{"id":20802,"date":"2022-11-28T08:51:44","date_gmt":"2022-11-27T23:51:44","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=20802"},"modified":"2022-11-28T08:51:44","modified_gmt":"2022-11-27T23:51:44","slug":"%e3%82%b3%e3%83%ac%e3%82%b9%e3%83%86%e3%83%ad%e3%83%bc%e3%83%ab%e3%81%ae%e4%bd%8e%e3%81%84%e4%ba%ba%e3%81%af%e6%ad%bb%e4%ba%a1%e7%8e%87%e3%81%8c%e9%ab%98%e3%81%84%e3%81%a8%e3%81%84%e3%81%86%e3%82%b3","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=20802","title":{"rendered":"\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u306e\u4f4e\u3044\u4eba\u306f\u6b7b\u4ea1\u7387\u304c\u9ad8\u3044\u3068\u3044\u3046\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u30d1\u30e9\u30c9\u30c3\u30af\u30b9"},"content":{"rendered":"

\u5c02\u9580\u5bb6\u306f\u90fd\u5408\u304c\u60aa\u3044\u3053\u3068\u306f\u300c\u30d1\u30e9\u30c9\u30c3\u30af\u30b9\u300d\u3068\u8a00\u3044\u307e\u3059\u3002\u305d\u306e\u5c02\u9580\u5bb6\u304c\u4fe1\u3058\u3066\u3044\u308b\u4eee\u8aac\u304c\u6b63\u3057\u3044\u3068\u3057\u304b\u601d\u3063\u3066\u3044\u306a\u3044\u306e\u3067\u3001\u305d\u308c\u3068\u76f8\u53cd\u3059\u308b\u30c7\u30fc\u30bf\u304c\u51fa\u3066\u304f\u308b\u3068\u53d7\u3051\u5165\u308c\u3089\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u5b9f\u969b\u306f\u30d1\u30e9\u30c9\u30c3\u30af\u30b9\u3067\u3082\u306a\u3093\u3067\u3082\u306a\u304f\u3001\u524d\u63d0\u306e\u4eee\u8aac\u304c\u9593\u9055\u3063\u3066\u3044\u308b\u53ef\u80fd\u6027\u306f\u5341\u5206\u306b\u3042\u308a\u307e\u3059\u3002\u30d1\u30e9\u30c9\u30c3\u30af\u30b9\u306b\u51fa\u4f1a\u3063\u305f\u6642\u306b\u3001\u524d\u63d0\u3092\u7591\u3063\u3066\u307f\u308b\u3068\u3044\u3046\u59ff\u52e2\u304c\u672c\u5f53\u306e\u5c02\u9580\u5bb6\u3067\u3042\u308a\u3001\u79d1\u5b66\u8005\u3067\u3042\u308b\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n

\u533b\u5b66\u306e\u4e2d\u3067\u306e\u4e00\u756a\u306e\u5927\u304d\u306a\u30d1\u30e9\u30c9\u30c3\u30af\u30b9\u306e\u4e00\u3064\u304c\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3067\u3059\u3002\u533b\u5b66\u306e\u4e16\u754c\u306f\u300c\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\uff1d\u60aa\u7389\u300d\u3068\u3044\u3046\u8003\u3048\u304b\u3089\u629c\u3051\u51fa\u3089\u308c\u307e\u305b\u3093\u3002\u975e\u5e38\u306b\u591a\u304f\u306e\u7814\u7a76\u3067\u76f8\u53cd\u3059\u308b\u7d50\u679c\u304c\u51fa\u3066\u3044\u308b\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u306f\u60aa\u3044\u3082\u306e\u3060\u3068\u3044\u3046\u306e\u304c\u5b9a\u8aac\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u4eca\u56de\u306e\u7814\u7a76\u3082\u30d1\u30e9\u30c9\u30c3\u30af\u30b9\u3067\u3059\u3002\u5bfe\u8c61\u306f\u3001\u51a0\u52d5\u8108\u77f3\u7070\u5316 (CAC) \u30b9\u30ad\u30e3\u30f3\u3092\u53d7\u3051\u305f64,357\u4eba\u3001\u51a0\u52d5\u8108CT\u8840\u7ba1\u9020\u5f71 (CCTA) \u3092\u53d7\u3051\u305f10,814\u4eba\u3001SPECT\u5fc3\u7b4b\u704c\u6d41\u30a4\u30e1\u30fc\u30b8\u30f3\u30b0\uff08MPI\uff09\u3092\u53d7\u3051\u305f\u65e2\u77e5\u306e\u51a0\u52d5\u8108\u75be\u60a3\u306e\u306a\u304431,411\u4eba\u3001SPECT-MPI\u3092\u53d7\u3051\u305f\u65e2\u77e5\u306e\u51a0\u52d5\u8108\u75be\u60a3\u306e\u3042\u308b5,051\u4eba\u3067\u3059\u3002<\/p>\n

\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u304a\u3088\u3073\u305d\u306e\u4ed6\u306e\u51a0\u52d5\u8108\u75be\u60a3\u306e\u5371\u967a\u56e0\u5b50\u3068\u6b7b\u4ea1\u7387\u3068\u306e\u95a2\u4fc2\u3092\u5206\u6790\u3057\u307e\u3057\u305f\u3002\uff08\u56f3\u306f\u539f\u6587\u3088\u308a\u3001\u8868\u306f\u539f\u6587\u3088\u308a\u6539\u5909\uff09<\/p>\n

\"\"<\/a><\/p>\n

 <\/p>\n

\"\"<\/a><\/p>\n

 <\/p>\n

\u4e0a\u306e\u56f3\u306e\uff08a\uff09\uff08b\uff09\uff08c\uff09\uff08d\uff09\u306f\u305d\u308c\u305e\u308c\u51a0\u52d5\u8108\u77f3\u7070\u5316 (CAC) \u30b9\u30ad\u30e3\u30f3\u3092\u53d7\u3051\u305f\u4eba\u3001\u51a0\u52d5\u8108CT\u8840\u7ba1\u9020\u5f71 (CCTA) \u3092\u53d7\u3051\u305f\u4eba\u3001SPECT\u5fc3\u7b4b\u704c\u6d41\u30a4\u30e1\u30fc\u30b8\u30f3\u30b0\uff08MPI\uff09\u3092\u53d7\u3051\u305f\u65e2\u77e5\u306e\u51a0\u52d5\u8108\u75be\u60a3\u306e\u306a\u3044\u4eba\u3001SPECT-MPI\u3092\u53d7\u3051\u305f\u65e2\u77e5\u306e\u51a0\u52d5\u8108\u75be\u60a3\u306e\u3042\u308b\u4eba\u306b\u304a\u3051\u308b\u3001\u51a0\u52d5\u8108\u75be\u60a3\u306e\u5371\u967a\u56e0\u5b50\u3068\u3055\u308c\u308b\u9ad8\u8840\u5727\u3001\u55ab\u7159\u3001\u7cd6\u5c3f\u75c5\u3001\u304a\u3088\u3073\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u306e\u6709\u7121\u306b\u3088\u308b\u751f\u5b58\u66f2\u7dda\u3067\u3059\u3002\u8d64\u3044\u7dda\u304c\u305d\u306e\u5371\u967a\u56e0\u5b50\u304c\u3042\u308b\u4eba\u3001\u7dd1\u304c\u306a\u3044\u4eba\u3067\u3059\u3002\u5dee\u304c\u307b\u3068\u3093\u3069\u306a\u3044\u5834\u5408\u3082\u3042\u308a\u307e\u3059\u304c\u3001\u57fa\u672c\u7684\u306b\u306f\u9ad8\u8840\u5727\u3001\u55ab\u7159\u3001\u7cd6\u5c3f\u75c5\u304c\u3042\u308b\u3068\u751f\u5b58\u7387\u306f\u4f4e\u304f\u306a\u308a\u307e\u3059\u304c\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3060\u3051\u306f\u9006\u3067\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u304c\u3042\u308b\u3068\u751f\u5b58\u7387\u306b\u9055\u3044\u304c\u7121\u3044\u304b\u9ad8\u304f\u306a\u3063\u3066\u3044\u307e\u3059\u3002\u6700\u3082\u751f\u5b58\u7387\u306e\u4f4e\u4e0b\u304c\u6fc0\u3057\u3044\u306e\u306f\u3084\u306f\u308a\u7cd6\u5c3f\u75c5\u3067\u3059\u306d\u3002<\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306f4\u3064\u306e\u96c6\u56e3\u3092\u307e\u3068\u3081\u3066\u5206\u6790\u3057\u305f\u5168\u539f\u56e0\u6b7b\u4ea1\u7387\u306e\u30ea\u30b9\u30af\u3067\u3059\u3002\uff08a\uff09\uff08b\uff09\uff08c\uff09\uff08d\uff09\u306f\u305d\u308c\u305e\u308c\u9ad8\u8840\u5727\u3001 \u7cd6\u5c3f\u75c5\u3001\u55ab\u7159\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3067\u3059\u3002\u9ad8\u8840\u5727\u3001\u7cd6\u5c3f\u75c5\u3001\u55ab\u7159\u306f\u5168\u539f\u56e0\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u30921.38\u500d\u30011.87\u500d\u30011.69\u500d\u3069\u308c\u3082\u9ad8\u3081\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u3060\u3051\u306f0.72\u500d\u3068\u30ea\u30b9\u30af\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306fCAC\u307e\u305f\u306fCCTA\u3092\u53d7\u3051\u3066\u3044\u308b\u60a3\u8005\u306e\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u30ec\u30d9\u30eb\u306b\u5fdc\u3058\u305f\u751f\u5b58\u7387\u3067\u3001(a)\u306fLDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001(b)\u306f\u975eHDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3067\u3059\u3002\u751f\u5b58\u7387\u304c\u6700\u3082\u9ad8\u3044\u306e\u306fLDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c130\u4ee5\u4e0a\u306e\u5834\u5408\u3067\u3001\u6700\u3082\u5168\u539f\u56e0\u6b7b\u4ea1\u7387\u306e\u9ad8\u3044\u306e\u306fLDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c100\u672a\u6e80\u306e\u5834\u5408\u3067\u3059\u3002\u975eHDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3082\u6700\u3082\u6b7b\u4ea1\u7387\u306e\u9ad8\u3044\u306e\u306f130\u672a\u6e80\u306e\u30b0\u30eb\u30fc\u30d7\u3067\u3059\u3002<\/p>\n

\u8102\u8cea\u4f4e\u4e0b\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u60a3\u8005 (CAC\u3068CCTA\u60a3\u8005\u30017744\u4eba) \u306e\u6b7b\u4ea1\u7387\u306e\u591a\u5909\u91cf\u4e88\u6e2c\u56e0\u5b50\u3002<\/p>\n

\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\u5909\u6570<\/th>\nHR (95% CI)<\/th>\n<\/tr>\n<\/thead>\n
\u5e74\u9f62<\/td>\n1.09 (1.08\u20131.11)<\/span><\/td>\n<\/tr>\n
\u55ab\u7159<\/td>\n1.92 (1.39\u20132.65)<\/span><\/td>\n<\/tr>\n
LDL\u5024<\/td>\n<\/td>\n<\/tr>\n
\u00a0130\u4ee5\u4e0a<\/td>\n1<\/td>\n<\/tr>\n
\u00a0100\uff5e130<\/td>\n1.24 (0.93\u20131.67)<\/span><\/td>\n<\/tr>\n
\u00a0100\u672a\u6e80<\/td>\n1.68 (1.22\u20132.33)<\/span><\/td>\n<\/tr>\n
\u9ad8\u8840\u5727<\/td>\n1.47 (1.15\u20131.89)<\/span><\/td>\n<\/tr>\n
\u7cd6\u5c3f\u75c5<\/td>\n1.43 (1.02\u20132.00)<\/span><\/td>\n<\/tr>\n
\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7<\/td>\n0.86 (0.66\u20131.11)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u4e0a\u306e\u8868\u306f\u30b9\u30bf\u30c1\u30f3\u306a\u3069\u306e\u8102\u8cea\u4f4e\u4e0b\u7642\u6cd5\u3092\u53d7\u3051\u3066\u3044\u306a\u3044\u4eba\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af\u3067\u3059\u3002LDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb100\u672a\u6e80\u306f130\u4ee5\u4e0a\u306e\u4eba\u3068\u6bd4\u8f03\u3057\u30661.68\u500d\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af\u3067\u3059\u3002<\/p>\n<\/div>\n

\u3055\u307e\u3056\u307e\u306a\u5fc3\u81d3\u691c\u67fb\u306e\u305f\u3081\u306b\u7d39\u4ecb\u3055\u308c\u3001\u81e8\u5e8a\u30ea\u30b9\u30af\u304c\u4f4e\u3044\u3082\u306e\u304b\u3089\u9ad8\u3044\u3082\u306e\u307e\u3067\u5e45\u5e83\u3044\u60a3\u8005\u306e\u4e2d\u3067\u3001\u9ad8\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u8840\u75c7\u304a\u3088\u3073\u9ad8LDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u306f\u6b7b\u4ea1\u30ea\u30b9\u30af\u306e\u5897\u52a0\u3068\u95a2\u9023\u3057\u3066\u3044\u306a\u3044\u3069\u3053\u308d\u304b\u3001\u30ea\u30b9\u30af\u4f4e\u4e0b\u3068\u95a2\u9023\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c\u60aa\u3044\u3068\u4fe1\u3058\u8fbc\u3093\u3067\u3044\u308b\u4eba\u306f\u3053\u308c\u3092\u300c\u30d1\u30e9\u30c9\u30c3\u30af\u30b9\u300d\u3068\u8003\u3048\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u5b9f\u969b\u306b\u306f\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u306f\u7121\u5b9f\u3067\u3057\u3087\u3046\u3002\u6839\u672c\u539f\u56e0\u304c\u9055\u3044\u307e\u3059\u3002\u6839\u672c\u306f\u7cd6\u8cea\u904e\u5270\u6442\u53d6\u3067\u3059\u3002\u6839\u672c\u304c\u7cd6\u8cea\u904e\u5270\u6442\u53d6\u3060\u3068\u3059\u308b\u3068\u3001\u4e88\u9632\u3084\u6cbb\u7642\u306f\u7cd6\u8cea\u5236\u9650\u3068\u3044\u3046\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u304c\u3001\u305d\u308c\u3067\u306f\u533b\u5e2b\u306f\u6cbb\u7642\u3092\u3057\u3066\u3044\u308b\u6c17\u5206\u306b\u306a\u308c\u307e\u305b\u3093\u3057\u3001\u5132\u304b\u308a\u307e\u305b\u3093\u3002\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c\u539f\u56e0\u3068\u8003\u3048\u7d9a\u3051\u308c\u3070\u3001\u85ac\u3092\u51e6\u65b9\u3067\u304d\u307e\u3059\u3002\u3057\u304b\u3082\u591a\u304f\u306e\u4eba\u306f\u305a\u3063\u3068\u51e6\u65b9\u304c\u7d9a\u3051\u3089\u308c\u307e\u3059\u3002\u60a3\u8005\u306f\u305d\u308c\u306b\u3088\u3063\u3066\u547d\u304c\u5b88\u3089\u308c\u3066\u3044\u308b\u3068\u601d\u3044\u7d9a\u3051\u307e\u3059\u3002\u85ac\u3092\u3084\u3081\u308b\u3068\u300c\u6b7b\u306c\u3088\u300d\u3068\u8105\u3055\u308c\u307e\u3059\u3002<\/p>\n

 <\/p>\n

\u300cAssociation between hypercholesterolemia and mortality risk among patients referred for cardiac imaging test: Evidence of a \u201ccholesterol paradox?\u201d\u300d<\/span><\/p>\n

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