循環器系と健康長寿・フレイル対策

出版社： 先端医学社
著者：
発行日： 2022-10-05
分野： 臨床医学：内科  >  老人医学
ISBN： 9784865504606
電子書籍版： 2022-10-05 （第1版第1刷）
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超高齢社会を迎えたわが国では、要介護に至ることなくいかに健康長寿を達成するかが重要課題となり、治す医療から治し支える医療へ、地域完結型の医療への転換が模索されている。そこで注目されているのが「フレイル」や「ロコモ」といった状態である。本シリーズは、イラストやシェーマを随所に盛り込み、初学者でも理解しやすく、医療に従事する全てのスタッフに最適な一冊となっている。シリーズ四巻目では、フレイル、生活機能障害のリスクとなる生活習慣病について概説する。

目次

  • PART1 循環器系と加齢変化
    　1.循環器系の仕組みと加齢変化
    　2.高齢期に注意したい循環器機能障害
    　3.高齢期の循環器機能障害とフレイル
    　Column　垂水研究

    PART2 高齢者のスクリーニング
    　1.高齢者の循環器障害と関連した症状・主訴・注意すべき訴え
    　2.高齢者の注意すべき検査
    　3.循環器疾患・機能とCGA
    　Column　ACHD（成人先天性心疾患）とフレイル

    PART3 各疾患に対する治療とフレイル
    　1.虚血性心疾患の治療とフレイル
    　2.心臓弁膜症の治療とフレイル
    　3.心房細動の治療とフレイル
    　紙上ディベート(1)　高齢者虚血性心疾患はどう治療すべきか？
    　　PCIの立場より
    　　CABGの立場より
    　4.慢性心不全の治療とフレイル
    　5.血管疾患の治療とフレイル
    　Column　TAVIとフレイル

    PART4 生活支援に根ざした介入
    　1.循環器疾患・機能障害を有する高齢者とのコミュニケーション
    　2.生活を見直そう フレイル予防に向けて
    　3.心臓リハビリテーション
    　4.おもな循環器病薬と服薬指導
    　　　―非専門スタッフが指導できる知識とコツ
    　5.心不全患者の緩和ケア
    　Column　心リハを応用した「サルコペニア・フレイル外来」

    PART5 地域で支える取り組み・連携
    　1.地域包括ケアにおける医療スタッフの役割と連携　
    　2.循環器疾患の在宅医療
    　3.各療養の場における患者サポート
    　紙上ディベート(2)　フレイルを伴う高齢者の血圧はどうするべきか？
    　「下げるべき」の立場より
    　「下げない」の立場より
    　付録　知っておきたいフレイル・ロコモ・サルコペニアの概念

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

PART 1 循環器系と加齢変化

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PART 2 高齢者のスクリーニング

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PART 3 各疾患に対する治療とフレイル

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PART 4 生活支援に根ざした介入

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7) 日本循環器学会ほか : 『心不全の定義』について http://www.j-circ.or.jp/five_year/teigi_qa.pdf
 
8) 日本緩和医療学会ガイドライン統括委員会 : がん患者の治療抵抗性の苦痛と鎮静に関する基本的な考え方の手引き 2018年版, 金原出版, 東京, 2018
 
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PART 5 地域で支える取り組み・連携

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1) 倉敷中央病院心臓病センター 循環器内科ホームページ (https://www.kchnet.or.jp/hdc/cardiovascular/disease/HF.html)
 
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1) Zarit 介護負担尺度 日本語版 http://www.chiba.med.or.jp/personnel/nursing/download/text2012_3.pdf
 
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2) Denfeld QE et al : The prevalence of frailty in heart failure : a systematic review and meta-analysis. Int J Cardiol 236 : 283-289, 2017
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3) Tucker WJ et al : Impaired exercise tolerance in heart failure : role of skeletal muscle morphology and function. Current Heart Failure Reports 15 : 323-331, 2018
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4) Fulster S et al : Muscle wasting in patients with chronic heart failure : results from the studies investigating co-morbidities aggravating heart failure (SICA-HF). Eur Heart J 34 : 512-519, 2013
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5) Sugie M et al : Relationship between skeletal muscle mass and cardiac function during exercise in community-dwelling older adults. ESC Heart Fail 4 : 409-416, 2017
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6) Shiraishi Y et al : 9-Year Trend in the Management of Acute Heart Failure in Japan : A Report From the National Consortium of Acute Heart Failure Registries. J Am Heart Assoc 7 : e008687, 2018
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7) Akita K et al : Current use of guideline-based medical therapy in elderly patients admitted with acute heart failure with reduced ejection fraction and its impact on event-free survival. Int J Cardiol 235 : 162-168, 2017
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8) Akita K et al : Prognostic impact of previous hospitalization in acute heart failure patients. Circ J 83 : 1261-1268, 2019
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9) Takabayashi K et al : Clinical characteristics and social frailty of super-elderly patients with heart failure-the kitakawachi clinical background and outcome of heart failure registry. Circ J 81 : 69-76, 2017
 
10) 柴田龍宏 : 心不全緩和ケアチームの作り方. 心臓 51 : 133-138, 2019
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11) Nara M et al : Japanese version of the Montreal cognitive assessment cut-off score to clarify improvement of mild cognitive impairment after exercise training in community-dwelling older adults. Geriatr Gerontol Int 18 : 833-838, 2018
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12) Annoni G et al : Real-world characteristics of hospitalized frail elderly patients with atrial fibrililation : can we improve the current prescription of anticoagulants? J Geriatr Cardiol 13 : 226-232, 2016
 
13) Okumura K et al : Low-dose edoxaban in very elderly patients with atrial fibrillation. N Engl J Med 383 : 1735-1745
 
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1) Benetos A et al : Treatment with multiple blood pressure medications, achieved blood pressure, and mortality in older nursing home residents : The PARTAGE Study. JAMA Intern Med 75 : 989-995, 2015
 
2) Beckett NS et al : Treatment of hypertension in patients 80 years of age or older. N Engl J Med 358 : 1887-1898, 2008
 
3) Williamson JD et al : Intensive vs standard blood pressure control and cardiovascular disease outcomes in adults aged ≧ 75 Years : a randomized clinical trial. JAMA 315 : 2673-2682, 2016
 
4) Delgado J et al : Blood pressure trajectories in the 20 years before death, JAMA Intern Med 178 : 93-99, 2018
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P.137 掲載の参考文献
1) Benetos A et al : Treatment with multiple blood pressure medications, achieved blood pressure, and mortality in older nursing home residents : The PARTAGE Study. JAMA Intern Med 175 : 989-995, 2015
PubMed

付録 知っておきたいフレイル・ロコモ・サルコペニアの概念

P.140 掲載の参考文献
1) 葛谷雅文 : 超高齢社会におけるサルコペニアとフレイル. 日内会誌 104 : 2602-2607, 2015
 
2) Nakamura K : The concept and treatment of locomotive syndrome : its acceptance and spread in Japan. J Orthop Sci 16 : 489-491, 2011
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3) Xue QL et al : Initial manifestations of frailty criteria and the development of frailty phenotype in the Women's Health and Aging Study II. J Gerontrol A Biol Sci 63 : 984-990, 2008
 

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