{"id":7185,"date":"2022-01-01T09:00:23","date_gmt":"2022-01-01T00:00:23","guid":{"rendered":"https:\/\/wp.meccari.jp\/?p=7185"},"modified":"2023-12-25T12:13:44","modified_gmt":"2023-12-25T03:13:44","slug":"menu_34","status":"publish","type":"post","link":"https:\/\/wp.meccari.jp\/eigocafe\/menu_34\/","title":{"rendered":"Menu 34\u3000\u52d5\u60b8\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe"},"content":{"rendered":"\"\"\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\u52d5\u60b8\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>\u300d\u3002<\/span><\/p>\r\n

\u300c\u52d5\u60b8<\/strong>\u300d\u306e\u9451\u5225\u81ea\u4f53\u306f\u305d\u308c\u307b\u3069\u8907\u96d1\u306a\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u539f\u56e0\u3068\u306a\u308b\u300c\u4e0d\u6574\u8108<\/strong>\u300d\u3068\u3044\u3046\u30c8\u30d4\u30c3\u30af\u306f\u82e6\u624b\u3068\u611f\u3058\u3066\u3044\u308b\u533b\u5b66\u751f\u306e\u65b9\u3082\u591a\u3044\u306e\u3067\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u304b\uff1f <\/span><\/p>\r\n

\u305d\u3053\u3067\u4eca\u6708\u306f\u3001\u3053\u306e\u4e0d\u6574\u8108\u3092\u542b\u3081\u305f\u300c\u52d5\u60b8\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe<\/strong>\u300d\u3092\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/span><\/p>\r\n

\u82f1\u8a9e\u3067\u306f\u300c\u52d5\u60b8\u300d\u3092\u3069\u3046\u8868\u73fe\u3059\u308b\u306e\uff1f<\/strong><\/span><\/span>
\r\n\u300c\u52d5\u60b8<\/strong>\u3068\u306f\u5fc3\u81d3\u304c\u30c9\u30ad\u30c9\u30ad<\/strong>\u3059\u308b\u3053\u3068\u300d\u3068\u805e\u304f\u3068\u30c0\u30b8\u30e3\u30ec\u3060\u3068\u601d\u3044\u304c\u3061\u3067\u3059\u304c\u3001\u3042\u306a\u304c\u3061\u9593\u9055\u3044\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u300c\u52d5\u60b8<\/strong>\u300d\u306e\u5b9a\u7fa9\u306f\u300c\u5fc3\u62cd\u3092\u81ea\u899a\u3059\u308b\u3053\u3068<\/strong>\u300dawareness of one\u2019s own heartbeats<\/strong> \u3067\u3042\u308a\u3001\u82f1\u8a9e\u3067\u306f palpitations<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u306e palpitation \u3068\u306f pulsating \u300c\u8108\u3092\u6253\u3064\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3001\u901a\u5e38\u306f palpitations<\/strong><\/span> \u306e\u3088\u3046\u306b\u8907\u6570\u5f62<\/strong>\u3067\u4f7f\u308f\u308c\u307e\u3059\u3002\u300c\u89e6\u8a3a<\/strong>\u300d\u3092\u610f\u5473\u3059\u308b palpation<\/strong> \u3068\u5f62\u304c\u4f3c\u3066\u3044\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u60a3\u8005\u3055\u3093\u304c palpitations \u3092\u8a34\u3048\u308b\u969b\u306b\u306f \u201cI have palpitations.\u201d<\/strong> \u4ee5\u5916\u306b\u3082\u3001\u69d8\u3005\u306a\u82f1\u8a9e\u8868\u73fe\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u60a3\u8005\u3055\u3093\u304c palpitations \u3092\u8a34\u3048\u308b\u969b\u306b\u306f\u3001 \u201cMy heart is\u2026\u201d<\/strong> \u306b\u3044\u304f\u3064\u304b\u306e\u5f62\u5bb9\u8a5e<\/strong>\u3092\u7e4b\u3052\u3066\u8868\u73fe\u3057\u307e\u3059\u3002\u3088\u304f\u4f7f\u308f\u308c\u308b\u306e\u304c\u300c\u30c9\u30c3\u30af\u30f3\u30c9\u30c3\u30af\u30f3\u3068\u8108\u6253\u3064<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e pounding<\/strong><\/span> \u3067\u3059\u304c\u3001\u3053\u308c\u4ee5\u5916\u306b\u3082\u300c\u7fbd\u3070\u305f\u304f<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e fluttering<\/strong><\/span> \u3084\u3001\u300c\u30d1\u30bf\u30d1\u30bf\u3059\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e flip-flopping<\/strong><\/span> \u3068\u3044\u3046\u5f62\u5bb9\u8a5e\u304c\u4f7f\u308f\u308c\u307e\u3059\u3002\u3053\u306e\u3046\u3061 flip<\/strong> \u3068\u306f\u300c\u4e0a\u306b\u8df3\u306d\u4e0a\u304c\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3001\u300c\u524d\u65b9\u5b99\u8fd4\u308a\uff08\u524d\u5b99\uff09\u300d\u306f front flip \u3068\u3001\u305d\u3057\u3066\u300c\u5f8c\u65b9\u5b99\u8fd4\u308a\uff08\u30d0\u30af\u5b99\uff09\u300d\u306f backflip \uff08\u3053\u3061\u3089\u306f1\u8a9e\uff09\u3068\u547c\u3070\u308c\u307e\u3059\u3002\uff08\u3061\u306a\u307f\u306b\u5730\u9762\u306b\u624b\u3092\u3064\u304f\u300c\u524d\u65b9\u8ee2\u56de\u300d\u3068\u300c\u5f8c\u65b9\u8ee2\u56de\uff08\u30d0\u30af\u8ee2\uff09\u300d\u306f\u305d\u308c\u305e\u308c front\/back handspring \u3068\u3001\u305d\u3057\u3066\u300c\u5074\u65b9\u8ee2\u56de\uff08\u5074\u8ee2\uff09\u300d\u306f cartwheel \u3068\u547c\u3070\u308c\u307e\u3059\u3002\uff09\u3053\u308c\u306b\u5bfe\u3057\u3066 flop<\/strong> \u3068\u306f\u300c\u4e0b\u306b\u843d\u3061\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3001\u51fa\u6765\u306e\u60aa\u3044\u6620\u753b\u3084\u30c9\u30e9\u30de\u306a\u3069\u306f flop \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u300c\u30b5\u30f3\u30c0\u30eb<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u3082 sandals<\/strong> \u3068\u306a\u308a\u307e\u3059\u304c\u3001\u3053\u306e\u3046\u3061\u300c\u30d3\u30fc\u30c1\u30b5\u30f3\u30c0\u30eb<\/strong>\u300dbeach sandals<\/strong> \u306e\u3088\u3046\u306b\u30b5\u30f3\u30c0\u30eb\u81ea\u4f53\u304c\u5730\u9762\u3068\u300c\u30d1\u30bf\u30d1\u30bf\u300d\u3068\u304f\u3063\u4ed8\u3044\u305f\u308a\u96e2\u308c\u305f\u308a\u3059\u308b\u3088\u3046\u306a\u3082\u306e\u306f flip-flops<\/strong> \u3068\u3082\u547c\u3070\u308c\u307e\u3059\u3002\uff08\u4e21\u8db3\u306b\u5c65\u304f\u306e\u3067 flip-flops<\/strong><\/span> \u306e\u3088\u3046\u306b\u8907\u6570\u5f62\u306b\u306a\u308a\u307e\u3059\u3002\uff09\u305d\u3057\u3066\u3053\u306e flip-flops \u306f\u30aa\u30fc\u30b9\u30c8\u30e9\u30ea\u30a2\u3067\u306f thongs<\/strong> \u3068\u547c\u3070\u308c\u307e\u3059\u304c\u3001\u7c73\u56fd\u3084\u82f1\u56fd\u3067\u306f\u300c\u7d10\u30d1\u30f3\u30c4\u30fbT\u30d0\u30c3\u30af<\/strong>\u300d\u306e\u3053\u3068\u3092 thong<\/strong> \u3068\u547c\u3073\u307e\u3059\u306e\u3067\u3001\u5b9f\u969b\u306b\u4f7f\u3046\u969b\u306b\u306f\u8aa4\u89e3\u3055\u308c\u306a\u3044\u3088\u3046\u306b\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u3053\u306e\u4ed6\u306b\u3082 \u201cMy heart is skipping beats<\/strong><\/span>.\u201d \u3068\u3044\u3046\u8868\u73fe\u3082 palpitations \u3092\u8a34\u3048\u308b\u969b\u306b\u3088\u304f\u4f7f\u308f\u308c\u307e\u3059\u3002\u3053\u308c\u306f\u300c\u5fc3\u62cd\u304c\u629c\u3051\u308b<\/strong>\u300d\u3068\u3044\u3046\u30a4\u30e1\u30fc\u30b8\u306e\u8868\u73fe\u3067\u3001\u4ed6\u306e\u5f62\u5bb9\u8a5e\u3068\u540c\u69d8\u306b palpitations \u3092\u610f\u5473\u3059\u308b\u8868\u73fe\u306a\u306e\u3067\u3059\u304c\u3001 \u201cMy heart skips a beat<\/strong>.\u201d \u3068\u5358\u6570\u5f62\u3067\u4f7f\u308f\u308c\u305f\u5834\u5408\u3001\u305d\u308c\u306f\u6163\u7528\u53e5\u3068\u3057\u3066\u300c\u8208\u596e\u3059\u308b<\/strong>\u300d\u300c\u9a5a\u304f<\/strong>\u300d\u300c\u30b7\u30e7\u30c3\u30af\u3092\u53d7\u3051\u308b<\/strong>\u300d\u3068\u3044\u3046\u3088\u3046\u306a\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u60a3\u8005\u3055\u3093\u304c palpitations \u3092\u8a34\u3048\u308b\u969b\u306b\u6709\u52b9\u306a\u533b\u7642\u9762\u63a5\u306e\u8868\u73fe\u3068\u3057\u3066\u3001 \u201cCould you tap out<\/strong> your heart rhythm on the desk?\u201d \u300c\u673a\u3092\u6307\u3067\u53e9\u3044\u3066<\/strong>\u3054\u81ea\u8eab\u306e\u5fc3\u62cd\u306e\u30ea\u30ba\u30e0\u3092\u8868\u73fe\u3057\u3066\u304f\u308c\u307e\u305b\u3093\u304b\uff1f\u300d\u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u3088\u3063\u3066\u60a3\u8005\u3055\u3093\u306e palpitations \u304c\u3069\u306e\u3088\u3046\u306a\u3082\u306e\u306a\u306e\u304b\u3001\u5177\u4f53\u7684\u306b\u7406\u89e3\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

\u77e5\u3063\u3066\u304a\u304d\u305f\u3044 palpitations \u3068 arrhythmia \u306e\u95a2\u4fc2<\/strong><\/span>
\r\n\u3067\u306f\u60a3\u8005\u3055\u3093\u304c palpitations \u3092\u8a34\u3048\u308b\u969b\u3001\u3069\u306e\u3088\u3046\u306a\u539f\u56e0\u304c\u8003\u3048\u3089\u308c\u308b\u306e\u3067\u3057\u3087\u3046\uff1f<\/span><\/p>\r\n

palpitations \u306e\u5b9a\u7fa9\u304c awareness of one\u2019s own heartbeats \u306a\u306e\u3067\u3059\u304b\u3089\u3001\u5fc3\u81d3\u306e\u554f\u984c\u304c\u539f\u56e0\u3068\u3057\u3066\u8003\u3048\u3089\u308c\u307e\u3059\u3002\u305d\u3057\u3066 abnormal heartbeats<\/strong> \u306e\u3053\u3068\u3092\u82f1\u8a9e\u3067\u306f arrhythmia<\/strong><\/span> \u300c\u4e0d\u6574\u8108<\/strong>\u300d\u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3064\u307e\u308a\u300c\u81ea\u899a\u75c7\u72b6\u306e\u3042\u308b arrhythmia \u306e\u3053\u3068\u3092 palpitations \u3068\u547c\u3076<\/strong>\u300d\u3068\u8003\u3048\u308b\u3068\u308f\u304b\u308a\u3084\u3059\u3044\u3068\u601d\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u4e00\u898b\u3059\u308b\u3068 arrhythmia \u3068\u3044\u3046\u7528\u8a9e\u306e\u610f\u5473\u306f irregular heart rhythm \u3067\u3042\u308a\u3001tachycardia<\/strong><\/span>\u300c\u983b\u8108<\/strong>\u300d\u3084 bradycardia<\/strong><\/span> \u300c\u5f90\u8108<\/strong>\u300d\u3068\u306f\u7570\u306a\u308b\u3068\u8003\u3048\u3089\u308c\u304c\u3061\u3067\u3059\u3002\u3057\u304b\u3057\u5b9f\u969b\u306b\u306f arrhythmia \u3068\u306f\u3053\u308c\u3089\u3092\u5168\u3066\u5305\u62ec\u3057\u305f abnormal heartbeats \u3068\u3044\u3046\u6982\u5ff5\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u306e arrhythmia \u306f\u4e0b\u8a18\u306e\u3088\u3046\u306b\u5206\u985e\u3067\u304d\u307e\u3059\u3002<\/span><\/p>\r\n

Arrhythmia: \u4e0d\u6574\u8108<\/strong>
\r\n\u3000\u3000<\/em>\u2022Tachycardia\/tachyarrhythmia: \u983b\u8108<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Supraventricular tachycardia<\/strong> (SVT<\/strong>): \u4e0a\u5ba4<\/strong>\uff08\u6027<\/strong>\uff09\u983b\u62cd<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong>Sinus tachycardia: \u6d1e\u6027\u983b\u8108
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong>Atrial fibrillation (AF): \u5fc3\u623f\u7d30\u52d5
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong>Atrial flutter (AFL): \u5fc3\u623f\u7c97\u52d5
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong>Paroxysmal supraventricular tachycardia (PSVT): \u767a\u4f5c\u6027\u4e0a\u5ba4\uff08\u6027\uff09\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u2022<\/strong> Atrioventricular reentrant tachycardia (AVRT): \u623f\u5ba4\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u2022<\/strong> Atrioventricular nodal reentrant tachycardia (AVNRT): \u623f\u5ba4\u7d50\u7bc0\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000<\/em>o Ventricular tachycardia<\/strong> (VT<\/strong>): \u5fc3\u5ba4\u983b\u62cd<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong>Monomorphic ventricular tachycardia (MVT): \u5358\u5f62\u6027\u5fc3\u5ba4\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong>Polymorphic ventricular tachycardia (PVT): \u591a\u5f62\u6027\u5fc3\u5ba4\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong>Ventricular fibrillation (VF): \u5fc3\u5ba4\u7d30\u52d5
\r\n\u3000\u3000<\/em>\u2022 Bradycardia<\/strong>\/bradyarrhythmia: \u5f90\u8108<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Sick sinus syndrome (SSS): \u6d1e\u4e0d\u5168\u75c7\u5019\u7fa4
\r\n\u3000\u3000\u3000\u3000<\/em>o Atrioventricular (AV) block: \u623f\u5ba4\u30d6\u30ed\u30c3\u30af
\r\n\u3000\u3000<\/em>\u2022 Premature contraction: \u671f\u5916\u53ce\u7e2e<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Premature atrial contraction (PAC): \u5fc3\u623f\u6027\u671f\u5916\u53ce\u7e2e
\r\n\u3000\u3000\u3000\u3000<\/em>o Premature ventricular contraction (PVC): \u5fc3\u5ba4\u6027\u671f\u5916\u53ce\u7e2e
\r\n<\/span>
\r\n\u300c\u5ea7\u5b66\u3068\u3057\u3066\u306f\u7406\u89e3\u3067\u304d\u308b\u304c\u3001Post Clinical Clerkship OSCE \u3067\u3053\u3093\u306a\u3082\u306e\u5168\u3066\u3092\u601d\u3044\u51fa\u305b\u308b\u6c17\u304c\u3057\u306a\u3044\uff01\u300d\u3068\u601d\u308f\u308c\u308b\u65b9\u3082\u591a\u3044\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u305d\u308c\u305e\u308c\u306e\u7279\u5fb4\u3068\u3001\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u982d\u306e\u4e2d\u3067\u6574\u7406\u3059\u3079\u304d\u304b\u3092\u3053\u308c\u304b\u3089\u308f\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\u3066\u3044\u304d\u307e\u3059\u306e\u3067\u3001\u3069\u3046\u304b\u8ae6\u3081\u305a\u306b\u304a\u4ed8\u304d\u5408\u3044\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u77e5\u3063\u3066\u304a\u304d\u305f\u3044 sinus tachycardia \u306e \u201chorses\u201d<\/strong><\/span>
\r\n\u7686\u3055\u3093\u3054\u5b58\u77e5\u306e\u901a\u308a\u3001\u5fc3\u81d3\u304c\u898f\u5247\u7684\u306b\u53ce\u7e2e\u3067\u304d\u308b\u306e\u306f conduction system<\/strong><\/span> \u300c\u523a\u6fc0\u4f1d\u5c0e\u7cfb<\/strong>\u300d\u306e\u304a\u304b\u3052\u3067\u3059\u3002\u3053\u308c\u306f sinoatrial<\/strong> (SA<\/strong>) node<\/strong><\/span> \u300c\u6d1e\u623f\u7d50\u7bc0<\/strong>\u300d\u304b\u3089\u59cb\u307e\u308a\u3001\u540c\u3058\u5fc3\u623f\u5185\u306b\u3042\u308batrioventricular<\/strong> (AV<\/strong>) node<\/strong><\/span> \u300c\u623f\u5ba4\u7d50\u7bc0<\/strong>\u300d\u306b\u4f1d\u308f\u3063\u305f\u5f8c\u3001\u5fc3\u5ba4\u306b\u3066\u5de6\u53f3\u306e bundle of His<\/strong><\/span>\u300c\u30d2\u30b9\u675f<\/strong>\u300d\u306b\u5206\u304b\u308c\u3001\u305d\u3053\u304b\u3089\u7d30\u304b\u306a Purkinje fibers<\/strong><\/span> \u300c\u30d7\u30eb\u30ad\u30f3\u30a8\u7e4a\u7dad<\/strong>\u300d\u306b\u4f1d\u308f\u308a\u307e\u3059\u3002\u3061\u306a\u307f\u306b\u3053\u306e Purkinje<\/strong> \u306f\u82f1\u8a9e\u3067\u306f\u300c\u30d7\u30a5\u30ad\u30f3<\/strong>\u30b8\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u306b\u306a\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

palpitations \u306e\u539f\u56e0\u3068\u306a\u308b arrhythmia \u3067\u6700\u3082\u591a\u3044\u306e\u304c tachycardia<\/strong> \u3067\u3059\u304c\u3001\u305d\u306e\u539f\u56e0\u304c\u5fc3\u5ba4\u3088\u308a\u4e0a\u3001\u3064\u307e\u308a\u5fc3\u623f\u3084 conduction system \u306e SA node \u304b\u3089 AV node \u307e\u3067\u306b\u3042\u308b\u5834\u5408\u306b\u306f supraventricular tachycardia<\/strong> (SVT<\/strong>)<\/span> \u300c\u4e0a\u5ba4<\/strong>\uff08\u6027<\/strong>\uff09\u983b\u62cd<\/strong>\u300d\u3068\u3001\u305d\u3057\u3066\u305d\u306e\u539f\u56e0\u304c\u5fc3\u5ba4\u306b\u3042\u308b\u5834\u5408\u306b\u306f ventricular tachycardia<\/strong><\/span> \u300c\u5fc3\u5ba4\u983b\u62cd<\/strong>\u300d\u3068\u306a\u308a\u307e\u3059\u3002\u5fc3\u5ba4\u983b\u62cd\u3068\u306f\u7570\u306a\u308a\u3001\u4e0a\u5ba4\u983b\u62cd\u306b\u306f atria \u3060\u3051\u3067\u306a\u304f SA node \u304b\u3089 AV node \u307e\u3067\u306e conduction system \u306e\u7570\u5e38\u3082\u542b\u307e\u308c\u308b\u305f\u3081\u3001supraventricular tachycardia (SVT) \u306f atrial tachycardia \u3068\u306f\u547c\u3070\u308c\u306a\u3044\u3068\u3044\u3046\u308f\u3051\u3067\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u3053\u306e SVT \u306e\u4e2d\u3067\u3001\u3055\u3089\u306b\u8a00\u3046\u3068 palpitations \u5168\u4f53\u306e\u539f\u56e0\u306e\u4e2d\u3067\u3001\u6700\u3082\u591a\u3044\u306e\u304c sinus tachycardia<\/strong><\/span> \u300c\u6d1e\u6027\u983b\u8108<\/strong>\u300d\u306a\u306e\u3067\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u306f SA node \u304b\u3089\u306e\u523a\u6fc0\u56de\u6570\u304c\u5897\u3048\u308b\u72b6\u614b\u3067\u3001\u7dca\u5f35\u3057\u305f\u308a\u904b\u52d5\u3092\u3057\u305f\u969b\u306b\u300c\u5fc3\u81d3\u304c\u30c9\u30ad\u30c9\u30ad\u3059\u308b\u300d\u72b6\u614b\u306e\u3053\u3068\u3067\u3059\u3002\u3053\u306e\u3088\u3046\u306b\u5065\u5e38\u306a\u72b6\u614b\u3067\u3082 sinus tachycardia \u306f\u8d77\u3053\u308a\u307e\u3059\u304c\u3001\u75c5\u7684\u306a\u72b6\u614b\u3068\u3057\u3066\u306f\u4e0b\u8a18\u306e\u3088\u3046\u306a\u3082\u306e\u304c\u6319\u3052\u3089\u308c\u307e\u3059\u3002<\/span>
\r\n
\r\nSinus tachycardia:\u300c\u6d1e\u6027\u983b\u8108\u300d\u306e\u4e3b\u306a\u539f\u56e0<\/strong>
\r\n\u3000\u3000<\/em>\u2022 Psychiatric disorders: \u7cbe\u795e\u75be\u60a3<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Panic disorder: \u30d1\u30cb\u30c3\u30af\u969c\u5bb3
\r\n\u3000\u3000\u3000\u3000<\/em>o Somatization disorder: \u8eab\u4f53\u5316\u969c\u5bb3
\r\n\u3000\u3000<\/em>\u2022 Intoxication: \u4e2d\u6bd2 <\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Medications: \u85ac\u7269
\r\n\u3000\u3000\u3000\u3000<\/em>o Stimulants: \uff08\u30ab\u30d5\u30a7\u30a4\u30f3\u306a\u3069\u306e\uff09\u523a\u6fc0\u7269
\r\n\u3000\u3000<\/em>\u2022 Metabolic disorders: \u4ee3\u8b1d\u6027\u75be\u60a3<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Hypoglycemia: \u4f4e\u8840\u7cd6
\r\n\u3000\u3000\u3000\u3000<\/em>o Hyperthyroidism: \u7532\u72b6\u817a\u6a5f\u80fd\u4ea2\u9032\u75c7
\r\n<\/span>
\r\n\u82f1\u8a9e\u570f\u306e\u533b\u5b66\u90e8\u3067\u306f \u201cWhen you hear hoofbeats, think of horses, not zebras.<\/strong><\/span><\/i>\u201d \u300c\u8e44<\/strong>\uff08\u3072\u305a\u3081<\/strong>\uff09\u306e\u97f3\u3092\u805e\u3044\u305f\u3089\u3001\u30b7\u30de\u30a6\u30de\u3067\u306f\u306a\u304f\u30a6\u30de\u3060\u3068\u601d\u3048\u3002<\/strong>\u300d\u3068\u6559\u3048\u307e\u3059\u3002\u3053\u308c\u306f\u300c\u7a00\u306a\u75be\u60a3\u3067\u306f\u306a\u304f\u3001\u307e\u305a\u306f\u983b\u5ea6\u306e\u9ad8\u3044\u75be\u60a3\u3092\u8003\u3048\u308d\u3002<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u4f7f\u308f\u308c\u308b\u533b\u5b66\u306e\u683c\u8a00\u3067\u3001\u3053\u3053\u304b\u3089 zebra<\/strong><\/span> \u306f\u300c\u7a00\u306a\u75be\u60a3<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3082\u3061\u308d\u3093\u4e0a\u8a18\u4ee5\u5916\u306b\u3082 sinus tachycardia \u306b\u306f\u69d8\u3005\u306a zebras \u304c\u3042\u308a\u307e\u3059\u304c\u3001\u7686\u3055\u3093\u306f palpitations \u4ee5\u5916\u306b\u3082\u69d8\u3005\u306a\u75c7\u72b6\u306e\u9451\u5225\u75be\u60a3\u3082\u899a\u3048\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002\u3068\u308a\u3042\u3048\u305a sinus tachycardia \u306b\u95a2\u3057\u3066\u306f\u4e0a\u8a18\u306e\u3088\u3046\u306b\u8003\u3048\u3066\u3044\u3051\u3070\u3001Post Clinical Clerkship OSCE \u3067\u5927\u4e8b\u306a horses \u3092\u898b\u843d\u3068\u3059\u3053\u3068\u306f\u5c11\u306a\u3044\u3068\u601d\u308f\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u201cfrog sign\u201d \u3063\u3066\u4f55\uff1f<\/strong><\/span>
\r\n\u3067\u306f\u6b21\u306b\u3001 sinus tachycardia \u4ee5\u5916\u306e SVT \u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u5fc3\u623f\u306e\u4e2d\u3067\u305f\u304f\u3055\u3093\u306e\u90e8\u4f4d\u304c\u8208\u596e\u3057\u3001\u5fc3\u623f\u304c\u75d9\u6523\u3059\u308b\u3088\u3046\u306b\u53ce\u7e2e\u3059\u308b\u72b6\u614b\u3092 atrial fibrillation<\/strong> (AF<\/strong>)<\/span> \u300c\u5fc3\u623f\u7d30\u52d5<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u3053\u308c\u306f\u5fc3\u623f\u304c\u300c\u4e0d\u898f\u5247\u306b<\/strong>\u300d\u4e0d\u6574\u306a\u53ce\u7e2e\u3092\u3059\u308b\u305f\u3081\u3001\u82f1\u8a9e\u3067\u306f irregularly<\/span> irregular atrial rhythm<\/strong> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u306b\u5bfe\u3057\u3066\u50b7\u306a\u3069\u304c\u539f\u56e0\u3067\u5fc3\u623f\u306e\u4e00\u7b87\u6240\u304c\u8208\u596e\u3057\u3001\u5fc3\u623f\u304c flutter\u300c\u7fbd\u3070\u305f\u304f<\/strong>\u300d\u3088\u3046\u306b\u53ce\u7e2e\u3059\u308b\u72b6\u614b\u3092 atrial flutter<\/strong> (AFL<\/strong>)<\/span> \u300c\u5fc3\u623f\u7c97\u52d5<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u3053\u308c\u306f\u5fc3\u623f\u304c\u300c\u898f\u5247\u7684\u306b<\/strong>\u300d\u4e0d\u6574\u306a\u53ce\u7e2e\u3092\u3059\u308b\u305f\u3081\u3001\u82f1\u8a9e\u3067\u306f regularly<\/span> irregular atrial rhythm<\/strong> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u300c\u4f55\u306e\u524d\u89e6\u308c\u3082\u306a\u3057\u306b\u7a81\u7136\u8d77\u3053\u308b<\/strong>\u300d\u3053\u3068\u3092\u82f1\u8a9e\u3067\u306f paroxysmal<\/strong><\/span> \u300c\u767a\u4f5c\u6027<\/strong>\u300d\u3068\u8868\u73fe\u3057\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u300c\u30d1\u30e9\u30af\u30b7<\/strong>\u30ba\u30a5\u30de\u30a5\u300d\u306e\u3088\u3046\u306b\u767a\u97f3\u3057\u307e\u3059\u3002\u305d\u3057\u3066\u300catria\u3084AV node \u307e\u3067\u306e conduction system \u304c\u539f\u56e0\u3067\u8d77\u3053\u308b tachycardia \u304c\u3001\u4f55\u306e\u524d\u89e6\u308c\u3082\u306a\u3057\u306b\u7a81\u7136\u8d77\u3053\u308b<\/strong>\u300d\u3068\u3044\u3046\u3082\u306e\u3092 paroxysmal supraventricular tachycardia<\/strong> (PSVT<\/strong>) <\/span>\u300c\u767a\u4f5c\u6027\u4e0a\u5ba4\uff08\u6027\uff09\u983b\u62cd<\/strong>\u300d\u3068\u8a00\u3044\u307e\u3059\u3002\u305d\u3057\u3066\u3053\u306e PSVT \u306f AVRT \u3068 AVNRT \u306e2\u7a2e\u985e\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

atria \u300c\u5fc3\u623f\u300d\u304b\u3089 ventricles \u300c\u5fc3\u5ba4\u300d\u306e\u9593\u306b accessory pathway<\/strong> \u300c\u526f\u4f1d\u5c0e\u8def<\/strong>\u300d\u304c\u3042\u308a\u3001\u305d\u3053\u3092\u96fb\u6c17\u4fe1\u53f7\u304c\u9006\u6d41\u3059\u308b\u3053\u3068\u3067 tachycardia \u304c\u751f\u3058\u308b\u3082\u306e\u3092 atrioventricular reentrant\/re-entry tachycardia<\/strong> (AVRT<\/strong>)<\/span> \u300c\u623f\u5ba4\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u3053\u306e\u4ee3\u8868\u7684\u306a\u3082\u306e\u304c Wolff-Parkinson-White<\/strong> (WPW<\/strong>) syndrome<\/strong><\/span> \u300cWPW\u75c7\u5019\u7fa4<\/strong>\u300d\u3067\u3001\u3053\u306e\u5834\u5408\u306e accessory pathway \u306b\u306f bundle of Kent<\/strong><\/span> \u300c\u30b1\u30f3\u30c8\u675f<\/strong>\u300d\u3068\u3044\u3046\u540d\u79f0\u304c\u3064\u3044\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u308c\u306b\u5bfe\u3057\u3066 AV node \u304c slow pathway \u3067\u3042\u308b alpha pathway<\/strong> \u3068\u3001fast pathway \u3067\u3042\u308b beta pathway<\/strong> \u306e\u4e8c\u3064\u306b\u5206\u304b\u308c\u3001\u30bf\u30a4\u30df\u30f3\u30b0\u306b\u3088\u3063\u3066\u96fb\u6c17\u4fe1\u53f7\u304c\u3053\u306e\u4e8c\u3064\u306e pathway \u3092\u5186\u306e\u3088\u3046\u306b\u5faa\u74b0\u3059\u308b\u3053\u3068\u3067 tachycardia \u304c\u751f\u3058\u308b\u3082\u306e\u3092 atrioventricular nodal reentrant\/re-entry tachycardia<\/strong> (AVNRT<\/strong>) <\/span>\u300c\u623f\u5ba4\u7d50\u7bc0\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002\u3053\u306e tachycardia \u306e\u5834\u5408\u3001\u5fc3\u623f\u3068\u5fc3\u5ba4\u304c\u540c\u6642\u306b\u53ce\u7e2e<\/strong>\u3059\u308b\u3053\u3068\u304c\u8d77\u304d\u307e\u3059\u3002\u53f3\u5fc3\u623f\u3068\u53f3\u5fc3\u5ba4\u304c\u540c\u6642\u306b\u53ce\u7e2e<\/strong>\u3059\u308b\u3053\u3068\u3067\u3001jugular vein<\/strong> \u300c\u9838\u9759\u8108<\/strong>\u300d\u306b\u672c\u6765\u9759\u8108\u306b\u306f\u898b\u3089\u308c\u306a\u3044\u300c\u62cd\u52d5<\/strong>\u300d\u304c\u8a8d\u3081\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u82f1\u8a9e\u3067\u306f\u3053\u308c\u3092\u300c\u30ab\u30a8\u30eb\u304c\u5589\u3092\u81a8\u3089\u307e\u305b\u3066\u3044\u308b<\/strong>\u300d\u69d8\u5b50\u306b\u55a9\u3048\u3066 frog sign<\/strong><\/span> \u3068\u547c\u3093\u3067\u3044\u307e\u3059\u3002\u305f\u3060\u82f1\u8a9e\u3067\u306f\u300c\u58f0\u3084\u5589\u306e\u69d8\u5b50\u304c\u304a\u304b\u3057\u3044<\/strong>\u300d\u3068\u3044\u3046\u72b6\u614b\u3092 \u201cI have a frog<\/span> in my throat.<\/strong>\u201d \u3068\u8868\u73fe\u3057\u307e\u3059\u3002\u3053\u308c\u306f AVNRT \u306b\u8a8d\u3081\u3089\u308c\u308b frog sign \u3068\u306f\u5168\u304f\u95a2\u4fc2\u306e\u306a\u3044\u82f1\u8a9e\u8868\u73fe\u3067\u3059\u306e\u3067\u3001\u6df7\u540c\u3057\u306a\u3044\u3088\u3046\u306b\u6c17\u3092\u3064\u3051\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u7d76\u5bfe\u306b\u77e5\u3063\u3066\u304a\u304d\u305f\u3044ventricular tachycardia (VT) \u306b\u4f34\u3046\u968f\u4f34\u75c7\u72b6<\/strong><\/span>
\r\n\u3067\u306f\u6b21\u306b ventricular tachycardia<\/strong> (VT<\/strong>)<\/span> \u300c\u5fc3\u5ba4\u983b\u62cd<\/strong>\u300d\u3092\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

SVT \u3068\u6bd4\u3079\u3001\u3053\u306eVT \u3067\u306f cardiac output<\/strong> \u300c\u5fc3\u62cd\u51fa\u91cf<\/strong>\u300d\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u305d\u3046\u3044\u3046\u610f\u5473\u3067 SVT \u3088\u308a\u3082 VT \u306e\u65b9\u304c\u5371\u967a\u306a tachycardia<\/strong> \u3068\u8a00\u3048\u307e\u3059\u3002\u305d\u3057\u3066 VT \u3067\u306f\u8133\u3078\u306e\u8840\u6d41\u3082\u4f4e\u4e0b\u3059\u308b\u306e\u3067\u3001\u60a3\u8005\u3055\u3093\u306f syncope<\/strong><\/span> \u300c\u5931\u795e<\/strong>\u300d\u3084 lightheadedness<\/strong><\/span> \u300c\u6d6e\u52d5\u6027\u7729\u6688<\/strong>\u300d\u3092\u7d4c\u9a13\u3057\u307e\u3059\u3002\u3064\u307e\u308a palpitations \u306e\u8a3a\u5bdf\u306b\u304a\u3044\u3066\u306f syncope \u3068 lightheadedness \u306f red flags<\/strong><\/span> \u300c\u5371\u967a\u306a\u75be\u60a3\u306e\u968f\u4f34\u75c7\u72b6<\/strong>\u300d\u3068\u8a00\u3048\u308b\u308f\u3051\u3067\u3059\u3002\u3053\u306e\u533b\u5b66\u82f1\u8a9e\u30ab\u30d5\u30a7\u3067\u306f\u904e\u53bb\u306b\u3082\u3054\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u304c\u3001\u3053\u306e syncope<\/strong> \u306f\u300c\u30b7<\/strong>\u30f3\u30b3\u30d4\u30a3\u300d\u306e\u3088\u3046\u306a\u767a\u97f3\u306b\u306a\u308a\u307e\u3059\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/span><\/p>\r\n

\u3053\u306e VT \u3067\u6700\u3082\u5371\u967a\u306a\u3082\u306e\u304c\u3001\u5fc3\u5ba4\u304c\u75d9\u6523\u3059\u308b\u3088\u3046\u306b\u53ce\u7e2e\u3057\u3066\u3044\u308b\u72b6\u614b\u3067\u3042\u308b ventricular fibrillation<\/strong> (VF<\/strong>)<\/span> \u300c\u5fc3\u5ba4\u7d30\u52d5<\/strong>\u300d\u3067\u3059\u3002\u5f53\u7136\u60a3\u8005\u3055\u3093\u306f\u610f\u8b58\u3092\u5931\u3063\u3066\u3044\u308b\u306e\u3067\u3001\u7686\u3055\u3093\u304c VF \u306e\u60a3\u8005\u3055\u3093\u3092 \u3000Post Clinical Clerkship OSCE \u3067\u8a3a\u5bdf\u3059\u308b\u3053\u3068\u306f\u306a\u3044\u3067\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u540c\u3058\u5f62\u306e QRS\u6ce2<\/strong>\u304c\u73fe\u308c\u308b VT \u306e\u3053\u3068\u3092 monomorphic ventricular tachycardia<\/strong> (MVT<\/strong>) <\/span>\u300c\u5358\u5f62\u6027\u5fc3\u5ba4\u983b\u62cd<\/strong>\u300d\u3068\u3001\u305d\u3057\u3066\u8907\u6570\u306e\u5f62\u306e QRS\u6ce2<\/strong>\u304c\u73fe\u308c\u308b VT \u306e\u3053\u3068\u3092 polymorphic ventricular tachycardia<\/strong>(PVT<\/strong>)<\/span> \u300c\u591a\u5f62\u6027\u5fc3\u5ba4\u983b\u62cd<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002Kawasaki disease \u300c\u5ddd\u5d0e\u75c5\u300d\u3067\u306f vesicular rash \u300c\u6c34\u75b1\u6027\u76ae\u75b9\u300d\u4ee5\u5916<\/strong>\u306e\u591a\u69d8\u306a\u5f62\u306e\u76ae\u75b9\u304c\u73fe\u308c\u307e\u3059\u304c\u3001\u3053\u306e\u3088\u3046\u306b\u300c\u591a\u69d8\u306a\u5f62\u306e\u76ae\u75b9<\/strong>\u300d\u306e\u3053\u3068\u3092 polymorphous rash<\/strong> \u3068\u547c\u3073\u307e\u3059\u3002<\/span><\/p>\r\n

\u3053\u306e PVT \u3068\u3057\u3066\u306f torsades de pointes<\/strong><\/span> \u304c\u6709\u540d\u3067\u3059\u304c\u3001\u3053\u308c\u306f \u201ctwisting of the points<\/strong>\u201d \u3092\u610f\u5473\u3059\u308b\u30d5\u30e9\u30f3\u30b9\u8a9e\u3067\u3001\u5fc3\u96fb\u56f3\u4e0a\u3067QRS\u6ce2\u304c\u306d\u3058\u308c\u305f\u3088\u3046\u306b\u898b\u3048\u308b\u3068\u3053\u308d\u304b\u3089\u3064\u3044\u305f\u540d\u79f0\u3067\u3059\u3002\u300c\u306d\u3058\u308c\u308b\u3053\u3068<\/strong>\u300d\u306f\u82f1\u8a9e\u3067\u306f torsion<\/strong> \u3068\u8a00\u3044\u307e\u3059\u304c\u3001\u305d\u3053\u304b\u3089 twisted neck<\/strong> \u3092\u8868\u3059\u300c\u659c\u9838<\/strong>\u300d\u306e\u533b\u5b66\u82f1\u8a9e\u306f torticollis<\/strong> \u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

Wenckebach \u3063\u3066\u82f1\u8a9e\u3067\u3069\u3046\u767a\u97f3\u3059\u308b\u306e\uff1f<\/strong><\/span>
\r\n\u3067\u306f\u6700\u5f8c\u306b bradycardia \u3068 premature contraction \u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u3092\u7c21\u5358\u306b\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/span><\/p>\r\n

SA node \u304c\u3057\u3063\u304b\u308a\u3068\u96fb\u6c17\u4fe1\u53f7\u3092\u9001\u3063\u3066\u304f\u308c\u306a\u3044\u3053\u3068\u306b\u3088\u308b bradycardia \u3092 sick sinus syndrome<\/strong> (SSS<\/strong>)<\/span> \u300c\u6d1e\u4e0d\u5168\u75c7\u5019\u7fa4<\/strong>\u300d\u3068\u547c\u3073\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066\u5fc3\u623f\u304b\u3089\u5fc3\u5ba4\u3078\u306e\u96fb\u6c17\u4fe1\u53f7\u304c\u6b63\u5e38\u306b\u4f1d\u308f\u3089\u306a\u3044\u75c5\u614b\u3092 atrioventricular<\/strong> (AV<\/strong>) block<\/strong><\/span> \u300c\u623f\u5ba4\u30d6\u30ed\u30c3\u30af<\/strong>\u300d\u3068\u547c\u3073\u3001\u305d\u306e\u7a0b\u5ea6\u306b\u3088\u3063\u30663\u6bb5\u968e\u306b\u5206\u3051\u3089\u308c\u307e\u3059\u3002<\/span><\/p>\r\n

\u5fc3\u623f\u304b\u3089\u5fc3\u5ba4\u3078\u306e\u96fb\u6c17\u4fe1\u53f7\u306e\u4f1d\u9054\u304c\u9045\u308c\u308b\u3060\u3051\u306e AV block \u306f first-degree AV block<\/strong><\/span> \u3068\u306a\u308a\u307e\u3059\u3002\u3053\u308c\u306b\u5bfe\u3057\u3066\u5fc3\u623f\u3068\u5fc3\u5ba4\u306e\u9593\u306e\u4f1d\u9054\u304c\u5b8c\u5168\u306b\u9014\u7d76\u3048\u3066\u3044\u308b\u3082\u306e\u3092 third-degree AV block<\/strong><\/span> \u3068\u547c\u3073\u307e\u3059\u3002\u5148\u307b\u3069 VT \u306e red flags \u3068\u3057\u3066 syncope \u3092\u6319\u3052\u307e\u3057\u305f\u304c\u3001\u3053\u306e AV block \u306b\u3088\u3063\u3066\u8d77\u3053\u308b syncope \u306e\u3053\u3068\u3092\u4ee5\u524d\u306f Adam-Stokes syndrome<\/strong>\/attack<\/strong><\/span>\u300c\u30a2\u30c0\u30e0\u30fb\u30b9\u30c8\u30fc\u30af\u30b9\u767a\u4f5c<\/strong>\u300d\u3068\u547c\u3093\u3067\u3044\u307e\u3057\u305f\u304c\u3001\u4eca\u3067\u306f\u3053\u306e Adam-Stokes syndrome\/attack \u306fAV block \u306b\u9650\u3089\u305a\u3001 arrhythmia \u306b\u3088\u3063\u3066\u8d77\u3053\u308b syncope \u306e\u7dcf\u79f0\u3068\u3057\u3066\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u305d\u3057\u3066 first-degree \u3068 third-degree \u306e\u4e2d\u9593\u3067\u3001\u5fc3\u623f\u3068\u5fc3\u5ba4\u306e\u9593\u306e\u4f1d\u9054\u304c\u6642\u6298\u9014\u7d76\u3048\u3066\u3057\u307e\u3046\u3082\u306e\u3092 second-degree AV block<\/strong><\/span> \u3068\u547c\u3073\u3001\u305d\u306e\u7a0b\u5ea6\u306b\u3088\u3063\u3066 Mobitz type I<\/strong><\/span> \u3068 Mobitz type II<\/strong><\/span> \u306b\u5206\u3051\u3066\u3044\u307e\u3059\u3002\u3053\u306e Mobitz type I \u306f\u5fc3\u623f\u3068\u5fc3\u5ba4\u306e\u9593\u306e\u4f1d\u9054\u304c\u9045\u308c\u305f\u5f8c\u306b\u9014\u5207\u308c\u308b\u3082\u306e\u3067\u3001\u5225\u540d\u3067\u3042\u308b Wenckebach<\/strong><\/span> \u306e\u547c\u3073\u65b9\u306e\u65b9\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u305d\u3057\u3066\u3053\u308c\u306f\u82f1\u8a9e\u3067\u306f\u300c\u30a6\u30a7\u30f3<\/strong>\u30ad\u30a3\u30d0\u30c3\u30af\u300d\u306e\u3088\u3046\u306b\u306a\u308a\u3001\u65e5\u672c\u8a9e\u306e\u300c\u30a6\u30a7\u30f3\u30b1\u30d0\u30c3\u30cf\u300d\u3068\u306f\u7570\u306a\u308b\u3088\u3046\u306b\u767a\u97f3\u3055\u308c\u308b\u306e\u3067\u6ce8\u610f\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u3053\u308c\u306b\u5bfe\u3057\u3066\u5fc3\u623f\u3068\u5fc3\u5ba4\u306e\u4f1d\u9054\u304c\u9045\u308c\u308b\u3053\u3068\u306a\u304f\u3001\u7a81\u7136\u4f1d\u9054\u304c\u9014\u5207\u308c\u308b Mobitz type II \u306e\u65b9\u306f\u305d\u306e\u307e\u307e Mobitz type II \u3068\u547c\u3070\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\r\n

\u6700\u5f8c\u306b\u300c\u671f\u5916\u53ce\u7e2e<\/strong>\u300d\u306e\u82f1\u8a9e\u3067\u3059\u304c\u3001\u3053\u308c\u306f\u300c\u6a5f\u304c\u719f\u3059\u308b\u524d\u306e\u53ce\u7e2e<\/strong>\u300d\u3068\u3044\u3046\u610f\u5473\u3067 premature contraction<\/strong><\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u305d\u3057\u3066\u300c\u5fc3\u623f\u6027\u671f\u5916\u53ce\u7e2e<\/strong>\u300d\u306f premature atrial contraction<\/strong> (PAC<\/strong>)<\/span> \u3068\u3001\u305d\u3057\u3066\u300c\u5fc3\u5ba4\u6027\u671f\u5916\u53ce\u7e2e<\/strong>\u300d\u306f premature ventricular contraction<\/strong> (PVC<\/strong>)<\/span> \u3068\u8868\u73fe\u3055\u308c\u307e\u3059\u3002\u3069\u3061\u3089\u3082\u7565\u8a9e\u306f P-A-C \u3068 P-V-C \u306e\u3088\u3046\u306b\u3001\u30a2\u30eb\u30d5\u30a1\u30d9\u30c3\u30c8\u3092\u305d\u306e\u307e\u307e\u8aad\u307f\u4e0a\u3052\u308b\u3053\u3068\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u3064\u307e\u308a PAC \u306f\u4e00\u822c\u7684\u306b\u306f\u300c\u30d1\u30c3\u30af\u300d\u306e\u3088\u3046\u306b\u306f\u767a\u97f3\u3057\u306a\u3044\u306e\u3067\u6c17\u3092\u3064\u3051\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/span><\/p>\r\n

\u3055\u3066\u305d\u308d\u305d\u308d\u30ab\u30c3\u30d7\u306e\u30b3\u30fc\u30d2\u30fc\u3082\u6b8b\u308a\u308f\u305a\u304b\u3067\u3059\u3002\u6700\u5f8c\u306b\u4eca\u56de\u3054\u7d39\u4ecb\u3057\u305f\u300c\u52d5\u60b8<\/strong>\u300d\u306b\u95a2\u3059\u308b\u82f1\u8a9e\u8868\u73fe\u306e\u8981\u70b9\u3092\u307e\u3068\u3081\u3066\u304a\u304d\u307e\u3059\u3002<\/span><\/p>\r\n


\r\nPalpitations<\/strong>\u300c\u52d5\u60b8<\/strong>\u300d\u3092\u8a34\u3048\u308b\u969b\u306e\u82f1\u8a9e\u8868\u73fe<\/strong><\/span>
\r\n\u3000\u3000<\/em>\u2022<\/strong> I have palpitations.<\/strong>
\r\n\u3000\u3000<\/em>\u2022<\/strong> My heart is pounding.<\/strong>
\r\n\u3000\u3000<\/em>\u2022<\/strong> My heart is fluttering.<\/strong>
\r\n\u3000\u3000<\/em>\u2022<\/strong> My heart is flip-flopping.<\/strong>
\r\n\u3000\u3000<\/em>\u2022<\/strong> My heart is skipping beats.<\/strong>
\r\n<\/span>
\r\n
\r\nArrhythmia:<\/strong> \u300c\u4e0d\u6574\u8108<\/strong>\u300d\u306e\u7a2e\u985e<\/strong><\/span>
\r\n\u3000\u3000<\/em>\u2022<\/strong> Tachycardia<\/strong>\/tachyarrhythmia: \u983b\u8108<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Supraventricular tachycardia<\/strong> (SVT<\/strong>): \u4e0a\u5ba4<\/strong>\uff08\u6027<\/strong>\uff09\u983b\u62cd<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong> Sinus tachycardia: \u6d1e\u6027\u983b\u8108
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong> Atrial fibrillation (AF): \u5fc3\u623f\u7d30\u52d5
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong> Atrial flutter (AFL): \u5fc3\u623f\u7c97\u52d5
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong> Paroxysmal supraventricular tachycardia (PSVT): \u767a\u4f5c\u6027\u4e0a\u5ba4\uff08\u6027\uff09\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u2022<\/strong> Atrioventricular reentrant tachycardia (AVRT): \u623f\u5ba4\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000\u3000\u3000<\/em>\u2022<\/strong> Atrioventricular nodal reentrant tachycardia (AVNRT): \u623f\u5ba4\u7d50\u7bc0\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000<\/em>o Ventricular tachycardia<\/strong> (VT<\/strong>): \u5fc3\u5ba4\u983b\u62cd<\/strong>
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong> Monomorphic ventricular tachycardia (MVT): \u5358\u5f62\u6027\u5fc3\u5ba4\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong> Polymorphic ventricular tachycardia (PVT): \u591a\u5f62\u6027\u5fc3\u5ba4\u983b\u62cd
\r\n\u3000\u3000\u3000\u3000\u3000\u3000<\/em>▪<\/strong> Ventricular fibrillation (VF): \u5fc3\u5ba4\u7d30\u52d5
\r\n\u3000\u3000<\/em>\u2022<\/strong> Bradycardia<\/strong>\/bradyarrhythmia: \u5f90\u8108<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Sick sinus syndrome (SSS): \u6d1e\u4e0d\u5168\u75c7\u5019\u7fa4
\r\n\u3000\u3000\u3000\u3000<\/em>o Atrioventricular (AV) block: \u623f\u5ba4\u30d6\u30ed\u30c3\u30af
\r\n\u3000\u3000<\/em>\u2022<\/strong> Premature contraction: \u671f\u5916\u53ce\u7e2e<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Premature atrial contraction (PAC): \u5fc3\u623f\u6027\u671f\u5916\u53ce\u7e2e
\r\n\u3000\u3000\u3000\u3000<\/em>o Premature ventricular contraction (PVC): \u5fc3\u5ba4\u6027\u671f\u5916\u53ce\u7e2e
\r\n<\/span>
\r\n
\r\nSinus tachycardia:<\/strong>\u300c\u6d1e\u6027\u983b\u8108<\/strong>\u300d\u306e\u4e3b\u306a\u539f\u56e0<\/strong><\/span>
\r\n\u3000\u3000<\/em>\u2022<\/strong> Psychiatric disorders<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Panic disorder
\r\n\u3000\u3000\u3000\u3000<\/em>o Somatization disorder
\r\n\u3000\u3000<\/em>\u2022<\/strong> Intoxication <\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Medications
\r\n\u3000\u3000\u3000\u3000<\/em>o Stimulants
\r\n\u3000\u3000<\/em>\u2022<\/strong> Metabolic disorders<\/strong>
\r\n\u3000\u3000\u3000\u3000<\/em>o Hypoglycemia
\r\n\u3000\u3000\u3000\u3000<\/em>o Hyperthyroidism
\r\n<\/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

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