{"created":"2024-03-04T01:38:11.906481+00:00","id":2000882,"links":{},"metadata":{"_buckets":{"deposit":"584f672d-f482-41b8-b6f7-297b3ea17906"},"_deposit":{"created_by":42,"id":"2000882","owners":[42],"pid":{"revision_id":0,"type":"depid","value":"2000882"},"status":"published"},"_oai":{"id":"oai:kindai.repo.nii.ac.jp:02000882","sets":["14:923:1477:1709188792479"]},"author_link":[],"item_2_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1999-12-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"391","bibliographicPageStart":"387","bibliographicVolumeNumber":"24","bibliographic_titles":[{"bibliographic_title":"近畿大学医学雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Medical Journal of Kinki University","bibliographic_titleLang":"en"}]}]},"item_2_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"症例は57歳フィンランド人女性．気管支喘息で当院通院加療中であったが，胸痛を主訴に受診，心電図で急性心筋梗塞が疑われたため当院CCUへ入院となった．本症例は，冠動脈造影上有意な器質的狭窄が無く血栓が存在しなかったこと，血栓溶解療法は施行されず，凝固系がほぼ正常であったことから冠攣縮が長時間持続したことによる急性心筋梗塞と診断した．入院時の責任冠動脈は左前下行枝と考えられたが，その後の発作では，右冠動脈の攣縮によると思われる下壁領域のST上昇がみられ，多枝スパズム例であった．当初薬剤抵抗性であったが，カルシウム拮抗薬のアムロジピンの投与が奏功した．本症例は欧米人が冠攣縮により急性心筋梗塞を発症した稀れな症例であり一部のカルシウム拮抗薬が奏功した興味深い症例であったので報告した．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"本文データはCiNiiから複製したものである。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_2_publisher_14":{"attribute_name":"出版者 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