medicina60巻13号

2023年12月発行

特集 一般医家のための—DOAC時代の心房細動診療

心房細動の病態と診断

心エコーとバイオマーカー

著者： 手塚祐司¹

所属機関： ¹三菱京都病院心臓内科

ページ範囲：P.2226 - P.2229

文献概要

Point
◎心房細動と診断されれば経胸壁心エコーを行う．
◎CHADS₂スコアで抗凝固療法の適応とならなくても，左房径拡大（＞45 mm）や左室肥大があれば抗凝固療法を検討する．
◎心房細動と診断されれば，肝・腎機能，甲状腺機能，血算，電解質に加えて，NT-proBNP（BNP）の測定も行う．
◎NT-proBNP高値であれば，死亡，心不全入院だけでなく，脳卒中/全身塞栓症を起こす可能性も高い．

参考文献

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