{"id":3896,"date":"2025-09-13T20:29:00","date_gmt":"2025-09-13T11:29:00","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3896"},"modified":"2025-09-13T20:29:02","modified_gmt":"2025-09-13T11:29:02","slug":"case-records-of-the-massachusetts-general-hospital%e3%82%88%e3%82%8a-5","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3896","title":{"rendered":"Case Records of the Massachusetts General Hospital\u3088\u308a"},"content":{"rendered":"\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcpc2412535\">Case 25-2025: A 93-Year-Old Woman with Dyspnea and Fatigue<\/a><\/p>\n\n\n\n<p>\u8868\u984c\u306e\u8ad6\u6587\u3092AI\u3068\u3068\u3082\u306b\u8aad\u307f\u8fbc\u307f\u307e\u3057\u305f<br>\uff08\u672c\u8a18\u4e8b\u306f\u5143\u6587\u732e\u3092\u898b\u306a\u304c\u3089\u8aad\u3093\u3067\u3044\u305f\u3060\u304f\u524d\u63d0\u3067\u3059\u306e\u3067\u3001\u8a73\u7d30\u306a\u75c5\u6b74\u3001\u753b\u50cf\u3084\u81e8\u5e8a\u691c\u67fb\u6240\u898b\u7b49\u306f\u5143\u6587\u732e\u3092\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\uff09<\/p>\n\n\n\n<p>\u3053\u306e\u533b\u7642\u8a18\u9332\u306f\u300193\u6b73\u306e\u5973\u6027\u60a3\u8005\u306e\u547c\u5438\u56f0\u96e3\u3068\u3044\u3046\u4e3b\u8a34\u304b\u3089\u59cb\u307e\u308a\u3001\u5927\u52d5\u8108\u5f01\u72ed\u7a84\u75c7\u306e\u9032\u884c\u3068\u305d\u306e\u4ed6\u306e\u4f75\u5b58\u75be\u60a3\u306e\u8a3a\u65ad\u30d7\u30ed\u30bb\u30b9\u3092\u8a73\u7d30\u306b\u8a18\u8ff0\u3057\u3066\u3044\u307e\u3059\u3002\u533b\u5e2b\u305f\u3061\u306f\u3001\u60a3\u8005\u306e\u75c7\u72b6\u306e\u539f\u56e0\u3068\u3057\u3066\u5fc3\u81d3\u304a\u3088\u3073\u975e\u5fc3\u81d3\u306e\u4e21\u65b9\u306e\u53ef\u80fd\u6027\u3092\u691c\u8a0e\u3057\u3001\u6700\u7d42\u7684\u306b\u5927\u52d5\u8108\u5f01\u72ed\u7a84\u75c7\u3068\u3001\u305d\u306e\u9032\u884c\u3092\u8907\u96d1\u306b\u3057\u305f\u6d88\u5316\u7ba1\u51fa\u8840\u306b\u3088\u308b\u8ca7\u8840\u3068\u8a3a\u65ad\u3057\u307e\u3057\u305f\u3002\u8a18\u9332\u306f\u3001\u60a3\u8005\u306e\u6cbb\u7642\u9078\u629e\u80a2\u306b\u95a2\u3059\u308b\u719f\u8003\u3001\u7279\u306b\u7d4c\u30ab\u30c6\u30fc\u30c6\u30eb\u5927\u52d5\u8108\u5f01\u7f6e\u63db\u8853\uff08TAVR\uff09\u3068\u3044\u3046\u9078\u629e\u80a2\u3068\u3001\u6700\u7d42\u7684\u306b\u5f7c\u5973\u304c\u533b\u7642\u4ecb\u5165\u3067\u306f\u306a\u304f\u7de9\u548c\u30b1\u30a2\u3092\u9078\u629e\u3057\u305f\u7d4c\u7def\u306b\u7126\u70b9\u3092\u5f53\u3066\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u4e8b\u4f8b\u306f\u3001\u5171\u6709\u610f\u601d\u6c7a\u5b9a\u306e\u91cd\u8981\u6027\u3068\u3001\u60a3\u8005\u306e\u4fa1\u5024\u89b3\u3084\u76ee\u6a19\u3092\u7406\u89e3\u3059\u308b\u3053\u3068\u306e\u5fc5\u8981\u6027\u3092\u5f37\u8abf\u3057\u3066\u304a\u308a\u3001\u533b\u7642\u63d0\u4f9b\u8005\u306e\u8996\u70b9\u3068\u60a3\u8005\u81ea\u8eab\u306e\u8996\u70b9\u306e\u4e21\u65b9\u3092\u63d0\u4f9b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/71a3d8d4e29d1a0b6306fdc6dcbdae16.mp3\"><\/audio><\/figure>\n<div class=\"powerpress_player\" id=\"powerpress_player_920\"><audio class=\"wp-audio-shortcode\" id=\"audio-3896-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/71a3d8d4e29d1a0b6306fdc6dcbdae16.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/71a3d8d4e29d1a0b6306fdc6dcbdae16.mp3\">https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/71a3d8d4e29d1a0b6306fdc6dcbdae16.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/71a3d8d4e29d1a0b6306fdc6dcbdae16.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/plaza.umin.ac.jp\/~OIO\/?powerpress_pinw=3896-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/09\/71a3d8d4e29d1a0b6306fdc6dcbdae16.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"71a3d8d4e29d1a0b6306fdc6dcbdae16.mp3\">Download<\/a><\/p><!--powerpress_player-->","protected":false},"excerpt":{"rendered":"<p>Case 25-2025: A 93-Year-Old Woman with Dyspnea and Fatigue 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