{"id":4219,"date":"2026-05-16T16:37:57","date_gmt":"2026-05-16T07:37:57","guid":{"rendered":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/?p=4219"},"modified":"2026-05-16T16:38:00","modified_gmt":"2026-05-16T07:38:00","slug":"post-4219","status":"publish","type":"post","link":"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/post-4219\/","title":{"rendered":"\u811a\u30d6\u30ed\u30c3\u30af\u3092\u4f34\u3046\u5fc3\u7b4b\u6897\u585e\u306e\u5fc3\u96fb\u56f3\u8a3a\u65ad\uff1a\u53f3\u811a\u30fb\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u306e\u898b\u6975\u3081\u3068\u898b\u843d\u3068\u3057\u3092\u9632\u3050\u305f\u3081\u306b\u3067\u304d\u308b\u3053\u3068\u3010\u67cf\u30fb\u6211\u5b6b\u5b50\u306e\u7dcf\u5408\u5185\u79d1\u5c02\u9580\u533b\u89e3\u8aac\u3011"},"content":{"rendered":"\n<p>\u6025\u6027\u5fc3\u7b4b\u6897\u585e\uff08AMI\uff09\u306e\u8a3a\u7642\u306b\u304a\u3044\u3066\u3001\u5fc3\u96fb\u56f3\u306f\u6700\u3082\u8fc5\u901f\u304b\u3064\u91cd\u8981\u306a\u8a3a\u65ad\u30c4\u30fc\u30eb\u3067\u3059\u304c\u3001\u300c\u811a\u30d6\u30ed\u30c3\u30af\uff08Bundle Branch Block\uff09\u300d\u3092\u4f34\u3046\u75c7\u4f8b\u3067\u306f\u3001\u305d\u306e\u89e3\u8aad\u306e\u96e3\u6613\u5ea6\u304c\u98db\u8e8d\u7684\u306b\u4e0a\u6607\u3057\u307e\u3059\u3002\u811a\u30d6\u30ed\u30c3\u30af\u304c\u5b58\u5728\u3059\u308b\u3068\u3001\u5fc3\u81d3\u306e\u96fb\u6c17\u7684\u306a\u4f1d\u5c0e\u8def\u306e\u5909\u5316\u306b\u3088\u308a\u3001\u672c\u6765\u306e\u5fc3\u7b4b\u6897\u585e\u306b\u3088\u308bST\u5909\u5316\u304c\u96a0\u3055\u308c\u305f\u308a\u3001\u9006\u306b\u6897\u585e\u304c\u306a\u3044\u306e\u306bST\u304c\u52d5\u3044\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u305f\u308a\uff08\u4e8c\u6b21\u6027ST-T\u5909\u5316\uff09\u3059\u308b\u305f\u3081\u3067\u3059\u3002\u53f3\u811a\u30d6\u30ed\u30c3\u30af\u30fb\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u305d\u308c\u305e\u308c\u306e\u5c40\u9762\u306b\u304a\u3051\u308bAMI\u8a3a\u65ad\u306e\u30dd\u30a4\u30f3\u30c8\u3092\u8a73\u7d30\u306b\u89e3\u8aac\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>1. 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<\/p>\n\n\n\n<p>\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u3092\u4f34\u3046\u80f8\u75db\u60a3\u8005\u306e\u5fc3\u96fb\u56f3\u8a3a\u65ad\u306b\u304a\u3044\u3066\u3001\u6700\u3082\u91cd\u8981\u306a\u539f\u5247\u306f\u300c\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u5358\u72ec\u3067\u306f\u5fc3\u7b4b\u6897\u585e\u306e\u5224\u65ad\u306f\u56f0\u96e3\u3067\u3042\u308b\u300d\u3068\u3044\u3046\u8a8d\u8b58\u3092\u6301\u3064\u3053\u3068\u3067\u3059\u3002\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u3067\u306f\u3001V1\u301cV3\u8a98\u5c0e\u306a\u3069\u3067QRS\u6ce2\u304c\u4e0b\u5411\u304d\u306e\u969b\u3001\u6b63\u5e38\u306a\u53cd\u5fdc\u3068\u3057\u3066ST\u304c\u4e0a\u6607\u3057\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u901a\u5e38\u306eSTEMI\uff08ST\u4e0a\u6607\u578b\u5fc3\u7b4b\u6897\u585e\uff09\u306e\u57fa\u6e96\u304c\u305d\u306e\u307e\u307e\u9069\u7528\u3067\u304d\u307e\u305b\u3093\u3002\u3053\u3053\u3067\u3001\u5faa\u74b0\u5668\u9818\u57df\u3067\u4e16\u754c\u7684\u306b\u7528\u3044\u3089\u308c\u308b\u306e\u304cSgarbossa\uff08\u30b9\u30ac\u30eb\u30dc\u30c3\u30b5\uff09\u57fa\u6e96\u3067\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>QRS\u304c\u4e0b\u5411\u304d\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001ST\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\uff08\u672c\u6765\u306f\u4e0a\u6607\u3059\u308b\u306f\u305a\uff09\u3002<\/li>\n\n\n\n<li>QRS\u304c\u4e0a\u5411\u304d\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u3001ST\u304c\u3055\u3089\u306b\u4e0a\u6607\u3057\u3066\u3044\u308b\u3002<\/li>\n\n\n\n<li>QRS\u304c\u4e0b\u5411\u304d\u3067\u3001ST\u4e0a\u6607\u304c5mm\u3092\u8d85\u3048\u3066\u3044\u308b\u3002 \u3053\u308c\u3089\u306e\u6240\u898b\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u306e\u5f71\u97ff\u3092\u8d85\u3048\u305f\u300c\u7570\u5e38\u300d\u3067\u3042\u308a\u3001AMI\u306e\u53ef\u80fd\u6027\u304c\u6975\u3081\u3066\u9ad8\u3044\u3068\u5224\u65ad\u3057\u3001\u8fc5\u901f\u306b\u5faa\u74b0\u5668\u5185\u79d1\u3078\u30b3\u30f3\u30b5\u30eb\u30c6\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3046\u3079\u304d\u3067\u3059\u3002\u5224\u65ad\u306b\u8ff7\u3046\u5834\u5408\u306f\u3001\u904e\u53bb\u306e\u5fc3\u96fb\u56f3\u3068\u306e\u6bd4\u8f03\u3001\u5fc3\u30a8\u30b3\u30fc\uff08UCG\uff09\u306b\u3088\u308b\u58c1\u904b\u52d5\u306e\u78ba\u8a8d\u3001\u5fc3\u7b4b\u9038\u8131\u9175\u7d20\u306e\u63a1\u8840\u30c7\u30fc\u30bf\u3092\u7dcf\u5408\u3057\u3066\u5224\u65ad\u3059\u308b\u3053\u3068\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>2. \u53f3\u811a\u30d6\u30ed\u30c3\u30af\uff08RBBB\uff09\u3068\u5fc3\u7b4b\u6897\u585e\u306e\u5224\u5225<\/strong> <\/p>\n\n\n\n<p>\u53f3\u811a\u30d6\u30ed\u30c3\u30af\u306f\u3001\u5de6\u811a\u30d6\u30ed\u30c3\u30af\u306b\u6bd4\u3079\u308c\u3070\u6897\u585e\u90e8\u4f4d\u306e\u7279\u5b9a\u304c\u6bd4\u8f03\u7684\u5bb9\u6613\u3067\u3059\u304c\u3001\u7279\u6709\u306e\u300c\u8aad\u307f\u65b9\u300d\u306e\u30eb\u30fc\u30eb\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u4e0b\u58c1\u6897\u585e<\/strong>\uff1a\u2161\u3001\u2162\u3001aVF\u8a98\u5c0e\u3067\u306eST\u4e0a\u6607\u306b\u52a0\u3048\u3001\u30df\u30e9\u30fc\u30a4\u30e1\u30fc\u30b8\uff08\u93e1\u9762\u50cf\uff09\u3068\u3057\u3066\u306eaVL\u8a98\u5c0e\u306eST\u4f4e\u4e0b\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002RBBB\u306e\u30d1\u30bf\u30fc\u30f3\u304c\u3042\u3063\u3066\u3082\u3001\u3053\u308c\u3089\u306f\u4e0b\u58c1\u6897\u585e\u3068\u660e\u5feb\u306b\u5224\u65ad\u3067\u304d\u308b\u75c7\u4f8b\u3067\u3059\u3002<\/li>\n\n\n\n<li><strong>\u524d\u58c1\u6897\u585e<\/strong>\uff1a\u901a\u5e38\u3001RBBB\u3067\u306fV1\u301cV3\u8a98\u5c0e\u3067ST\u4f4e\u4e0b\u3092\u8a8d\u3081\u307e\u3059\u304c\u3001\u3053\u306e\u90e8\u4f4d\u3067\u9006\u306bST\u304c\u4e0a\u6607\u3057\u3066\u3044\u308b\u3001\u3042\u308b\u3044\u306f\u672c\u6765\u4f4e\u4e0b\u3059\u3079\u304d\u3068\u3053\u308d\u3067\u4f4e\u4e0b\u3057\u3066\u3044\u306a\u3044\uff08\u4e0a\u5411\u304d\u306b\u306a\u3063\u3066\u3044\u308b\uff09\u5834\u5408\u306f\u3001\u6025\u6027\u524d\u58c1\u6897\u585e\u3092\u5f37\u304f\u7591\u3044\u307e\u3059\u3002<\/li>\n\n\n\n<li><strong>\u5074\u58c1\u6897\u585e<\/strong>\uff1aV5\u3001V6\u8a98\u5c0e\u3067\u306eST\u4e0a\u6607\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002\u9ad8\u4f4d\u5074\u58c1\u6897\u585e\uff08\u2160\u3001aVL\u8a98\u5c0e\uff09\u306e\u5909\u5316\u3082\u898b\u9003\u3055\u306a\u3044\u3053\u3068\u304c\u91cd\u8981\u3067\u3059\u3002<\/li>\n<\/ul>\n\n\n\n<p><strong>3. aVR\u8a98\u5c0e\u306e\u843d\u3068\u3057\u7a74\u3068\u7dcf\u5408\u5224\u65ad<\/strong> <\/p>\n\n\n\n<p>RBBB\u75c7\u4f8b\u3067\u6ce8\u610f\u304c\u5fc5\u8981\u306a\u306e\u304caVR\u8a98\u5c0e\u3067\u3059\u3002\u53f3\u811a\u30d6\u30ed\u30c3\u30af\u306e\u969b\u306f\u3001AMI\u304c\u306a\u304f\u3068\u3082aVR\u3067ST\u4e0a\u6607\u3092\u8a8d\u3081\u308b\u3053\u3068\u304c\u901a\u5e38\u3067\u3059\u3002\u3053\u308c\u3092\u300c\u6709\u610f\u306aST\u4e0a\u6607\uff08\u91cd\u75c7\u865a\u8840\uff09\u300d\u3068\u8aa4\u8a8d\u3057\u3066\u3001\u614c\u3066\u3066\u7dca\u6025\u8981\u8acb\u3092\u3057\u3066\u306f\u3044\u3051\u307e\u305b\u3093\u3002aVR\u5358\u72ec\u306e\u5909\u5316\u306b\u60d1\u308f\u3055\u308c\u305a\u3001\u5168\u4f53\u306e\u6ce2\u5f62\u3068\u81e8\u5e8a\u75c7\u72b6\uff08\u80f8\u75db\u306e\u6709\u7121\u3084\u6027\u8cea\uff09\u3001\u3055\u3089\u306b\u306f\u5fc3\u30a8\u30b3\u30fc\u306b\u3088\u308b\u5c40\u6240\u58c1\u904b\u52d5\u306e\u8a55\u4fa1\u3092\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u304c\u300c\u81e8\u5e8a\u533b\u306e\u8155\u300d\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><strong>4. \u81e8\u5e8a\u533b\u3068\u3057\u3066\u306e\u59ff\u52e2\uff1a\u898b\u3048\u306a\u3044\u5909\u5316\u3092\u5148\u8aad\u307f\u3059\u308b<\/strong> <\/p>\n\n\n\n<p>\u6025\u6027\u5fc3\u7b4b\u6897\u585e\u306f\u3001\u6642\u9593\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u523b\u4e00\u523b\u3068\u6ce2\u5f62\u304c\u5909\u5316\u3057\u307e\u3059\u3002\u4e00\u5ea6\u306e\u5fc3\u96fb\u56f3\u3067\u78ba\u5b9a\u8a3a\u65ad\u304c\u3064\u304b\u306a\u304f\u3068\u3082\u3001\u75c7\u72b6\u304c\u7d9a\u304f\u5834\u5408\u306f30\u5206\u5f8c\u306b\u518d\u691c\u3059\u308b\u3053\u3068\u3067\u3001ST\u4e0a\u6607\u304c\u660e\u77ad\u5316\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u300c\u8ab0\u306b\u3082\u8a55\u4fa1\u3055\u308c\u306a\u3044\u304c\u3001\u5f8c\u624b\u306b\u56de\u3089\u305a\u306b\u30ab\u30c6\u30fc\u30c6\u30eb\u304c\u3067\u304d\u308b\u74b0\u5883\u3078\u3044\u304b\u306b\u65e9\u304f\u3064\u306a\u3052\u3089\u308c\u308b\u304b\u300d\u3053\u305d\u304c\u81e8\u5e8a\u533b\u306e\u9811\u5f35\u308a\u304c\u3044\u306e\u3042\u308b\u90e8\u5206\u3067\u3059\u3002\u67cf\u30fb\u6211\u5b6b\u5b50\u30a8\u30ea\u30a2\u3067\u5fc3\u96fb\u56f3\u306e\u7570\u5e38\u3092\u6307\u6458\u3055\u308c\u305f\u65b9\u3084\u80f8\u75db\u306b\u4e0d\u5b89\u3092\u611f\u3058\u308b\u65b9\u306f\u3001\u5fae\u7d30\u306a\u6ce2\u5f62\u5909\u5316\u3092\u8aad\u307f\u89e3\u304f\u5c02\u9580\u533b\u306e\u53d7\u8a3a\u3092\u5f37\u304f\u304a\u52e7\u3081\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-166.jpg\" alt=\"\" class=\"wp-image-4220\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-166.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-166-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-167.jpg\" alt=\"\" class=\"wp-image-4221\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-167.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-167-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-168.jpg\" alt=\"\" class=\"wp-image-4222\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-168.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-168-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-169.jpg\" alt=\"\" class=\"wp-image-4223\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-169.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-169-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-170.jpg\" alt=\"\" class=\"wp-image-4224\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-170.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-170-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-171.jpg\" alt=\"\" class=\"wp-image-4225\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-171.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-171-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-172.jpg\" alt=\"\" class=\"wp-image-4226\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-172.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-172-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-173.jpg\" alt=\"\" class=\"wp-image-4227\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-173.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-173-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"447\" src=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-174.jpg\" alt=\"\" class=\"wp-image-4228\" srcset=\"https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-174.jpg 800w, https:\/\/kashiwa-gomi-shikanaika.com\/blog\/wp-content\/uploads\/2026\/05\/image-2-174-400x224.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img 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