Yagi Kunimasa, Ogawa Shimpei, Saito Shumpei, Iwazawa Makoto, Tsuchiya Taketsugu, Mizuta Shuichi, Yamasaki Naohito, Muro Takashi
Department of General Internal Medicine, Kanazawa Medical University Hospital, Japan.
AMI Inc., Japan.
Intern Med. 2024 Dec 19. doi: 10.2169/internalmedicine.4345-24.
A 54-year-old man presented with a significant fourth heart sound (S4) and increased intensity of the second heart sound (S2), despite the absence of heart failure symptoms, in the second week of March 2024. Visualized phonocardiograms confirmed these findings, and further interviews revealed that he had suffered lifestyle changes, such as long commutes and sodium overload, while contributing to the response efforts in the 2024 Noto Peninsula Earthquake. Visualized phonocardiograms were also influential in determining the treatment strategy, persuading the patient to undergo a specific therapy, evaluating the therapeutic effects, and suggesting a new model for clinical practice.
2024年3月的第二周，一名54岁男性前来就诊，尽管没有心力衰竭症状，但出现了明显的第四心音（S4）和第二心音（S2）强度增加的情况。可视化心音图证实了这些发现，进一步询问得知，他在参与2024年能登半岛地震救援行动期间生活方式发生了改变，比如通勤时间长和钠摄入过量。可视化心音图在确定治疗策略、说服患者接受特定治疗、评估治疗效果以及为临床实践提供新模式方面也发挥了作用。
