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30c6\u30eb\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u3068\u306f\u3001\u30ab\u30c6\u30fc\u30c6\u30eb\u3068\u3044\u3046\u7ba1\u3092\u7528\u3044\u305f\u4e0d\u6574\u8108\u306e\u6839\u6cbb\u6cbb\u7642\u3067\u3001\u4e0d\u6574\u8108\u6cbb\u7642\u306e\u4e3b\u6d41\u306b\u306a\u3063\u3066\u3044\u308b\u6cbb\u7642\u6cd5\u3067\u3059\u3002\u9f20\u5f84\u90e8\u306e\u8840\u7ba1\uff08\u5927\u817f\u9759\u8108\u304b\u5927\u817f\u52d5\u8108\uff09\u3092\u901a\u3057\u3066\u5fc3\u81d3\u307e\u3067\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u633f\u5165\u3057\u3001\u526f\u4f1d\u5c0e\u8def\u3084\u983b\u62cd\u8d77\u6e90\u3068\u3044\u3063\u305f\u4e0d\u6574\u8108\u306e\u539f\u56e0\u3068\u306a\u308b\u90e8\u4f4d\u3092\u9ad8\u5468\u6ce2\u306b\u3088\u308a\u713c\u707c\u3059\u308b\u3053\u3068\u3067\u4e0d\u6574\u8108\u3092\u6839\u6cbb\u3057\u307e\u3059\u3002\u5bfe\u8c61\u3068\u306a\u308b\u4e0d\u6574\u8108\u306f\u3001\u767a\u4f5c\u6027\u4e0a\u5ba4\u6027\u983b\u62cd\u75c7\uff08\u623f\u5ba4\u7d50\u7bc0\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd\u3001\u623f\u5ba4\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd\u3001\u5fc3\u623f\u983b\u62cd\uff09\u3001WPW\u75c7\u5019\u7fa4\u3001\u5fc3\u623f\u7d30\u52d5\u3001\u5fc3\u623f\u7c97\u52d5\u3001\u5fc3\u5ba4\u983b\u62cd\u3001\u5fc3\u5ba4\u6027\u671f\u5916\u53ce\u7e2e\u3067\u3059\u30021994\u5e74\u3088\u308a\u3053\u306e\u6cbb\u7642\u3092\u958b\u59cb\u3057\u73fe\u5728\u307e\u30672000\u4f8b\u4ee5\u4e0a\u306e\u6cbb\u7642\u7d4c\u9a13\u304c\u3042\u308a\u307e\u3059\u3002\u305d\u306e\u4ed6\u306f\u6982\u306d2\u6cca3\u65e5\u306e\u77ed\u671f\u5165\u9662\u306b\u3066\u6cbb\u7642\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u5fc3\u8154\u5185\u30a8\u30b3\u30fc\u753b\u50cf\u3092\u878d\u5408\u3055\u305b\u305f\u6700\u65b0\u92ed\u306e\u4e09\u6b21\u5143\u5fc3\u81d3\u30de\u30c3\u30d4\u30f3\u30b0\u30b7\u30b9\u30c6\u30e0\uff08CARTO\uff13\u3084Ensite system, Navix\uff09\u3092\u5c0e\u5165\u3057\u3001\u5fc3\u623f\u7d30\u52d5\u3084\u96e3\u6cbb\u6027\u306e\u5fc3\u5ba4\u983b\u62cd\u306b\u5bfe\u3057\u3066\u3082\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u6cbb\u7642\u3092\u7a4d\u6975\u7684\u306b\u5b9f\u65bd\u3057\u3001\u826f\u597d\u306a\u6210\u7e3e\u3092\u5f97\u3066\u3044\u307e\u3059\u3002<\/p>\n<h6>\u2460\u5fc3\u623f\u7d30\u52d5\u306b\u5bfe\u3059\u308b\u80ba\u9759\u8108\u9694\u96e2\u8853<\/h6>\n<p>\u5fc3\u623f\u7d30\u52d5\u306f\u3001\u5de6\u623f\u306b\u63a5\u7d9a\u3059\u308b\u80ba\u9759\u8108\u306e\u8d77\u59cb\u90e8\u304b\u3089\u767a\u751f\u3059\u308b\u7570\u5e38\u8208\u596e\u304c\u4e3b\u306a\u539f\u56e0\u3067\u3059\u3002\u5fc3\u623f\u7d30\u52d5\u306b\u5bfe\u3059\u308b\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u306f\u3001\uff08\u4e21\u5074\u62e1\u5927\uff09\u80ba\u9759\u8108\u9694\u96e2\u8853\u3068\u3044\u3063\u3066\u3001\u5fc3\u623f\u4e2d\u9694\u3092\u7a7f\u523a\u3057\u3066\u5de6\u623f\u306b\u30ab\u30c6\u30fc\u30c6\u30eb\u3092\u633f\u5165\u3057\u3001\u5de6\u53f3\u306e\u80ba\u9759\u8108\u3092\uff12\u672c\u305a\u3064\u56f2\u3080\u3088\u3046\u306b\u80ba\u9759\u8108\u3092\u56f2\u3080\u3088\u3046\u306b\u713c\u707c\u3057\u3066\u3001\u7570\u5e38\u8208\u596e\u3092\u80ba\u9759\u8108\u306e\u4e2d\u306b\u9589\u3058\u8fbc\u3081\u308b\u3053\u3068\u3067\u5fc3\u623f\u7d30\u52d5\u3092\u6291\u5236\u3057\u307e\u3059\u3002\u3053\u306e\u6cbb\u7642\u306f\u5168\u56fd\u7684\u306b\u3082\u5e83\u304f\u666e\u53ca\u3057\u3066\u304a\u308a\u3001\u73fe\u5728\u5e74\u9593\uff16\u4e07\u4eba\u4ee5\u4e0a\u306e\u60a3\u8005\u3055\u3093\u306b\u65bd\u884c\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6d45\u3044\u5168\u8eab\u9ebb\u9154\u3092\u65bd\u3057\u307e\u3059\u306e\u3067\u3001\u65bd\u8853\u4e2d\u306e\u82e6\u75db\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5177\u4f53\u7684\u306a\u713c\u707c\u65b9\u6cd5\u306f\u3001\u9ad8\u5468\u6ce2\u30a8\u30cd\u30eb\u304e\u30fc\u306b\u3088\u308b\u70b9\u72b6\u713c\u707c\u3092\u7e70\u308a\u8fd4\u3057\u3066\u7dda\u72b6\u713c\u707c\u3092\u5f62\u6210\u3059\u308b\u65b9\u6cd5\u304c\u4e3b\u6d41\u3067\u3059\u304c\u3001\u6700\u8fd1\u3067\u306f\u80ba\u9759\u8108\u306b\u633f\u5165\u3057\u305f\u30d0\u30eb\u30fc\u30f3\u306b\u3088\u308a\u4e00\u6c17\u306b\u51b7\u51cd\u51dd\u56fa\u3057\u3066\u9694\u96e2\u3059\u308b\u65b9\u6cd5\uff08\u51b7\u51cd\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\uff09\u304c\u7279\u306b\u767a\u4f5c\u6027\u5fc3\u623f\u7d30\u52d5\u4f8b\u3067\u6709\u52b9\u3067\u3059\u3002\u5165\u9662\u671f\u9593\u306f\u30015-7\u65e5\u7a0b\u5ea6\u3067\u3059\u3002\u6839\u6cbb\u7387\u306f\u5fc3\u623f\u7d30\u52d5\u306e\u75c5\u72b6\u30fb\u75c5\u671f\u306b\u3088\u308a\u7570\u306a\u308a\u307e\u3059\u304c\u3001\u75c5\u671f\u304c\u521d\u671f\u3067\u3042\u308b\u767a\u4f5c\u6027\u5fc3\u623f\u7d30\u52d5\u3067\u306f\u300190%\u7a0b\u306e\u6839\u6cbb\u7387\u304c\u671f\u5f85\u3067\u304d\u307e\u3059\u3002<\/p>\n<div class=\"tableListM\">\n<table class=\"imgT p50\">\n<tbody>\n<tr>\n<td><img decoding=\"async\" src=\"https:\/\/gucvmed.med.gunma-u.ac.jp\/0_web\/wp-content\/uploads\/2020\/05\/rinsyo06.png\" alt=\"\" \/><br \/>\n\u4e21\u5074\u62e1\u5927\u80ba\u9759\u8108\u9694\u96e2\u8853\u3092\u65bd\u884c\u3057\u305f\u5de6\u623f\u306e\u4e09\u6b21\u5143\u30de\u30c3\u30d4\u30f3\u30b0\u753b\u50cf<\/td>\n<td><img decoding=\"async\" src=\"https:\/\/gucvmed.med.gunma-u.ac.jp\/0_web\/wp-content\/uploads\/2020\/05\/rinsyo07.png\" alt=\"\" \/><br \/>\n\u5de6\u80ba\u9759\u8108\u306b\u7559\u7f6e\u3057\u3066\u3042\u308b2\u672c\u306e\u30ea\u30f3\u30b0\u72b6\u30ab\u30c6\u30fc\u30c6\u30eb\u3068\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u30ab\u30c6\u30fc\u30c6\u30eb\u306eX\u7dda\u900f\u8996\u50cf<\/td>\n<\/tr>\n<tr>\n<td><img decoding=\"async\" src=\"https:\/\/gucvmed.med.gunma-u.ac.jp\/0_web\/wp-content\/uploads\/2020\/05\/rinsyo08.png\" alt=\"\" \/><br \/>\n\u80ba\u9759\u8108\u5165\u53e3\u90e8\u306b\u30d0\u30eb\u30fc\u30eb\u7559\u7f6e\u3057\u3066\u884c\u3046\u51b7\u51cd\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3<\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h6>\u2461\u5fc3\u5ba4\u983b\u62cd\u306b\u5bfe\u3059\u308b\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3<\/h6>\n<p>\u5fc3\u5ba4\u983b\u62cd\u306f\u3001\u5de6\u53f3\u3044\u305a\u308c\u304b\u306e\u5fc3\u5ba4\u7b4b\u306e\u4e2d\u306b\u7570\u5e38\u4fe1\u53f7\u3092\u767a\u751f\u3055\u305b\u308b\u75c5\u5de3\uff08\u8d77\u6e90\uff09\u304c\u5f62\u6210\u3055\u308c\u3066\u3057\u307e\u3063\u305f\u75c5\u6c17\u3067\u3059\u3002\u3053\u306e\u983b\u62cd\u306b\u5bfe\u3059\u308b\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u3067\u306f\u3001\u3053\u306e\u8d77\u6e90\u306e\u90e8\u4f4d\u3092\u63a2\u3057\u3066\u5fc3\u5185\u8154\u304b\u3089\u713c\u707c\u30fb\u7834\u58ca\u3059\u308b\u3053\u3068\u3067\u983b\u62cd\u306e\u6839\u6cbb\u3092\u76ee\u6307\u3057\u307e\u3059\u3002\u6700\u8fd1\u3067\u306f\u3001\u4e09\u6b21\u5143\u30de\u30c3\u30d4\u30f3\u30b0\u88c5\u7f6e\u306b\u3088\u308a\u8d77\u6e90\u3092\u8996\u899a\u7684\u306b\u63cf\u51fa\u3067\u304d\u308b\u305f\u3081\u3001\u4ee5\u524d\u96e3\u6cbb\u6027\u3067\u3042\u3063\u305f\u3053\u306e\u983b\u62cd\u306e\u6cbb\u7642\u6210\u7e3e\u304c\u683c\u6bb5\u306b\u5411\u4e0a\u3057\u307e\u3057\u305f\u3002\u3055\u3089\u306b\u5fc3\u5185\u8154\u304b\u3089\u306e\u713c\u707c\u3067\u6839\u6cbb\u3055\u308c\u306a\u3044\u4f8b\u3067\u306f\u3001\u5fc3\u81d3\u306e\u5916\u5074\uff08\u5fc3\u5916\u819c\u5074\uff09\u304b\u3089\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u3092\u884c\u3046\u3053\u3068\u3082\u53ef\u80fd\u3067\u3059\u3002<\/p>\n<div class=\"tableListM\">\n<table class=\"imgT p50\">\n<tbody>\n<tr>\n<td><img decoding=\"async\" src=\"https:\/\/gucvmed.med.gunma-u.ac.jp\/0_web\/wp-content\/uploads\/2020\/05\/rinsyo09.png\" alt=\"\" \/><br \/>\n\u4e09\u6b21\u5143\u30de\u30c3\u30d4\u30f3\u30b0\u30b7\u30b9\u30c6\u30e0\uff08CARTO\u30b7\u30b9\u30c6\u30e0\uff09\u3067\u8996\u899a\u5316\u3055\u308c\u305f\u5fc3\u5ba4\u983b\u62cd\u306e\u8d77\u6e90<\/td>\n<td><img decoding=\"async\" src=\"https:\/\/gucvmed.med.gunma-u.ac.jp\/0_web\/wp-content\/uploads\/2020\/05\/rinsyo10.png\" alt=\"\" \/><br \/>\n\u5de6\u5ba4\u5185\u8154\u304b\u3089\u983b\u62cd\u8d77\u6e90\u3092\u713c\u707c\u3057\u3066\u3044\u308b\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u30ab\u30c6\u30fc\u30c6\u30eb\uff08ABL\uff09\u306eX\u7dda\u900f\u8996\u50cf<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<h6>\u2462\u4e0a\u5ba4\u983b\u62cd\u75c7\u306b\u5bfe\u3059\u308b\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3<\/h6>\n<p>\u4e0a\u5ba4\u983b\u62cd\u75c7\u306f\u3001\u7a81\u7136\u51fa\u73fe\u3059\u308b\u52d5\u60b8\u767a\u4f5c\u304c\u7279\u5fb4\u306e\u983b\u62cd\u3067\u3059\u3002\u305d\u306e\u591a\u304f\u304c\u5148\u5929\u7684\u306b\u5fc3\u81d3\u5185\u306b\u5b58\u5728\u3059\u308b\u300c\u4f1d\u5c0e\u8def\u300d\u306b\u3088\u308b\u305f\u3081\u81ea\u7136\u6cbb\u7652\u3059\u308b\u3053\u3068\u306f\u306a\u3044\u305f\u3081\u3001\u547d\u306b\u304b\u304b\u308f\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u751f\u6d3b\u306e\u8cea\u304c\u969c\u5bb3\u3055\u308c\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u767a\u4f5c\u3092\uff11\u5ea6\u3067\u3082\u7d4c\u9a13\u3057\u305f\u65b9\u306b\u306f\u30ab\u30c6\u30fc\u30c6\u30eb\u30a2\u30d6\u30ec\u30fc\u30b7\u30e7\u30f3\u306b\u3088\u308b\u983b\u62cd\u75c7\u306e\u6839\u6cbb\u304c\u52e7\u3081\u3089\u308c\u307e\u3059\u3002\u4e0a\u5ba4\u983b\u62cd\u75c7\u306b\u306f\u539f\u56e0\u3068\u306a\u308b\u4f1d\u5c0e\u8def\u306e\u7a2e\u985e\u306b\u3088\u308a\uff13\u3064\u306e\u30bf\u30a4\u30d7\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u623f\u5ba4\u7d50\u7bc0\u4f1d\u5c0e\u8def\u3092\u539f\u56e0\u3068\u3059\u308b\u623f\u5ba4\u7d50\u7bc0\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd\u3068\u623f\u5ba4\u526f\u4f1d\u5c0e\u8def\u3092\u539f\u56e0\u3068\u3059\u308b\u623f\u5ba4\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd\u3067\u5927\u90e8\u5206\u3092\u5360\u3081\u3001\u3044\u305a\u308c\u3082\u4f1d\u5c0e\u8def\u3092\u713c\u707c\u3059\u308b\u3053\u3068\u3067\u6839\u6cbb\u304c\u5f97\u3089\u308c\u307e\u3059\u3002\u79c1\u305f\u3061\u306f\u3001\u672c\u983b\u62cd\u306e\u6cbb\u7642\u7d4c\u9a13\u306b\u304a\u3044\u3066\u306f\u56fd\u5185\u6709\u6570\u306e\u6cbb\u7642\u7d4c\u9a13\u3068\u5b9f\u7e3e\u304c\u3042\u308b\u3068\u81ea\u8ca0\u3057\u3066\u3044\u307e\u3059\u3002\u7279\u306b\u623f\u5ba4\u7d50\u7bc0\u30ea\u30a8\u30f3\u30c8\u30ea\u30fc\u6027\u983b\u62cd\u306b\u3064\u3044\u3066\u306f\u3001\u65b0\u305f\u306a\u4f1d\u5c0e\u8def\uff08\u300c\u4e0a\u65b9\u300d\u306e\u9045\u4f1d\u5c0e\u8def\uff09\u306e\u767a\u898b\u3068\u305d\u308c\u306b\u3088\u308b\u983b\u62cd\u306e\u8003\u3048\u65b9\u3092\u63d0\u5531\u3057\u3001\u56fd\u969b\u7684\u306b\u3082\u9ad8\u3044\u8a55\u4fa1\u3092\u5f97\u3066\u3044\u307e\u3059\u3002<\/p>\n<p class=\"mini\">Kaneko Y, et al. Atypical fast-slow atrioventricular nodal reentrant tachycardia incorporating a \u201csuperior\u201d slow pathway: a distinct supraventricular tachyarrhythmia. Circulation 2016;133:114-123.<\/p>\n<\/section>\n<section>\n<h5>3\uff09\u7a81\u7136\u6b7b\u4e88\u9632\u306e\u6cbb\u7642\u3000\uff5e\u690d\u8fbc\u307f\u578b\u9664\u7d30\u52d5\u5668(ICD)\uff5e<\/h5>\n<p>\u5fc3\u7b4b\u6897\u585e\u3084\u5fc3\u7b4b\u75c7\u3068\u3044\u3063\u305f\u5668\u8cea\u7684\u5fc3\u75be\u60a3\u306b\u4f34\u3046\u5fc3\u5ba4\u983b\u62cd\u3084\u5fc3\u5ba4\u7d30\u52d5\u306e\u65e2\u5f80\u4f8b\u306f\u3001\u5c06\u6765\u5fc3\u5ba4\u983b\u62cd\u30fb\u7d30\u52d5\u304c\u518d\u767a\u3057\u7a81\u7136\u6b7b\u306e\u5371\u967a\u6027\u304c\u9ad8\u3044\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u3088\u3046\u306a\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3057\u3066\u7a81\u7136\u6b7b\u4e88\u9632\u306e\u305f\u3081\u306b\u690d\u3048\u8fbc\u307f\u578b\u9664\u7d30\u52d5\u5668\u3092\u690d\u3048\u8fbc\u307f\u307e\u3059\u3002\u6700\u8fd1\u3067\u306f\u3001\u5fc3\u81d3\u5185\u306b\u30ea\u30fc\u30c9\u3092\u633f\u5165\u3057\u306a\u3044\u76ae\u4e0bICD\u3092\u7a4d\u6975\u7684\u306b\u690d\u3048\u8fbc\u307f\u3001\u60a3\u8005\u3055\u3093\u306e\u8ca0\u62c5\u306e\u8efd\u6e1b\u306b\u52aa\u3081\u3066\u3044\u307e\u3059\u3002<\/p>\n<div 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