{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679445741824.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.7793/jcoron.22.15-00028"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"027708637"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/027708637"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I027708637"}},{"identifier":{"@type":"URI","@value":"https://www.jstage.jst.go.jp/article/jcoron/22/3/22_22.15-00028/_pdf"}},{"identifier":{"@type":"NAID","@value":"130005419031"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2017043645"}}],"dc:title":[{"@language":"ja","@value":"過換気症候群としてフォローされていた冠攣縮に伴う心筋梗塞の1例"},{"@language":"en","@value":"A case report of myocardial infarction caused by coronary vasospasm associated with hyperventilation"},{"@language":"ja-Kana","@value":"カカンキ ショウコウグン ト シテ フォロー サレテ イタ カンレンシュク ニ トモナウ シンキン コウソク ノ 1レイ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"A 43-year-old woman with a history of hyperventilation was found to have an abnormal electrocardiogram. Echocardiography showed left ventricular wall thinning and a ventricular aneurysm. She was admitted to hospital for detailed examination. Old myocardial infarction was suspected from the cardiac MRI and myocardial scintigraphy findings. While coronary angiography revealed no significant stenosis, coronary vasospasm was detected by the acetylcholine challenge test. The patient’s myocardial infarction was thought to have been caused by coronary vasospasm. Hyperventilation occurred during the acetylcholine challenge test and administration of nitroglycerin improved the patient’s hyperventilation. These findings suggest that hyperventilation is associated with coronary vasospasm in the present patient."},{"@language":"ja","@value":"症例は過換気発作の既往のある43歳女性．健康診断で心電図異常を指摘され他院施行の心臓超音波検査にて左室前壁から中隔の壁菲薄化と心室瘤を認め，精査目的で紹介入院となった．心臓MRI，心筋血流シンチグラフィーでは左前下行枝の陳旧性心筋梗塞の所見であった．冠動脈造影検査では冠動脈に有意狭窄を認めなかったが，アセチルコリン負荷試験陽性であり冠攣縮によって心筋梗塞をきたしたと考えられた．また本症例ではアセチルコリン負荷試験時に過換気発作を生じたこと，過換気発作時にニトログリセリンが奏効したという点から，過換気発作により冠攣縮症状が誘発されるというよりも，過換気発作が冠攣縮性狭心症の症状であると考えられた．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282679445741826","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345420700"}],"foaf:name":[{"@language":"ja","@value":"鈴木 聡一郎"},{"@language":"en","@value":"Suzuki Soichiro"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Cardiology, Center Hospital of the National Center for Global Health and Medicine"},{"@language":"ja","@value":"国立国際医療研究センター病院循環器内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282679445741825","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000345420701"}],"foaf:name":[{"@language":"ja","@value":"粟屋 徹"},{"@language":"en","@value":"Awaya Toru"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Cardiology, Center Hospital of the National Center for Global Health and Medicine"},{"@language":"ja","@value":"国立国際医療研究センター病院循環器内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751157270400","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"00349911"},{"@type":"NRID","@value":"1000000349911"},{"@type":"NRID","@value":"9000003884953"},{"@type":"NRID","@value":"9000240094659"},{"@type":"NRID","@value":"9000242092347"},{"@type":"NRID","@value":"9000255955073"},{"@type":"NRID","@value":"9000016589576"},{"@type":"NRID","@value":"9000290808528"},{"@type":"NRID","@value":"9000018173375"},{"@type":"NRID","@value":"9000396150885"},{"@type":"NRID","@value":"9000015164543"},{"@type":"NRID","@value":"9000240094919"},{"@type":"NRID","@value":"9000345420702"},{"@type":"NRID","@value":"9000243898757"},{"@type":"NRID","@value":"9000256880802"},{"@type":"NRID","@value":"9000256880561"},{"@type":"NRID","@value":"9000240094516"},{"@type":"NRID","@value":"9000256879511"}],"foaf:name":[{"@language":"ja","@value":"原 久男"},{"@language":"en","@value":"Hara Hisao"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Cardiology, Center Hospital of the National Center for Global Health and Medicine"},{"@language":"ja","@value":"国立国際医療研究センター病院循環器内科"}]},{"@id":"https://cir.nii.ac.jp/crid/1420845751160526208","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"30311624"},{"@type":"NRID","@value":"1000030311624"},{"@type":"NRID","@value":"9000003885032"},{"@type":"NRID","@value":"9000014382635"},{"@type":"NRID","@value":"9000003877334"},{"@type":"NRID","@value":"9000018394553"},{"@type":"NRID","@value":"9000004518886"},{"@type":"NRID","@value":"9000021164005"},{"@type":"NRID","@value":"9000021264652"},{"@type":"NRID","@value":"9000010448411"},{"@type":"NRID","@value":"9000273389749"},{"@type":"NRID","@value":"9000326259469"},{"@type":"NRID","@value":"9000345420703"},{"@type":"NRID","@value":"9000283595043"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/ncgm3560"}],"foaf:name":[{"@language":"ja","@value":"廣井 透雄"},{"@language":"en","@value":"Hiroi Yukio"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Cardiology, Center Hospital of the National Center for Global Health and Medicine"},{"@language":"ja","@value":"国立国際医療研究センター病院循環器内科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13417703"},{"@type":"EISSN","@value":"21871949"},{"@type":"NDL_BIB_ID","@value":"000000100518"},{"@type":"ISSN","@value":"13417703"},{"@type":"LISSN","@value":"13417703"},{"@type":"NCID","@value":"AA11155536"}],"prism:publicationName":[{"@language":"en","@value":"Journal of the Japanese Coronary Association"},{"@value":"日本冠疾患学会雑誌"},{"@language":"en","@value":"J Jpn Coron Assoc"},{"@value":"冠疾患誌"}],"dc:publisher":[{"@language":"en","@value":"The Japanese Coronary Association"},{"@language":"ja","@value":"特定非営利活動法人 日本冠疾患学会"}],"prism:publicationDate":"2016","prism:volume":"22","prism:number":"3","prism:startingPage":"157","prism:endingPage":"160"},"reviewed":"false","url":[{"@id":"http://id.ndl.go.jp/bib/027708637"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I027708637"},{"@id":"https://www.jstage.jst.go.jp/article/jcoron/22/3/22_22.15-00028/_pdf"},{"@id":"https://search.jamas.or.jp/link/ui/2017043645"}],"availableAt":"2016","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=coronary%20vasospasm","dc:title":"coronary vasospasm"},{"@id":"https://cir.nii.ac.jp/all?q=hyperventilation","dc:title":"hyperventilation"},{"@id":"https://cir.nii.ac.jp/all?q=myocardial%20infarction","dc:title":"myocardial infarction"},{"@id":"https://cir.nii.ac.jp/all?q=coronary%20vasospasm","dc:title":"coronary vasospasm"},{"@id":"https://cir.nii.ac.jp/all?q=hyperventilation","dc:title":"hyperventilation"},{"@id":"https://cir.nii.ac.jp/all?q=myocardial%20infarction","dc:title":"myocardial infarction"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360574095632125440","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Coronary artery spasm—Clinical features, diagnosis, pathogenesis, and treatment"}]},{"@id":"https://cir.nii.ac.jp/crid/1362262944111712768","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Variant angina induced by alcohol ingestion"}]},{"@id":"https://cir.nii.ac.jp/crid/1363951793806869632","@type":"Article","relationType":["references"],"jpcoar:relatedTitle":[{"@value":"Role of Autonomic Nervous System in the Pathogenesis of Prinzmetal's Variant Form of Angina"}]},{"@id":"https://cir.nii.ac.jp/crid/1390001204869445248","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["references"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Coronary Spasm: Clinical Features and Pathogenesis."},{"@language":"ja-Kana","@value":"Coronary Spasm Clinical Features and 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