", "attribute_value_mlt": [{"subitem_source_identifier": "AA00629581", "subitem_source_identifier_type": "NCID"}]}, "item_2_source_id_19": {"attribute_name": "ISSN", "attribute_value_mlt": 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University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}, {"subitem_text_language": "en", "subitem_text_value": "Department of Cardiology and Pneumology, Dokkyo University School of Medicine"}]}, "item_2_title_3": {"attribute_name": "論文名よみ", 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慢性心不全患者の重症度による夜間無呼吸と低酸素血症の比較
https://dmu.repo.nii.ac.jp/records/291
https://dmu.repo.nii.ac.jp/records/291f9b5e89a-4021-4302-a579-de220c445f08
名前 / ファイル | ライセンス | アクション |
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KJ00004161774.pdf (531.6 kB)
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Item type | [ELS]学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-05-24 | |||||
タイトル | ||||||
タイトル | 慢性心不全患者の重症度による夜間無呼吸と低酸素血症の比較 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Estimation of Nocturnal Apnea and Oxygen Desaturation in Chronic Heart Failure | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題 | 心不全 | |||||
キーワード | ||||||
主題 | 無呼吸 | |||||
キーワード | ||||||
主題 | 低酸素血症 | |||||
キーワード | ||||||
主題 | ポリソムノグラフィー | |||||
キーワード | ||||||
主題 | チェーン・ストークス呼吸 | |||||
キーワード | ||||||
言語 | en | |||||
主題 | Heart failure | |||||
キーワード | ||||||
言語 | en | |||||
主題 | Apnea | |||||
キーワード | ||||||
言語 | en | |||||
主題 | Oxygen desaturation | |||||
キーワード | ||||||
言語 | en | |||||
主題 | Polysomnography | |||||
キーワード | ||||||
言語 | en | |||||
主題 | Cheyne-Stokes respiration | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
雑誌書誌ID | ||||||
収録物識別子 | AA00629581 | |||||
論文名よみ | ||||||
タイトル | マンセイ シンフゼン カンジャ ノ ジュウショウド ニヨル ヤカン ムコキュウ ト テイサンソ ケッショウ ノ ヒカク | |||||
著者 |
有川, 拓男
× 有川, 拓男× 中元, 隆明× 原澤, 寛× 川崎, 龍一× 布施, 大輔× 天野, 裕久× 吉田, 武× 町田, 優× 豊田, 茂× 鈴木, 英彦× 星, 俊安× 堀江, 康人× 田口, 功× 杉村, 浩之× 金子, 昇× Arikawa, Takuo× Nakamoto, Takaaki× Harasawa, Hiroshi× Kawasaki, Ryuichi× Fuse, Daisuke× Amano, Hirohisa× Yoshida, Takeshi× Machida, Suguru× Toyoda, Shigeru× Suzuki, Hidehiko× Hoshi, Toshiyasu× Horie, Yasuto× Taguchi, Isao× Sugimura, Hiroyuki× Kaneko, Noboru |
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著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(日) | ||||||
獨協医科大学内科学(心血管・肺) | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
著者所属(英) | ||||||
en | ||||||
Department of Cardiology and Pneumology, Dokkyo University School of Medicine | ||||||
記事種別(日) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 原著 | |||||
記事種別(英) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Original | |||||
抄録(日) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 慢性心不全(CHF)患者の重症度による夜間の酸素飽和度(SaO_2)と無呼吸の比較について検討を行うために安定した慢性軽症心不全患者6例(男4例,女2例63±5.2歳,左室駆出率:49.8±3.4%,NYHA class:IかII,mild-CHF群)と安定慢性重症心不全患者11例(男9例,女2例,62±11.9歳,左室駆出率:25.6±8.6%,NYHA class:III,severe-CHF群)患者を対象とし,両群を比較することにより検討を行った.全例において室内空気下にパルスオキシメーターを用いて24時間のSaO_2と脈拍数を連続記録した.そして夜間のSaO_2が3%あるいは4%以上低下した1時間あたりの回数(3%ODI,4%ODI),SaO_2の最低値を各々分析した.さらにポリソムノグラフィーを用いてSaO_2と睡眠に関する全てのデータを連続的に記録分析した.その結果,severe-CHF群のODIはmild-CHF群に比して有意に高値であった(4%ODI;5.8±5.1 vs 0.6±0.5,p<O.01.3%ODI;8.6±7.1 vs 1.0±O.9,p<0.01.).severe-CHF群のSaO_2の最低値はmild-CHF群に比して有意に低かった(82.2±7.1 vs 91.7±1.0%,p<0.01).severe-CHF群の夜間無呼吸は全例にみられ,大多数が中枢型であった(74.0±3.6%).以上より安定した重症心不全では夜間に低酸素血症と無呼吸がみられ,これらが臨床病像の悪化に影響していることが示唆される. | |||||
抄録(英) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Background : Patients with chronic heart failure (CHF) commonly experience Cheyne- Stokes respiration, central apnea, or obstructive apnea during sleep associated with oxygen desaturation. Nocturnal oxygen therapy and nasal continuous positive airway pressure (NCPAP) reduce sleep-disordered breathing in stable CHF. However, the relation between sleep apnea and nocturnal desaturation inpatients with severe, stable CHF in Japan is unknown. Objectives : To examine nocturnal oxygen saturation (SaO_2) and sleep apnea in Japanese patients with severe, stable CHF. Methods : The subjects were 11 patients with severe, stable CHF (9 men and 2 women, LVEF=25.6±8.6%, NYHA class=III, severe CHF group) and 6 with mild, stable CHF (4 men and 2 women, LVEF=49.8±3.4 %, NYHA class=I or II, mild CHF group). SaO_2 was continuously recorded with a pulse oximeter under room air, and 4 % and 3 % SaO_2 dip rate per hour (GDIs) and the SaO_2 nadir were analyzed. In addition, SaO_2 and sleep variables were continuously recorded with a polysomnograph. Results : ODI frequency in the severe CHF group was significantly higher than that in the mild CHF group (4% ODI, 5.8±5.1 vs 0.6±0.5 times/hour, respectively, p<0.01;3 % ODI, 8.6±7.1 vs 1.0±0.9 times/hour, respectively, p<0.01.). SaO_2 nadir in the severe CHF group was significantly lower than that in the mild CHF group (82.2±7.1 vs 91.7±1.0 %, p<0.01). All severe patients had sleep apnea, predominantly of the central type (74.0±3.6%). Conclusion : The frequency of nocturnal hypoxemia and apnea increases in patients with severe, stable CHF. Nocturnal hypoxemia and apnea may adversely effect the clinical status of these patients. | |||||
書誌情報 |
Dokkyo journal of medical sciences 巻 31, 号 3, p. 195-201, 発行日 2004-10-25 |
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ISSN | ||||||
収録物識別子 | 03855023 |