著者

Kenichi Kurosaki Masataka Kitano Heima Sakaguchi Isao Shiraishi Naoko Iwanaga Jun Yoshimatsu Takaya Hoashi Hajime Ichikawa Satoshi Yasuda

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

vol.84, no.12, pp.2275-2285, 2020-11-25 (Released:2020-11-25)

参考文献数

30

被引用文献数

3

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Background:Congenital heart disease (CHD) is often diagnosed prenatally using fetal echocardiography, but few studies have evaluated the accuracy of these fetal cardiac diagnoses in detail. We investigated the discrepancy between pre- and postnatal diagnoses of CHD and the impact of discrepant diagnoses.Methods and Results:This retrospective study at a tertiary institution included data from the medical records of 207 neonates with prenatally diagnosed CHD admitted to the cardiac neonatal intensive care unit between January 2011 and December 2016. Pre- and postnatal diagnoses of CHD differed in 12% of neonates. Coarctation of the aorta and ventricular septal defects were the most frequent causes of discrepant diagnosis. Unexpected treatments were added to 38% of discrepant diagnostic cases. However, discrepant diagnoses did not adversely affect the clinical course. The 9% of the 207 neonates who required invasive intervention within 24 h of delivery were accurately diagnosed prenatally.Conclusions:Pre- and postnatal diagnoses differed in only a few neonates, with differences not adversely affecting the clinical course. Neonates who required invasive intervention immediately after delivery were accurately diagnosed prenatally. Prenatal diagnosis thus seems to contribute to improved prognosis in neonates with CHD.

著者

吉松 純 Jun Yoshimatsu

出版者

金城学院大学キリスト教文化研究所

雑誌

金城学院大学キリスト教文化研究所紀要 = Bulletin of Christian culture studies Kinjo Gakuin University

巻号頁・発行日

vol.23, pp.1-31, 2020-03-31

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フィンセント・ファン・ゴッホもマルク・シャガールも世代を超えて愛されている画家。バーネット・ニューマンは戦後のニューヨークの抽象芸術の一線で活躍した画家です。しかし,この3人の表現法はとても違います。何か共通することはあるのでしょうか。それは彼らの信仰にあります。ゴッホはオランダ改革派教会に生まれ育ち,聖書や教会などを作品の中に描いています。ユダヤ教はシャガールやニューマンに影響を及ぼしました。何世紀にもわたり十戒,とりわけ偶像礼拝につながる創作活動を禁じた第二戒はユダヤ人が芸術家を志す夢を打ち砕いてきました。シャガールもニューマンもそれと対峙して自分の絵を完成しました。この講演では,聴衆者に3人の芸術への思い,信仰をご紹介し,作品をより深く堪能する切っ掛けとなければと願っております。

著者

Keiko Yamasaki Hiroyuki Sawatari Nao Konagai Chizuko A. Kamiya Jun Yoshimatsu Jun Muneuchi Mamie Watanabe Terunobu Fukuda Atsushi Mizuno Ichiro Sakamoto Kenichiro Yamamura Tomoko Ohkusa Hiroyuki Tsutsui Koichiro Niwa Akiko Chishaki

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

vol.83, no.11, pp.2257-2264, 2019-10-25 (Released:2019-10-25)

参考文献数

38

被引用文献数

5

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Background:The average maternal age at delivery, and thus the associated maternal risk are increasing including in women with congenital heart disease (CHD). A comprehensive management approach is therefore required for pregnant women with CHD. The present study aimed to investigate the factors determining peripartum safety in women with CHD.Methods and Results:We retrospectively collected multicenter data for 217 pregnant women with CHD (age at delivery: 31.4±5.6 years; NYHA classifications I and II: 88.9% and 7.4%, respectively). CHD severity was classified according to the American College of Cardiology/American Heart Association guidelines as simple (n=116), moderate complexity (n=69), or great complexity (n=32). Cardiovascular (CV) events (heart failure: n=24, arrhythmia: n=9) occurred in 30 women during the peripartum period. Moderate or great complexity CHD was associated with more CV events during gestation than simple CHD. CV events occurred earlier in women with moderate or great complexity compared with simple CHD. Number of deliveries (multiparity), NYHA functional class, and severity of CHD were predictors of CV events.Conclusions:This study identified not only the severity of CHD according to the ACC/AHA and NYHA classifications, but also the number of deliveries, as important predictive factors of CV events in women with CHD. This information should be made available to women with CHD and medical personnel to promote safe deliveries.