{"id":7054,"date":"2023-07-03T17:53:47","date_gmt":"2023-07-03T08:53:47","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7054"},"modified":"2025-07-15T11:27:37","modified_gmt":"2025-07-15T02:27:37","slug":"menu_52","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_52\/","title":{"rendered":"Menu 52\u3000\u5931\u795e\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"

\"\"<\/p>\r\n\r\n

\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7<\/strong><\/span>\u300d\u306b\u3088\u3046\u3053\u305d\uff01<\/span><\/p>\r\n

\u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002<\/span><\/p>\r\n

\u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u5931\u795e\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n

\u300c\u5931\u795e<\/strong>\u300d\u306e\u533b\u5b66\u82f1\u8a9e\u306f syncope<\/strong> \u3067\u3059\u304c\u3001\u3053\u306e\u767a\u97f3\u306f\u300c\u30b7<\/strong>\u30f3\u30b3\u30a5\u30d7\u300d\u306e\u3088\u3046\u306a\u3082\u306e\u3067\u306f\u306a\u304f\u3001\u300c\u30b7<\/strong>\u30f3\u30b3\u30d4\u30a3\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u305f\u3060\u305d\u306e\u53b3\u5bc6\u306a\u5b9a\u7fa9\u306f loss of consciousness \u306e\u3088\u3046\u306a\u5358\u7d14\u306a\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u307e\u305f\u305d\u306e\u9451\u5225\u3092\u8003\u3048\u308b\u969b\u306b\u306f\u300c\u3081\u307e\u3044<\/strong>\u300d\u3068\u300c\u3051\u3044\u308c\u3093<\/strong>\u300d\u3068\u306e\u95a2\u4fc2\u3082\u6b63\u3057\u304f\u7406\u89e3\u3057\u3066\u304a\u304f\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u300c\u5931\u795e<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3068\u3001\u305d\u306e\u8a3a\u65ad\u3092\u3069\u306e\u3088\u3046\u306b\u8003\u3048\u3066\u3044\u3051\u3070\u826f\u3044\u304b\u3092\u7c21\u5358\u306b\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u610f\u5916\u3068\u96e3\u3057\u3044\uff1f\u300c\u5931\u795e\u300d\u306e\u5b9a\u7fa9<\/strong><\/span><\/span>
\r\n\u307e\u305a\u306f\u300c\u5931\u795e<\/strong>\u300d\u306e\u5b9a\u7fa9\u304b\u3089\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u4e0a\u8ff0\u3057\u305f\u3088\u3046\u306b\u300c\u5931\u795e<\/strong>\u300d\u306e\u533b\u5b66\u82f1\u8a9e\u306f syncope<\/strong><\/span> \u3067\u3042\u308a\u3001\u305d\u306e\u767a\u97f3\u306f\u300c\u30b7<\/strong>\u30f3\u30b3\u30d4\u30a3\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u305d\u306e\u5b9a\u7fa9\u3092 loss of consciousness \u3084 fainting \u3068\u601d\u3063\u3066\u3044\u308b\u65b9\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u3002\u305d\u306e\u5b9a\u7fa9\u304c\u9593\u9055\u3063\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u306a\u3044\u306e\u3067\u3059\u304c\u3001syncope \u306e\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u308b\u5834\u5408\u3001\u3082\u3046\u5c11\u3057\u89e3\u50cf\u5ea6\u306e\u9ad8\u3044\u5b9a\u7fa9\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u610f\u8b58\u3092\u5931\u3046<\/strong>\u300d\u3053\u3068\u3092\u300c\u610f\u8b58\u6d88\u5931<\/strong>\u300d\u3068\u8a00\u3044\u3001\u82f1\u8a9e\u3067\u306f loss of consciousness (LOC)<\/strong><\/span> \u3068\u8a00\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e LOC \u306f\u4e00\u822c\u7684\u306b\u306f fainting<\/strong><\/span> \u3084 passing out<\/strong><\/span> \u306e\u3088\u3046\u306b\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e LOC \u304c\u305d\u306e\u307e\u307e\u7d99\u7d9a\u3057\u3066\u3057\u307e\u3046\u3068\u300c\u660f\u7761<\/strong>\u300dcoma<\/strong> \u3068\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u304c\u3001\u7a81\u7136\u767a\u75c7\u3057\u305f LOC \u304c\u81ea\u767a\u7684\u306b\u56de\u5fa9\u3059\u308b\u5834\u5408\u3001\u305d\u308c\u3092 transient loss of consciousness<\/strong> (TLOC<\/strong>) \u3068\u547c\u3073\u307e\u3059\u3002\u3064\u307e\u308a TLOC<\/strong> \u306e\u5b9a\u7fa9\u306f abrupt LOC with spontaneous recovery<\/strong> \u3068\u306a\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u3067\u306f\u300c\u5931\u795e<\/strong>\u300dsyncope<\/strong> \u306e\u5b9a\u7fa9\u306f\u4f55\u304b\u3068\u8a00\u3046\u3068\u3001TLOC due to global cerebral hypoperfusion<\/strong><\/span>\u300c\u8133\u3078\u306e\u8840\u6d41\u304c\u5168\u822c\u7684\u306b\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u3067\u751f\u3058\u308b TLOC<\/strong>\u300d\u3068\u306a\u308b\u306e\u3067\u3059\u3002\u3064\u307e\u308a\u300c\u4f55\u3089\u304b\u306e\u539f\u56e0\u3067\u8133\u5168\u4f53\u3078\u306e\u8840\u6d41\u304c\u5c11\u306a\u304f\u306a\u308b\u3053\u3068\u3067\u8d77\u3053\u308b\u7a81\u7136\u306e\u610f\u8b58\u6d88\u5931\u3067\u3001\u4f55\u3082\u3057\u306a\u304f\u3066\u3082\u610f\u8b58\u304c\u623b\u308b\u3082\u306e<\/strong>\u300d\u304c syncope \u306e\u89e3\u50cf\u5ea6\u306e\u9ad8\u3044\u5b9a\u7fa9\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e syncope \u306e\u524d\u306b\u306f\u3001 lightheadedness<\/strong> \u3084 diaphoresis<\/strong> \u3068\u3044\u3063\u305f prodrome symptoms<\/strong><\/span>\u300c\u524d\u99c6\u75c7\u72b6<\/strong>\u300d\u304c\u73fe\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e lightheadedness<\/strong><\/span> \u3068\u306f\u300c\u982d\u304c\u30d5\u30e9\u30d5\u30e9\u3059\u308b\u611f\u899a<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u306e\u8868\u73fe\u3067\u3001dizziness<\/strong><\/span>\u300c\u3081\u307e\u3044\u300d\u306e\u4e00\u7a2e\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e lightheadedness \u306f syncope \u306e\u524d\u306b\u73fe\u308c\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067 pre-syncope<\/strong><\/span> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\u305f\u3060 dizziness \u306b\u306f\u3053\u306e lightheadedness \u4ee5\u5916\u306b\u3082\u3001\u300c\u56de\u8ee2\u6027\u3081\u307e\u3044<\/strong>\u300d\u3067\u3042\u308b vertigo<\/strong> \u3084\u300c\u5e73\u8861\u969c\u5bb3<\/strong>\u300d\u3067\u3042\u308b disequilibrium<\/strong>\u3001\u305d\u3057\u3066\u975e\u7279\u7570\u7684\u306a non-specific dizziness<\/strong> \u3068\u3044\u3046\u5206\u985e\u304c\u3042\u308a\u307e\u3059\u3002\u3067\u3059\u304b\u3089\u60a3\u8005\u3055\u3093\u304c dizziness \u3092\u8a34\u3048\u308b\u5834\u5408\u3001\u305d\u306e\u9451\u5225\u3068\u3057\u3066 syncope \u3082\u91cd\u8981\u306b\u306a\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 prodrome symptoms \u306e1\u3064\u3067\u3042\u308b diaphoresis<\/strong><\/span> \u306f\u3001 abnormal sweating<\/strong> \u300c\u767a\u6c57\u904e\u591a<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u3001\u3053\u308c\u304c\u5f8c\u306b\u7d39\u4ecb\u3059\u308b seizures<\/strong> \u3068\u306e\u9451\u5225\u3067\u6975\u3081\u3066\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u4ee5\u4e0a\u3092\u307e\u3068\u3081\u308b\u3068 syncope<\/strong> \u3068\u306f abrupt loss of consciousness with spontaneous recovery due to global cerebral hypoperfusion<\/strong><\/span> \u3067\u3042\u308a\u3001\u610f\u8b58\u3092\u5931\u3046\u524d\u306b lightheadedness<\/strong> \u3084 diaphoresis<\/strong> \u306a\u3069\u306e prodrome symptoms<\/strong> \u304c\u73fe\u308c\u308b\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3069\u3046\u8003\u3048\u308c\u3070\u3044\u3044\uff1fsyncope \u306e\u9451\u5225\u75be\u60a3<\/strong><\/span><\/span>
\r\n\u3067\u306f syncope \u306e\u8a3a\u65ad\u306f\u3069\u306e\u3088\u3046\u306b\u8003\u3048\u308c\u3070\u826f\u3044\u306e\u3067\u3057\u3087\u3046\uff1f<\/span><\/p>\r\n

\u75c7\u72b6\u3068\u3057\u3066\u60a3\u8005\u3055\u3093\u306f passing out \u3084 fainting \u306e\u3088\u3046\u306b\u8868\u73fe\u3057\u307e\u3059\u304c\u3001\u307e\u305a\u305d\u308c\u304c trauma<\/strong>\u300c\u5916\u50b7<\/strong>\u300d\u306b\u3088\u308b\u3082\u306e\u304b\u3068\u3044\u3046\u3053\u3068\u3092\u5c0b\u306d\u307e\u3057\u3087\u3046\u3002\u305d\u3057\u3066\u60a3\u8005\u3055\u3093\u306e passing out\/fainting \u304cnon-traumatic transient loss of consciousness (TLOC)<\/strong> \u3067\u3042\u308b\u3068\u3044\u3046\u3053\u3068\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e non-traumatic TLOC \u306e\u539f\u56e0\u3068\u3057\u3066\u306f\u3001\u4e0b\u8a18\u306e\u3088\u3046\u306b\u5206\u985e\u3057\u3066\u8003\u3048\u308b\u3068 Post CC OSCE \u306a\u3069\u3067\u5b9f\u7528\u7684\u3060\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

Causes of Non-Traumatic Transient Loss of Consciousness (TLOC) <\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Red Flags (Stroke\/Meningitis\/Intoxication\/Metabolic Conditions)<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Syncope<\/span><\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>o\u3000<\/em>Cardiogenic Syncope<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Arrhythmia-Related Syncope\/Adam-Stokes Syndrome<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Structural Cardiogenic Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Aortic Stenosis (AS)<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Aortic Dissection<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Pulmonary Embolism (PE)<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Hypertrophic Cardiomyopathy (HCM)<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>o\u3000<\/em>Reflex Syncope<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Vasovagal Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Situational Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Carotid Sinus Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>o\u3000<\/em>Orthostatic Syncope<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Medications<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>(Antihypertensives\/Antidepressants\/Antipsychotics0<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Autonomic Failure (Aging\/Diabetes\/Parkinson\u2019s\/Multiple Sclerosis)<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Seizures<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Psychogenic Pseudo-Syncope<\/strong><\/span><\/p>\r\n

\u300c\u5931\u795e\u300d\u3092\u542b\u3081\u3066\u795e\u7d4c\u75c7\u72b6\u306b\u95a2\u3057\u3066\u306f\u3001\u305d\u308c\u304c\u3069\u3093\u306a\u3082\u306e\u3067\u3082\u4e0b\u8a18\u306e4\u3064\u306e red flags<\/strong><\/span> \u300c\u5371\u967a\u306a\u75be\u60a3<\/strong>\u300d\u3092\u8003\u3048\u308b\u3053\u3068\u3092\u304a\u52e7\u3081\u3057\u307e\u3059\u3002<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em><\/strong>Stroke \u300c\u8133\u5352\u4e2d\u300d<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em><\/strong>Meningitis \u300c\u9ac4\u819c\u708e\u300d<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em><\/strong>Intoxication\u300c\uff08\u85ac\u7269\u3084\u30a2\u30eb\u30b3\u30fc\u30eb\u306a\u3069\u306e\uff09\u4e2d\u6bd2\u300d<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em><\/strong>Metabolic conditions\u300c\u4ee3\u8b1d\u6027\u75be\u60a3\u300d<\/span><\/p>\r\n

\u3053\u308c\u3089\u306f\u3069\u308c\u3082\u751f\u547d\u306b\u95a2\u308f\u308b\u5371\u967a\u306a\u3082\u306e\u3067\u3059\u306e\u3067\u3001\u307e\u305a\u306f\u3053\u308c\u3089\u3092\u9664\u5916\u3059\u308b\u3068\u3044\u3046\u7fd2\u6163\u3092\u8eab\u306b\u3064\u3051\u307e\u3057\u3087\u3046\u3002\u7279\u306b metabolic conditions<\/strong> \u3067\u306f hypoglycemia<\/strong><\/span>\u300c\u4f4e\u8840\u7cd6<\/strong>\u300d\u304c\u983b\u5ea6\u3082\u9ad8\u3044\u5371\u967a\u306a\u75c5\u614b\u3067\u3059\u306e\u3067\u3001\u5fc5\u305a\u60f3\u5b9a\u3067\u304d\u308b\u3088\u3046\u306b\u7fd2\u6163\u3065\u3051\u307e\u3057\u3087\u3046\u3002\u3082\u3061\u308d\u3093\u3053\u308c\u3089\u306b\u3088\u3063\u3066\u5f15\u304d\u8d77\u3053\u3055\u308c\u308b loss of consciousness (LOC) \u306f\u3001\u5b9a\u7fa9\u4e0a syncope \u3068\u306f\u306a\u3089\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u6551\u6025\u5916\u6765\u306a\u3069\u306e history taking \u3067\u306f\u3001\u60a3\u8005\u3055\u3093\u306e LOC \u304c syncope \u3067\u3042\u308b\u304b\u3069\u3046\u304b\u3092\u78ba\u8a8d\u3059\u308b\u4f5c\u696d\u3082\u5fc5\u8981\u3067\u3059\u3002\u3067\u3059\u304b\u3089\u6700\u521d\u306f\u4e0a\u8a184\u3064\u306e red flags \u3082\u60f3\u5b9a\u3057\u3066\u3001\u3053\u308c\u3089\u3092\u78ba\u5b9f\u306b\u9664\u5916\u3059\u308b\u3068\u3044\u3046\u610f\u8b58\u3092\u6301\u3064\u3068\u826f\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

TLOC \u304c global cerebral hypoperfusion \u306b\u3088\u308b syncope \u3068\u8003\u3048\u3089\u308c\u308b\u5834\u5408\u3001\u305d\u306e\u7a2e\u985e\u3068\u3057\u3066\u4e0b\u8a18\u306e3\u3064\u3092\u8003\u3048\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u3000<\/em>\u2022\u3000<\/em>Cardiogenic syncope<\/strong>\u300c\u5fc3\u539f\u6027\u5931\u795e<\/strong>\u300d<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Reflex syncope<\/strong>\u300c\u53cd\u5c04\u6027\u5931\u795e<\/strong>\u300d<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Orthostatic syncope<\/strong>\u300c\u8d77\u7acb\u6027\u5931\u795e<\/strong>\uff08\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u306b\u3088\u308b\u5931\u795e<\/strong>\uff09\u300d<\/span><\/p>\r\n

\u7279\u306b syncope \u3068\u306e\u9451\u5225\u3067\u6975\u3081\u3066\u91cd\u8981\u306b\u306a\u308b\u306e\u304c seizures<\/strong><\/span>\u300c\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3067\u3059\u3002\u307e\u305f conversion disorders<\/strong>\u300c\u8ee2\u63db\u6027\u969c\u5bb3<\/strong>\u300d\u306a\u3069\u306b\u3088\u308b psychogenic pseudo-syncope<\/strong><\/span>\u300c\u5fc3\u56e0\u6027\u64ec\u4f3c\u5931\u795e<\/strong>\u300d\u3082 TLOC \u306e\u539f\u56e0\u3068\u3057\u3066\u5fd8\u308c\u3066\u306f\u3044\u3051\u307e\u305b\u3093\u3002<\/span><\/p>\r\n

TLOC \u3092\u8a34\u3048\u308b\u60a3\u8005\u3055\u3093\u3092\u8a3a\u5bdf\u3059\u308b\u5834\u5408\u3001\u307e\u305a\u306f\u4e0a\u8a18\u306e\u3088\u3046\u306a\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u3001TLOC \u306e onset, before the onset, and after the onset \u306b\u95a2\u3057\u3066\u8a73\u7d30\u306a\u60c5\u5831\u304c\u5f97\u3089\u308c\u308b\u3088\u3046\u306b open-ended questions<\/span><\/a> \u3092\u4f7f\u3063\u3066\u5c0b\u306d\u308b\u3088\u3046\u306b\u5fc3\u304c\u3051\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

Adam-Stokes syndrome \u3063\u3066\u4f55\u3060\u3063\u3051\uff1f<\/strong><\/span><\/span>
\r\n\u3067\u306f\u3053\u3053\u304b\u3089 syncope \u306e3\u3064\u306e\u7a2e\u985e\u3092\u8a73\u3057\u304f\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

syncope \u306e\u7a2e\u985e\u3068\u3057\u3066\u307e\u305a\u8003\u3048\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u306e\u304c cardiogenic syncope<\/strong><\/span>\u300c\u5fc3\u539f\u6027\u5931\u795e<\/strong>\u300d\u3067\u3059\u3002\u3068\u3044\u3046\u306e\u3082\u3053\u306e cardiogenic syncope \u306b\u306f\u751f\u547d\u306b\u95a2\u308f\u308b\u3088\u3046\u306a\u91cd\u7be4\u306a\u75be\u60a3\u304c\u542b\u307e\u308c\u308b\u304b\u3089\u3067\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e cardiogenic syncope \u306b\u306f arrhythmia<\/strong>\u300c\u4e0d\u6574\u8108<\/strong>\u300d\u306b\u3088\u3063\u3066\u8d77\u3053\u308b arrhythmia-related syncope<\/strong><\/span> \u306e\u4ed6\u3001aortic stenosis<\/strong>\u300c\u5927\u52d5\u8108\u5f01\u72ed\u7a84\u75c7<\/strong>\u300d\u3084 aortic dissection<\/strong>\u300c\u5927\u52d5\u8108\u89e3\u96e2\u300d\u306a\u3069\u3001\u69cb\u9020\u306e\u554f\u984c\u306b\u3088\u3063\u3066\u8d77\u3053\u308b structural cardiogenic syncope<\/strong><\/span> \u304c\u3042\u308a\u307e\u3059\u3002\u3053\u306e\u3046\u3061 arrhythmia-related syncope \u306e\u3053\u3068\u3092 Adam-Stokes syndrome<\/strong><\/span> \u3068\u8868\u73fe\u3059\u308b\u306e\u3067\u3059\u304c\u3001\u8a9e\u9806\u304c\u5165\u308c\u66ff\u308f\u3063\u305f Stokes-Adam syndrome \u3068\u8868\u73fe\u3059\u308b\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

Situational syncope \u3067\u3088\u304f\u805e\u304f micturition \u3063\u3066\u3069\u3046\u3044\u3046\u610f\u5473\uff1f<\/strong><\/span><\/span>
\r\n\u6b21\u306b syncope \u306e\u7a2e\u985e\u3068\u3057\u3066\u8003\u3048\u308b\u306e\u304c\u3001\u983b\u5ea6\u306e\u9ad8\u3044 reflex syncope<\/strong><\/span>\u300c\u53cd\u5c04\u6027\u5931\u795e<\/strong>\u300d\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e reflex syncope \u306b\u306f\u4e0b\u8a18\u306e3\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u3000<\/em>\u2022\u3000<\/em>Vasovagal Syncope<\/strong>\u300c\u8840\u7ba1\u8ff7\u8d70\u795e\u7d4c\u6027\u5931\u795e<\/strong>\u300d<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Situational Syncope<\/strong>\u300c\u72b6\u6cc1\u5931\u795e<\/strong>\u300d<\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Carotid Sinus Syncope<\/strong>\u300c\u9838\u52d5\u8108\u6d1e\u75c7\u5019\u7fa4<\/strong>\u300d<\/span><\/p>\r\n

\u3053\u306e\u3046\u3061\u6700\u3082\u983b\u5ea6\u304c\u9ad8\u3044\u306e\u304c vasovagal syncope<\/strong><\/span>\u300c\u8840\u7ba1\u8ff7\u8d70\u795e\u7d4c\u6027\u5931\u795e<\/strong>\u300d\u3067\u3059\u3002\u304d\u3063\u304b\u3051\u3068\u3057\u3066\u306f prolonged sitting or standing \u306e\u4ed6\u3001emotional stress \u3084 blood draw \u306a\u3069\u304c\u4ee3\u8868\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

\u4ed6\u306e2\u3064\u306e reflex syncope \u3082\u300c\u53cd\u5c04\u7684\u306b\u8ff7\u8d70\u795e\u7d4c\u304c\u8208\u596e\u3059\u308b\u3053\u3068\u3067\u672b\u68a2\u8840\u7ba1\u304c\u62e1\u5f35\u3057\u3066\u8840\u5727\u304c\u4e0b\u304c\u308a\u3001\u8133\u3078\u306e\u8840\u6d41\u304c\u4f4e\u4e0b\u3059\u308b<\/strong>\u300d\u3053\u3068\u306b\u9055\u3044\u306f\u306a\u3044\u306e\u3067\u3059\u304c\u3001\u75c5\u614b\u751f\u7406\u306b\u7279\u5fb4\u304c\u3042\u308b\u306e\u3067 vasovagal syncope \u3068\u306f\u533a\u5225\u3055\u308c\u305f\u540d\u79f0\u304c\u3064\u3044\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3042\u308b\u72b6\u6cc1\u3084\u52d5\u4f5c\u306b\u3088\u3063\u3066\u8ff7\u8d70\u795e\u7d4c\u304c\u8208\u596e\u3057\u3066\u5931\u795e\u3059\u308b\u3082\u306e\u3092 situational syncope<\/strong><\/span>\u300c\u72b6\u6cc1\u5931\u795e<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u305d\u306e\u304d\u3063\u304b\u3051\u3068\u3057\u3066\u306f coughing \u3084 sneezing \u306e\u4ed6\u3001micturition \u3084 defecation \u3067\u306e straining \u304c\u4ee3\u8868\u7684\u3067\u3059\u3002\u3053\u306e straining<\/strong><\/span> \u3068\u306f\u300c\u529b\u3092\u5165\u308c\u308b\u3053\u3068<\/strong>\u300d\u3067\u3042\u308a\u3001micturition<\/strong><\/span> \u306f\u300c\u6392\u5c3f<\/strong>\u300d\u3001\u305d\u3057\u3066 defecation<\/strong><\/span> \u306f\u300c\u6392\u4fbf<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002\u3069\u3061\u3089\u3082 situational syncope \u306b\u95a2\u3059\u308b semantic qualifiers<\/strong>\u300c\u7279\u5b9a\u306e\u8a3a\u65ad\u3092\u793a\u5506\u3059\u308b\u30ad\u30fc\u30ef\u30fc\u30c9<\/strong>\u300d\u3068\u3057\u3066\u3088\u304f\u4f7f\u308f\u308c\u308b\u3082\u306e\u3067\u3059\u306e\u3067\u3001\u662f\u975e\u899a\u3048\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 carotid sinus<\/strong>\u300c\u9838\u52d5\u8108\u6d1e<\/strong>\u300d\u3092\u5727\u8feb\u3059\u308b\u3053\u3068\u3067\u8ff7\u8d70\u795e\u7d4c\u304c\u8208\u596e\u3057\u3066\u5931\u795e\u3059\u308b\u3082\u306e\u3092 carotid sinus syncope<\/strong><\/span>\u300c\u9838\u52d5\u8108\u6d1e\u75c7\u5019\u7fa4<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u3053\u308c\u306f carotid sinus \u304c\u904e\u654f\u306b\u306a\u3063\u3066\u3044\u308b\u4eba\u306b\u898b\u3089\u308c\u308b\u306e\u3067 carotid sinus hypersensitivity<\/strong> \u306a\u3069\u3068\u3082\u547c\u3070\u308c\u3001\u305d\u306e\u304d\u3063\u304b\u3051\u3068\u3057\u3066\u306f head turning \u3084 wearing tight collar \u306a\u3069\u304c\u4ee3\u8868\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

\u85ac\u3084 Parkinson\u75c5\u3067\u5931\u795e\u3059\u308b\u306e\u306f\u306a\u305c\uff1f<\/strong><\/span><\/span>
\r\nsyncope \u306e\u7a2e\u985e\u3068\u3057\u30663\u756a\u76ee\u306b\u8003\u3048\u308b\u306e\u304c orthostatic syncope<\/strong><\/span>\u300c\u8d77\u7acb\u6027\u5931\u795e<\/strong>\uff08\u8d77\u7acb\u6027\u4f4e\u8840\u5727\u306b\u3088\u308b\u5931\u795e<\/strong>\uff09\u300d\u3067\u3059\u3002\u6211\u3005\u304c\u8d77\u7acb\u3001\u3064\u307e\u308a\u7acb\u3061\u4e0a\u304c\u3063\u305f\u308a\u5ea7\u3063\u305f\u308a\u3059\u308b\u5834\u5408\u306b\u306f\u8133\u3078\u306e\u8840\u6d41\u304c\u91cd\u529b\u3067\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u305d\u308c\u3092 autonomic nervous system\u300c\u81ea\u5f8b\u795e\u7d4c\u300d\u306b\u3088\u3063\u3066\u88dc\u6b63\u3057\u3001\u8133\u3078\u306e\u8840\u6d41\u3092\u78ba\u4fdd\u3059\u308b\u306e\u3067\u3059\u304c\u3001\u3053\u306e autonomic nervous system \u304c\u4e0a\u624b\u304f\u50cd\u304b\u306a\u3044 autonomic failure<\/strong> \u3084\u8131\u6c34\u306a\u3069\u3067\u8840\u6db2\u91cf\u304c\u5c11\u306a\u3044\u5834\u5408\u3001\u8d77\u7acb\u6642\u306b systolic blood pressure \u304c 20 mmHg \u4ee5\u4e0a\u3001diastolic blood pressure \u304c 10 mmHg \u4ee5\u4e0a\u3082\u4f4e\u4e0b\u3057\u3066 syncope \u304c\u8d77\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u306e\u304d\u3063\u304b\u3051\u3068\u3057\u3066\u306f antihypertensives<\/strong>\u300c\u964d\u5727\u85ac<\/strong>\u300d\u3084 antidepressants<\/strong>\u300c\u6297\u3046\u3064\u85ac<\/strong>\u300d\u3001\u305d\u3057\u3066 antipsychotics<\/strong>\u300c\u6297\u7cbe\u795e\u75c5\u85ac<\/strong>\u300d\u306a\u3069\u306e medications<\/strong> \u306e\u4ed6\u3001aging<\/strong>\/diabetes<\/strong>\/Parkinson\u2019s disease<\/strong>\/multiple sclerosis<\/strong> \u306a\u3069\u306b\u3088\u308b autonomic failure<\/strong> \u306a\u3069\u304c\u4ee3\u8868\u7684\u3067\u3059\u3002<\/span><\/p>\r\n

Syncope \u3068 Seizures \u3092\u898b\u5206\u3051\u308b\u305f\u3081\u306b\u3069\u3093\u306a\u8cea\u554f\u3092\u3059\u308c\u3070\u3044\u3044\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u4e0a\u8ff0\u3057\u305f\u3088\u3046\u306b syncope \u3068\u306e\u9451\u5225\u3067\u6975\u3081\u3066\u91cd\u8981\u306b\u306a\u308b\u306e\u304c seizures<\/strong><\/span>\u300c\u3066\u3093\u304b\u3093\u767a\u4f5c<\/strong>\u300d\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e2\u3064\u306e\u533a\u5225\u306f\u96e3\u3057\u3044\u306e\u3067\u3001\u4e01\u5be7\u306a\u75c5\u6b74\u8074\u53d6\u304c\u91cd\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

Menu 33<\/strong><\/span><\/a> \u3067\u3082\u3054\u7d39\u4ecb\u3057\u307e\u3057\u305f\u304c\u3001Sheldon\u3089\u304c\u4f5c\u6210\u3057\u305f Diagnostic Questions to Determine Whether Loss of Consciousness Is Due to Seizures or Syncope<\/span><\/a> \u306f\u3001 syncope \u3068 seizures \u306e\u9451\u5225\u3092\u4e0b\u8a18\u306e9\u3064\u306e\u8cea\u554f\u306b\u3088\u3063\u3066\u53ef\u80fd\u306b\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

Syncope \u3092\u7591\u308f\u305b\u308b\u9805\u76ee\u3092\u5c0b\u306d\u308b\u8cea\u554f<\/strong><\/span>
\r\n\u2009\u2022\u3000<\/em>Have you ever had lightheaded spells<\/strong>? \uff08Yes \u3067 -2\u70b9\uff09<\/span>
\r\n\u2009\u2022\u3000<\/em>At times do you sweat<\/strong> before your spells? \uff08Yes \u3067 -2\u70b9\uff09<\/span>
\r\n\u2009\u2022\u3000<\/em>Is prolonged sitting or standing<\/strong> associated with your spells?\uff08Yes \u3067 -2\u70b9\uff09<\/span><\/p>\r\n

Seizures \u3092\u7591\u308f\u305b\u308b\u9805\u76ee\u3092\u5c0b\u306d\u308b\u8cea\u554f<\/strong><\/span>
\r\n\u2009\u2022\u3000<\/em>At times do you wake with a cut tongue<\/strong> after your spells?\uff08Yes \u3067 2\u70b9\uff09<\/span>
\r\n\u2009\u2022\u3000<\/em>At times do you have a sense of deja vu<\/strong><\/span> or jamais vu<\/strong><\/span> before<\/strong> your spells?\uff08Yes\u30671\u70b9\uff09<\/span>
\r\n\u2009\u2022\u3000<\/em>At times is emotional stress<\/strong> associated with losing consciousness?\uff08Yes \u30671\u70b9\uff09<\/span>
\r\n\u2009\u2022\u3000<\/em>Has anyone ever noted your head turning<\/strong> during a spell? \uff08Yes \u30671\u70b9\uff09<\/span>
\r\n\u2009\u2022\u3000<\/em>Has anyone ever noted that you are unresponsive<\/strong>, have unusual posturing<\/strong> or have jerking limbs<\/strong> during your spells or have no memory of your spells<\/strong> afterwards? \uff08Yes \u30671\u70b9\uff09<\/span>
\r\n\u2009\u2022\u3000<\/em>Has anyone ever noted that you are confused<\/strong> after a spell? \uff08Yes \u30671\u70b9\uff09<\/span><\/p>\r\n

\u5148\u307b\u3069 prodrome symptoms \u306e1\u3064\u3067\u3042\u308b diaphoresis<\/strong><\/span> \u306f\u3001 abnormal sweating<\/strong> \u300c\u767a\u6c57\u904e\u591a<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067 seizures<\/strong> \u3068\u306e\u9451\u5225\u3067\u6975\u3081\u3066\u91cd\u8981\u3068\u306a\u308b\u3068\u8ff0\u3079\u307e\u3057\u305f\u304c\u3001spell\u300c\u767a\u4f5c\u300d\u306e\u524d\u306b\u6c57\u3092\u304b\u3044\u3066\u3044\u308b\u5834\u5408\u3001\u305d\u306e TLOC \u306f syncope \u306b\u3088\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u307e\u308b\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u307e\u305f deja vu<\/strong><\/span> \u3068jamais vu<\/strong><\/span> \u306f\u30d5\u30e9\u30f3\u30b9\u8a9e\u306a\u306e\u3067\u308f\u304b\u308a\u306b\u304f\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u524d\u8005\u306f\u300c\u898b\u305f\u3053\u3068\u306e\u306a\u3044\u3082\u306e\u3092\u898b\u305f\u3053\u3068\u304c\u3042\u308b\u3088\u3046\u306b\u611f\u3058\u308b<\/strong>\u300d\u3068\u3044\u3046\u300c\u65e2\u8996\u611f<\/strong>\u300d\u3092\u3001\u5f8c\u8005\u306f\u300c\u898b\u6163\u308c\u305f\u3082\u306e\u3092\u521d\u3081\u3066\u898b\u305f\u3088\u3046\u306b\u611f\u3058\u308b<\/strong>\u300d\u3068\u3044\u3046\u300c\u672a\u8996\u611f<\/strong>\u300d\u3092\u610f\u5473\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u4e0a\u8a189\u3064\u306e\u9805\u76ee\u306b\u5bfe\u3059\u308b\u56de\u7b54\u306e\u5408\u8a08\u70b9<\/strong>\u304c1\u70b9\u672a\u6e80\u3067\u3042\u308c\u3070 syncope<\/strong> \u3068\u3001\u305d\u3057\u30661\u70b9\u4ee5\u4e0a\u3067\u3042\u308c\u3070 seizures<\/strong> \u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u6700\u5f8c\u306b syncope \u306e\u539f\u56e0\u3068\u3057\u3066 psychogenic pseudo-syncope<\/strong><\/span>\u300c\u5fc3\u56e0\u6027\u64ec\u4f3c\u5931\u795e<\/strong>\u300d\u3082\u8003\u3048\u307e\u3057\u3087\u3046\u3002\u3053\u306e\u4ee3\u8868\u7684\u306a\u3082\u306e\u3068\u3057\u3066 conversion disorder<\/strong><\/span>\u300c\u8ee2\u63db\u6027\u969c\u5bb3<\/strong>\u300d\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u4e0d\u5b89\u3084\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u304c\u8eab\u4f53\u306e\u75c7\u72b6\u306b\u300c\u8ee2\u63db<\/strong>\u300d\u3055\u308c\u3066\u3057\u307e\u3046\u5fc3\u8eab\u75c7\u3067\u3001\u6614\u306f\u539f\u56e0\u304c\u5b50\u5bae\u306b\u3042\u308b\u3068\u8003\u3048\u3089\u308c\u305f\u3053\u3068\u304b\u3089 hysteria<\/strong>\u300c\u30d2\u30b9\u30c6\u30ea\u30fc<\/strong>\u300d\u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/span><\/p>\r\n

\u4ee5\u4e0a\u304c TLOC \u3092\u8a34\u3048\u308b\u60a3\u8005\u3055\u3093\u3092\u524d\u306b\u3057\u3066\u3001\u3069\u306e\u3088\u3046\u306b\u8a3a\u65ad\u3092\u8003\u3048\u308c\u3070\u826f\u3044\u304b\u306e\u307e\u3068\u3081\u3067\u3059\u3002\u4e0a\u8a18\u306e\u3088\u3046\u306a\u9451\u5225\u75be\u60a3\u3092\u8003\u3048\u3001TLOC \u306e onset, before the onset, and after the onset \u306b\u95a2\u3057\u3066\u8a73\u7d30\u306a\u60c5\u5831\u304c\u5f97\u3089\u308c\u308b\u3088\u3046\u306b open-ended questions<\/span><\/a> \u3092\u4f7f\u3063\u3066\u5c0b\u306d\u308c\u3070\u3001\u82f1\u8a9e\u306e\u533b\u7642\u9762\u63a5\u3067\u3082\u6b63\u3057\u304f\u8a3a\u65ad\u304c\u3064\u304f\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3055\u3066\u3001\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b TLOC \u306e\u9451\u5225\u75be\u60a3\u306e\u5206\u985e\u30ea\u30b9\u30c8\u3092\u3082\u3046\u4e00\u5ea6\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Causes of Non-Traumatic Transient Loss of Consciousness (TLOC) <\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Red Flags (Stroke\/Meningitis\/Intoxication\/Metabolic Conditions)<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Syncope<\/span><\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>o\u3000<\/em>Cardiogenic Syncope<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Arrhythmia-Related Syncope\/Adam-Stokes Syndrome<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Structural Cardiogenic Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Aortic Stenosis (AS)<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Aortic Dissection<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Pulmonary Embolism (PE)<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Hypertrophic Cardiomyopathy (HCM)<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>o\u3000<\/em>Reflex Syncope<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Vasovagal Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Situational Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Carotid Sinus Syncope<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>o\u3000<\/em>Orthostatic Syncope<\/strong><\/span><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Medications<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>(Antihypertensives\/Antidepressants\/Antipsychotics0<\/strong><\/span>
\r\n\u3000<\/em>\u3000<\/em>\u3000<\/em>\u3000<\/em>▪\u3000<\/em>Autonomic Failure (Aging\/Diabetes\/Parkinson\u2019s\/Multiple Sclerosis)<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Seizures<\/strong><\/span>
\r\n\u3000<\/em>\u2022\u3000<\/em>Psychogenic Pseudo-Syncope<\/strong><\/span><\/p>\r\n

\u3067\u306f\u3001\u307e\u305f\u306e\u3054\u6765\u5e97\u3092\u304a\u5f85\u3061\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/span><\/p>\r\n

\u300cDr. \u62bc\u5473\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u3067\u306f\u7686\u3055\u3093\u304b\u3089\u6271\u3063\u3066\u6b32\u3057\u3044\u30c8\u30d4\u30c3\u30af\u3092\u52df\u96c6\u3044\u305f\u3057\u307e\u3059\u3002\u3053\u3061\u3089\u306e\u30ea\u30f3\u30af<\/strong><\/span><\/a>\u304b\u3089\u3053\u306e\u30ab\u30d5\u30a7\u3067\u6271\u3063\u3066\u6b32\u3057\u3044\u3068\u601d\u3046\u533b\u5b66\u82f1\u8a9e\u306e\u30c8\u30d4\u30c3\u30af\u3092\u3054\u81ea\u7531\u306b\u8a18\u8f09\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u56fd\u969b\u533b\u7642\u798f\u7949\u5927\u5b66\u533b\u5b66\u90e8 \u533b\u5b66\u6559\u80b2\u7d71\u62ec\u30bb\u30f3\u30bf\u30fc \u6559\u6388\u3000\u62bc\u5473 \u8cb4\u4e4b<\/p>\r\n","protected":false},"excerpt":{"rendered":"\u3053\u3093\u306b\u3061\u306f\u3002\u300c\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u300d\u306b\u3088\u3046\u3053\u305d\uff01 \u3053\u3053\u306f\u300c\u30b3\u30fc\u30d2\u30fc1\u676f\u5206\u300d\u306e\u6642\u9593\u3067\u3001\u533b\u5b66\u82f1\u8a9e\u306b\u307e\u3064\u308f\u308b\u8a71\u3092\u6c17\u8efd\u306b\u697d\u3057\u3093\u3067\u3044\u305f\u3060\u304f\u30b3\u30fc\u30ca\u30fc\u3067\u3059\u3002 \u672c\u65e5\u306e\u30c6\u30fc\u30de\u306f\u300c\u5931\u795e\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u300d\u3002 \u300c\u5931\u795e\u300d\u306e\u533b\u5b66\u82f1\u8a9e\u306f syncope \u3067","protected":false},"author":1,"featured_media":6879,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"onecolumn-960.php","format":"standard","meta":{"_acf_changed":false,"_jin_ogp_image_url":"","_jin_last_featured_id":0,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-7054","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-eigocafe"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7054","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/comments?post=7054"}],"version-history":[{"count":3,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7054\/revisions"}],"predecessor-version":[{"id":15139,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/posts\/7054\/revisions\/15139"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media\/6879"}],"wp:attachment":[{"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/media?parent=7054"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/categories?post=7054"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp.meccari.jp\/api\/wp\/v2\/tags?post=7054"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}