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11BP A200 AFIB

ω΍έΫϟ΍ϡ΍ίΣϡΟΣϰϠϋϷ΍ω΍έΫϟ΍ρϳΣϣϟ

έϳϐλέΗϳϣϳΗϧγ˻˻˺̀

ργϭέΗϳϣϳΗϧγ˼˻˻˻

έϳΑϛργϭέΗϳϣϳΗϧγ˽˻˻˻

έϳΑϛέΗϳϣϳΗϧγ˽˻˼˻

(XL)΍ΩΟέϳΑϛέϳΑϛέΗϳϣϳΗϧγ˾˻-˼˻

ϥϣέΑϛ΃έΩϗϰϠϋϝϭλΣϠϟ

ΔϠϬγ

ΔϳέΎϳΗΧ΍ω΍έΫΔϣίΣ΃έϓϭΗΗ



ΔΣ΍έϟ΍ϭΔϣ˯ϼϣϟ΍

ϑϳϻϭέϛϳΎϣϥϣω΍έΫϟ΍ϡ΍ίΣρϘϓϝϣόΗγ·



ω΍έΫϟ΍ϡ΍ίΣϥΎϛ΍Ϋ·ˬϲϠΣϣϟ΍ϑϳϻϭέϛϳΎϣωίϭϣϟϥ΋ΎΑίϟ΍ΔϣΩΧΑϝλΗ΍



ϡ΋ϼϣέϳϏ

⑥

ϕϓέϣϟ΍

αΑϘϣϰϟ·

⑦

ω΍έΫϟ΍ϡ΍ίΣϝ

λϭϣϝΎΧΩΈΑίΎϬΟϟ΍ϰϟ·ω΍έΫϟ΍ϡ΍ίΣϝλϭ΃



ΔϳΎϬϧϟ΍ϰΗΣ

④

ω΍έΫϟ΍ϡ΍ίΣ

AFIB/MAMρϣϧϭ΃ϲγΎϳϗαΎϳϘϟ΍ρϣϧέΗΧ·

ρϣϧϭ΃ϲγΎϳϗΩέϔϧϣαΎϳϗϲγΎϳϘϟ΍ρϣϧϟ΍έΎϳΗΧ΍ϥϣϙϧ

ϛϣϳίΎϬΟϟ΍΍Ϋϫ

AFIB/ΡΎΗϔϣϙέΣˬϲγΎϳϘϟ΍ρϣϧϟ΍έΎϳΗΧϻϲϟ΁ϲΛϼΛαΎϳϗAFIB/MAM

ˬAFIB/MAMρϣϧέΎϳΗΧϻϭ©˺ªϊοϭϟϝϔγϸϟίΎϬΟϟ΍ΏϧΎΟϰϠϋ

⑪

MAM

©˼ªϊοϭϟΡΎΗϔϣϟ΍΍ΫϫϙέΣ

ΎϬϣ΍ΩΧΗγ΍Δϳϣϫ΄Α΢λϧϧAFIB/MAMρϣϧ

Ύϳϟ΁ΔΟϳΗϧϟ΍ϝ

ϠΣΗ

ϡΛΎϳϟ΁ΔΑϗΎόΗϣΕΎγΎϳϗ˼ΫΧ΃ϡΗϳˬ

AFIB/MAMρϣϧϲϓ

ϩΫϬΑΩΩΣΗΗϲΗϟ΍ΔΟϳΗϧϟ΍ϥΈϓϡ΋΍ΩϝϛηΑΏ

ϠϘΗϳ

ϡΩϟ΍ρϐοϥϷϭνέόΗϭ

ϑΎηΗϛ·ϥ·ΩέϔϧϣαΎϳϗϥϋΕΟΗϧΓΩΣ΍ϭΔΟϳΗϧϥϣέΛϛ΃ΔϗϭΛϭϣΔϘϳέρϟ΍



AFIB/MAMρϣϧΑρϘϓϪϠϳόϔΗϡΗϳˬAFIB

ϲϓέΎΗΧϣϟ΍MAMρϣϧέϬυϳˬ①ϑΎϘϳ·ϝϳϐηΗέίϰϠϋρϐοϟ΍ΩόΑ 

.⑯ MAMίϣέϛνέόϟ΍ΔηΎη

˼ϭ΃˻ˬ˺ϡΎϗέϷ΍έϬυϳνέόϟ΍ΔηΎηϥϣϲϠϔγϟ΍ϥϣϳϷ΍˯ίΟϟ΍ 

ΎϫΫΧ΃ϡΗϳϲΗϟ΍ΔϳϟΎΣϟ΍˼˰ϟ΍ΕΎγΎϳϘϟ΍ϥϣϱϷΓέΎηϺϟ

ΎϘΑρΔϳϓΎϛΔϳϧΎΛ˺˾ΕΎγΎϳϘϟ΍ϥϳΑΔϳϧΎΛ˺˾ΓΩϣϟϑϗϭΗΓέΗϓϙΎϧϫ 

αΎϳϗΓίϬΟϷ©˺˽̀-˺˽˾˿ˬ˻˹˹˺ϡΎόϟ

ϡΩϟ΍ρϐοΔΑϗ΍έϣϟª

ϲϘΑΗϣϟ΍Εϗϭϟ΍ϰϟ·έϳηϳϲϟίΎϧΗϟ΍Ωόϟ΍ΏΫΑΫΗϟ΍

ΕΎγΎϳϘϟ΍ΫΧ΃ΩόΑέϬυϳγρϘϓ

ϡΩϟ΍ρϐοΔϳΩέϔϟ΍Ξ΋ΎΗϧϟ΍νέϋϡΗϳϻ 

ΙϼΛϟ΍

ΕΎγΎϳϘϟ΍ϥϳΑω΍έΫϟ΍ϡ΍ίΣωίϧΗϻ 

Ύϳϟ΁ϊΑ΍έϟ΍αΎϳϘϟ΍ΫΧ΅

ϳγˬϪϳϓϙϭϛηϣΔϳΩέϔϟ΍ΕΎγΎϳϘϟ΍ΩΣ΃ϥΎϛ΍Ϋ· 

ίΎϬΟϟ΍΍ΫϫϝΎϣόΗγΎΑϡΩϟ΍ρϐοαΎϳϗΫΧ΃ ˽

ϪϳϠϋΩϣΗόϳαΎϳϗΫΧ΃ϥϣΩϛ΄Ηϟ΍Δϣ΋Ύϗ

αΎϳϘϟ΍ϝΑϗΓέηΎΑϣϥϳΧΩΗϟ΍ϭ΃ϝϛϷ΍ϭ΃ρΎηϧϝΫΑϯΩΎϔΗ ˺

ϲΧέΗγ΍ϭαΎϳϘϟ΍ϝΑϗϝϗϷ΍ϰϠϋϕ΋ΎϗΩ˾ΓΩϣϟαϠΟ΍ ˻

˯ΎΑρϷ΍ϡΎϳϗ΢λϧ

ϳ

ΓΩΎϋέγϳϷ΍ϡλόϣϟ΍αϔϧϥϣ

Ύϣ΋΍ΩαΎϳϘϟ΍ΫΧ ˼

ϝΟ΃ϥϣϰοέϣϠϟϰϟϭϷ΍ΓέΎϳίϟ΍ϝϼΧω΍έΫϠϟΔϳ΋ΎϧΛΕΎγΎϳϗ˯΍έΟΈΑ

ΏΟϳΙϳΣϝΑϘΗγϣϟ΍ϲϓαΎϳϘϠϟΎϬϣ΍ΩΧΗγ΍ϡΗϳγϱΫϟ΍ω΍έΫϟ΍ΩϳΩΣΗ

ϡΩϟ΍ρϐοϟΓ˯΍έϗϰϠϋ΃ϝΟγϳϱΫϟ΍ω΍έΫϟ΍ϡ΍ΩΧΗγ΍

ϥϭϛΗϻϥ΃ΏΟϳˬνΎΑϘϧϻ΍ϱΩΎϔΗϟϰϠϋϷ΍ω΍έΫϟ΍ϥϋΔϘ

ϳοϟ΍αΑϼϣϟ΍ωίϧ΍

˽

ΔΣ

ργϣΕϧΎϛ΍Ϋ·ω΍έΫϟ΍ϡ΍ίΣϲϓϝ

ΧΩΗΗϻϲϬϓΔϓϭϔϠϣιϳϣϘϟ΍ϡΎϣϛ΃

ΔϗΎρΑΩΟϭΗω΍έΫϟ΍ϡ΍ίΣϟ΢ϳΣλϟ΍αΎϘϣϟ΍ϡ΍ΩΧΗγ΍ϥϣϥϣΩϛ΄Η ˾

ϡ΍ίΣϟ΍ϰϠϋΔϳΣϳοϭΗ

΍ΩΟϕ

ϳοϝϛηΑαϳϟϥϛϟϥϛϟˬΓέηΎΑϣω΍έΫϟ΍ϡ΍ίΣαΑϟ΍ 

ϙϋϭϛϕϭϓέΗϣϳΗϧγ˻ΔϓΎγϣϰϠϋϊοϭϳω΍έΫϟ΍ϡ΍ίΣ

ϥ΄ΑΩ

ϛ΄Η 

ρϳέηω΍έΫϟ΍ϡ΍ίΣϰϠϋΓΩϭΟϭϣϟ΍ϥΎϳέηϟ΍ΔϣϼϋέϘΗγΗϥ΃ΏΟϳ 

ω΍έΫϠϟϲϠΧ΍Ωϟ΍ΏϧΎΟϟ΍ϭΣϧΩΗϣϳϱΫϟ΍ϥΎϳέηϟ΍ϕϭϓϡγ˼ϝϭρΑ



ΎΣΎΗέϣϥϭϛϳϟϙϋ΍έΫΩϧγ΍ 

ΏϠϘϟ΍ωΎϔΗέ΍αϔϧΑω΍έΫϟ΍ϡ΍ίΣ

ϥ΄ΑΩϛ΄Η 

αΎϳϘϟ΍˯ΩΑϟ

①ϑΎϘϳ·ϝϳϐηΗέίϰϠϋρϐο΍ ˿

ΔϠοϋΩηΗϻϭϙ

έΣΗΗϻˬϲΧέΗγ΍Ύϳϟ΁ϥϵ΍ΦϔΗϧϳγω΍έΫϟ΍ϡ΍ίΣ ̀

ϡ

ϠϛΗΗϻϭΩΎΗόϣϝϛηΑα

ϔϧΗαΎϳϘϟ΍ΔΟϳΗϧέϬυΗϰΗΣϙϋ΍έΫ

νϔΧϧϳϭ

Φοϟ΍ϑ

ϗϭΗϳˬ΢ϳΣλϟ΍ϯϭΗγϣϟ΍ϰϟ·ρϐοϟ΍ϝλϳΎϣΩϧϋ ́



ΦοϳγˬΏϭϠρϣϟ΍ρϐοϟ΍ϰϟ·ϝϭλϭϟ΍ϡΗϳϡϟ΍Ϋ·ϲΟϳέΩΗϝϛηΑρϐοϟ΍

ω΍έΫϟ΍ϡ΍ίΣϲϓΎϳϟ΁έΛϛ΃˯΍ϭϫίΎϬΟϟ΍

νέόϟ΍ΔηΎηϲϓ

⑳νΑϧϟ΍έη΅ϣνϣϭϳγˬαΎϳϘϟ΍˯ΎϧΛ΃ ̂

ϊϣνέό

Ηϭ

⑭ϲρΎγΑϧϻ΍ϭ⑬ϲοΎΑϘϧϻ΍

ϡΩϟ΍ρϐοϝϣηΗˬΔΟϳΗϧϟ΍

ϥ· 

˺˹

ΏϳΗϛϟ΍΍ΫϫϲϓϯέΧϷ΍Ε΍˯΍έϘϟΎΑΔλΎΧϟ΍Ε΍έϳγϔΗϟ΍Ύοϳ΃υΣϻ⑮νΑϧϟ΍ϝΩόϣ

ω΍έΫϟ΍ϡ΍ίΣωίϧ΍ˬαΎϳϘϟ΍ΫΧ΃ϥϣίΎϬΟϟ΍ϲϬΗϧϳΎϣΩϧϋ 

˺˺

ΔϘϳϗΩ˺ϲϟ΍ϭΣΩόΑ

˱˱

Ύϳϟ΁ΔηΎηϟ΍ΊϔρΗίΎϬΟϟ΍ϕϠϏ΃

˺˻

Γ˯΍έϗϥϳίΧΗϡΩϋΔϘϳέρ

ρϐοϟ΍ϲϓέϣΗγ΍Γ˯΍έϘϟ΍νέϋ˯ΎϧΛ΃

①ϑΎϘϳ·ϝϳϐηΗέίϰϠϋρϐο΍

ϰϠϋρϐο΍ˬΩϳϛ΄ΗϠϟέίϟ΍έέΣϡΛ

ϯέΧ΃Γέϣ

②Mέί

ϑΎϘϳ·ϝϳϐηΗέίϰϠϋρϐοϟΎΑϥΎϛΕϗϭϱ΃ϲϓαΎϳϘϟ΍ϑϗϭΗϥ΃ϙϧϛϣϳ



΢ϳέϣέϳϏρϐοαΎγΣ·ϭ΃ΡΎϳΗέϻ΍ϡΩόΑέόηΗΕϧϛ΍Ϋ·ϙϟΫϰϠϋϝΎΛϣϭ

ΩϳΟϟ΍ϥϣϥϭϛϳΩϘϓˬ΍

ΩΟϊϔΗέϣϲοΎΑϘϧϻ΍ϡΩϟ΍ρϐοϥ΃ϡϭϠόϣϟ΍ϥϣϥΎϛ΍Ϋ·



ϡΎϳϗΩόΑϝϳϐηΗϑΎϘϳ·ϝϳϐηΗέίϰϠϋρϐο΍ϱΩέϓϝϛηΑρϐοϟ΍ϥϳϳόΗ

ϰϠϋέϫΎυΎ

ΑϳέϘΗϲϘΑ΋ίέΗϣϳϠϣ˼˹ϯϭΗγϣϰΗΣΦοϟΎΑϡΩϟ΍ρϐοΏϗ΍έϣ

˽˹ϲϟ΍ϭΣϰϟ·ρϐοϟ΍ϝλϳϰΗΣέίϟ΍ϰϠϋρϐοϟ΍ϲϓέϣΗγ΍ΔηΎηϟ΍

έίϟ΍έέΣϡΛ±ΔόϗϭΗϣϟ΍ΔϳοΎΑϘϧϻ΍ΔϣϳϘϟ΍ϕϭϓϲϘΑ΋ίέΗϣϳϠϣ

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