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Model construction as a safer cardiac rehabilitation model with ASV therapy

Research Project

Project/Area Number 15K01363
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionUniversity of Toyama

Principal Investigator

JOHO SHUJI  富山大学, 大学院医学薬学研究部(医学), 講師 (90334721)

Research Collaborator USHIJIMA Ryuichi  
AKABANE Takashi  
NAKAGAITO Masaki  
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2015: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords心不全 / 自律神経 / 交感神経 / ASV療法 / 慢性心不全 / 交感神経活動 / 化学感受性 / 換気応答 / 心臓リハビリテーション
Outline of Final Research Achievements

This study investigated the effect of adaptive servo-ventilation (ASV) therapy as a part of the cardiac rehabilitation in patients with chronic heart failure, via improving QOL and exercise tolerance. First, we examined the correlation between impaired lung function or ventilatory response and sympathetic overactivation in patients with chronic heart failure, and revealed the mechanism that sympathetic nervous activity was enhanced in patients with impaired lung function. We also determined the relationship between sympathetic nerve activity and prognosis in the patients. In the last year, we focused on nutritional disorders related to the success or failure of cardiac rehabilitation, and examined the effect of ASV therapy on nutritional disorder. We found that ASV therapy improved nutritional status in associated with suppression of sympathetic nerve activity. Thus, ASV therapy might be a useful tool to lead success of cardiac rehabilitation in patients with chronic heart failure.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (29 results)

All 2017 2016 2015

All Journal Article (7 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 4 results,  Open Access: 4 results,  Acknowledgement Compliant: 1 results) Presentation (21 results) (of which Int'l Joint Research: 8 results,  Invited: 6 results) Book (1 results)

  • [Journal Article] Successful Withdrawal from Dobutamine by Canagliflozin in a Diabetic Patient with Stage D Heart Failure2017

    • Author(s)
      Nakagaito M, Joho S, Ushijima R, Hirai T, Kinugawa K.
    • Journal Title

      International Heart Journal

      Volume: 58 Issue: 6 Pages: 978-981

    • DOI

      10.1536/ihj.16-644

    • NAID

      130006251712

    • ISSN
      1349-2365, 1349-3299
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Independent prognostic importance of respiratory instability and sympathetic nerve activity in patients with chronic heart failure.2017

    • Author(s)
      Asanoi H, Harada D, Oda Y, Ueno H, Takagawa J, Ishise H, Goso Y, Joho S, Inoue H.
    • Journal Title

      J Cardiol

      Volume: in press Issue: 5 Pages: 476-483

    • DOI

      10.1016/j.jjcc.2017.02.011

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 呼吸器疾患における交感神経活動亢進の意義2017

    • Author(s)
      城宝秀司
    • Journal Title

      The Lung perspective

      Volume: 25 Pages: 78-83

    • Related Report
      2017 Annual Research Report
  • [Journal Article] 心不全2017

    • Author(s)
      城宝秀司 絹川弘一郎
    • Journal Title

      月刊Mebio

      Volume: 1 Pages: 78-83

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Restrictive Lung Function Is Related to Sympathetic Hyperactivity in Patients With Heart Failure.2017

    • Author(s)
      Joho S, Ushijima R, Akabane T, Hirai T, Inoue H.
    • Journal Title

      Journal of Cardiac Failure

      Volume: 23 Issue: 2 Pages: 96-103

    • DOI

      10.1016/j.cardfail.2016.06.001

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Sympathetic Nerve Activity Efferent Drive and Beta-Blocker Treatment – Effect of Interaction in Systolic Heart Failure –2016

    • Author(s)
      Joho S, Akabane T, Ushijima R, Hirai T, Kinugawa K.
    • Journal Title

      Circulation Journal

      Volume: 80 Issue: 10 Pages: 2149-2154

    • DOI

      10.1253/circj.CJ-16-0464

    • NAID

      130005419063

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 慢性心不全で最も注目すべき所見 不安定呼吸2016

    • Author(s)
      城宝秀司
    • Journal Title

      循環器ハートナーシング

      Volume: 10 Pages: 28-37

    • Related Report
      2016 Research-status Report
  • [Presentation] Influence of sympathetic nerve activity on prognostic impact of hyperuricemia in patients with heart failure.2017

    • Author(s)
      Shuji Joho, Takashi Akabane, Ryuichi Ushijima, Masaki Nakagaito, Makiko Nakamura, Koichiro Kinugawa. Influence of sympathetic nerve activity on prognostic impact of hyperuricemia in patients with heart failure.
    • Organizer
      European Society Congress 2017, Barcelona.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Sympathetic overactivation predicts body weight loss in patients with chronic heart failure.2017

    • Author(s)
      Shuji Joho, Ryuichi Ushijima, Takashi Akabane, Masaki Nakagaito, Makiko Nakamura, Koichiro Kinugawa.
    • Organizer
      American Heart Association 2017, Anaheim.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Periodic limb movement of wakefulness is associated with sympathetic overactivation and poor outcome in patients with chronic heart failure.2017

    • Author(s)
      Ryuichi Ushijima, Shuji Joho, Masaki Nakagaito, Takashi Akabane, Tadakazu Hirai, Koichiro Kinugawa.
    • Organizer
      European Society Congress 2017, Barcelona.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Short term effect of SGLT2 inhibitor, Dapagliflozin added on to standard therapy in decompensated heart failure patients with diabetes mellitus.2017

    • Author(s)
      Masaki Nakagaito, Shuji Joho, Ryuichi Ushijima, Tadakazu Hirai, Koichiro Kinugawa. Short term effect of SGLT2 inhibitor, Dapagliflozin added on to standard therapy in decompensated heart failure patients with diabetes mellitus. ESC2017 2017年8月29日 Barcelona.
    • Organizer
      European Society Congress 2017, Barcelona.
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Physiological approach to heart failure. What we cannot determine using the methods.2017

    • Author(s)
      Shuji Joho.
    • Organizer
      第81回日本循環器学会総会 金沢
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 慢性呼吸器疾患における交感神経活性化の意義2017

    • Author(s)
      城宝秀司
    • Organizer
      第10回日本呼吸ケア・リハビリテーション学会北陸支部年次集会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] MSNAからみた慢性心不全の薬物・非薬物療法2017

    • Author(s)
      城宝秀司
    • Organizer
      第30回マイクロニューログラフィー学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] Periodic limb movement of wakefulness is associated with sympathetic overactivation and poor outcome in patients with chronic heart failure.2017

    • Author(s)
      Ryuichi Ushijima, Shuji Joho, Masaki Nakagaito, Makiko Nakamura, Tadakazu Hirai, Koichiro Kinugawa.
    • Organizer
      第81回日本循環器学会総会 金沢
    • Related Report
      2017 Annual Research Report
  • [Presentation] Short term effect of SGLT2 inhibitor, Dapagliflozin added on loop diuretics in heart failure patients with diabetes mellitus.2017

    • Author(s)
      Masaki Nakagaito, Shuji Joho, Ryuichi Ushijima, Makiko Nakamura, Tadakazu Hirai, Koichiro Kinugawa.
    • Organizer
      第81回日本循環器学会総会 金沢
    • Related Report
      2017 Annual Research Report
  • [Presentation] Restrictive lung function is associated with increased sympathetic nerve activity in patients with heart failure.2016

    • Author(s)
      Shuji Joho, Ryuichi Ushijima, Takashi Akabane, Tadakazu Hirai, Koichiro Kinugawa.
    • Organizer
      日本心不全学会
    • Place of Presentation
      札幌
    • Year and Date
      2016-10-07
    • Related Report
      2016 Research-status Report
  • [Presentation] Prescription of beta blockers at lower dose is associated with poor outcomes in heart failure patients with central sympathetic overactivation.2016

    • Author(s)
      Takashi Akabane, Shuji Joho, Ryuichi Ushijima, Tadakazu Hirai, Koichiro Kinugawa.
    • Organizer
      ESC2016 2016年8月 Rome.
    • Place of Presentation
      ローマ
    • Year and Date
      2016-08-30
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] Protective effect of beta-blockers on worsening of renal function in heart failure patients with sympathetic overactivation.2016

    • Author(s)
      Ryuichi Ushijima, Shuji Joho, Takashi Akabane, Tadakazu Hirai, Koichiro Kinugawa.
    • Organizer
      ESC2016
    • Place of Presentation
      ローマ
    • Year and Date
      2016-08-30
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 慢性心不全におけるβ遮断薬療法と中枢性交感神経制御(シンポジウム)2016

    • Author(s)
      城宝秀司
    • Organizer
      第37回日本循環制御総会
    • Place of Presentation
      東京
    • Year and Date
      2016-07-08
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Restrictive lung function is related to sympathetic hyperactivity in patients with chronic heart failure.2015

    • Author(s)
      Shuji Joho, Ryuichi Ushijima, Takashi Akabane, Tadakazu Hirai, Hiroshi Inoue, Koichiro Kinugawa
    • Organizer
      AHA2015
    • Place of Presentation
      オーランド
    • Year and Date
      2015-11-07
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 慢性心不全における交感神経活動亢進と呼吸異常との相互作用2015

    • Author(s)
      城宝秀司、牛島龍一、赤羽崇、井上博、麻野井英次
    • Organizer
      第38回日本高血圧学会総会
    • Place of Presentation
      松山
    • Year and Date
      2015-10-24
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 両側性の特発性冠動脈解離に腎動脈閉塞を合併した一例2015

    • Author(s)
      川筋仁史、牛島龍一、中垣内昌樹、上野博志、城宝秀司、平井忠和、絹川弘一郎
    • Organizer
      日本循環器学会第146回東海・第131回北陸合同地方会
    • Place of Presentation
      名古屋
    • Year and Date
      2015-10-24
    • Related Report
      2015 Research-status Report
  • [Presentation] Sympathetic overactivation predicts worsening renal function in patients with chronic heart failure.2015

    • Author(s)
      Ryuichi Ushijima, Shuji Joho, Takashi Akabane, Hiroshi Inoue
    • Organizer
      ESC2015
    • Place of Presentation
      ロンドン
    • Year and Date
      2015-08-29
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] Monoclonal gammopathy of undetermined significance (MGUS)と過去に診断され、心不全を契機に全身性アミロイドーシスと診断された1症例2015

    • Author(s)
      赤羽崇、城宝秀司、渡邊善之、牛島龍一、上野博志、平井忠和、井上博
    • Organizer
      第226回日本内科学会北陸地方会
    • Place of Presentation
      福井
    • Year and Date
      2015-06-21
    • Related Report
      2015 Research-status Report
  • [Presentation] Effect of Adaptive Servo-ventilation therapy on Sympathetic Nerve Activity in Patients with Chronic Heart Failure.2015

    • Author(s)
      Shuji Joho
    • Organizer
      第79回日本循環器学会総会
    • Place of Presentation
      大阪
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Sympathetic overactivation but not hyponatremia as an independent predictor of cardiovascular events and mortality in patients with chronic heart failure.2015

    • Author(s)
      Takashi Akabane, Shuji Joho, Ryuichi Ushijima, Hiroshi Inoue
    • Organizer
      第79回日本循環器学会総会
    • Place of Presentation
      大阪
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report
  • [Presentation] Sympathetic overactivation predicts worsening renal function in patients with chronic heart failure.2015

    • Author(s)
      Ryuichi Ushijima, Shuji Joho, Takashi Akabane, Yoshitaka Oda, Hiroshi Inoue.
    • Organizer
      第79回日本循環器学会総会
    • Place of Presentation
      大阪
    • Year and Date
      2015-04-24
    • Related Report
      2015 Research-status Report
  • [Book] Clinical assessment of autonomic nervous system, Clinical Assessment of the Autonomic Nervous System2017

    • Author(s)
      Shuji Joho
    • Total Pages
      16
    • Publisher
      Springer
    • Related Report
      2016 Research-status Report

URL: 

Published: 2015-04-16   Modified: 2019-03-29  

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