Usefulness of active standing for the diagnosis of vasivagal syncope
| Project/Area Number |
17K09539
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Cardiovascular medicine
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| Research Institution | University of Occupational and Environmental Health, Japan |
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Principal Investigator |
Abe Haruhiko 産業医科大学, 医学部, 特任教授 (70231967)
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| Co-Investigator(Kenkyū-buntansha) |
河野 律子 産業医科大学, 医学部, 特任准教授 (20449945)
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| Project Period (FY) |
2017-04-01 – 2020-03-31
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| Project Status |
Completed (Fiscal Year 2019)
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| Budget Amount *help |
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
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| Keywords | 失神 / 血管迷走神経性失神 / head-up tilt検査 / 心臓突然死 / 職業運転者 / 健康起因性事故 / 起立調節訓練 / active standing試験 / ペースメーカ治療 / 起立調節訓練法 |
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| Outline of Final Research Achievements |
To determine the usefulness of active standing examination for suspected vasovagal syncope patients, 47 patients were examined by active standing examination in out-patient clinic. 40% of the patients were positive response, and were followed with orthostatic self-training at home. all teh patients showed no reccurrence of syncope. To determeine the cause of professional drivers health-related accident between 2015-2017 in Japan, most common cause was cardiovascular disease. sudden cardiac death was observed in 11%, and transient loss of conscuousness was observed in 29%.
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| Academic Significance and Societal Importance of the Research Achievements |
血管迷走神経性失神の診断にHead-up tilt検査があるが、労力と時間を要するため、簡易型のactive standing試験の有用性を検討した。40％のVVS疑い患者で陽性であり、スクリーニングとして有用と考えられた。国内で最近増加している職業運転者の健康起因性事故の原因を明らかにするため、事故報告書をもとに解析を行った。職業運転者の健康起因性事故の原因疾患では循環器疾患が最多であった。注目すべきは、心臓突然死が１１％に認められ、意識消失発作が２９％に認められた。
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Report
(4 results)
Research Products
(67 results)
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[Journal Article] Prognostic impact of lead tip position confirmed via computed tomography in patients with right ventricular septal pacing.2019
Author(s)
Hattori M, Naruse Y, Oginosawa Y, Matsue Y, Hanaki Y, kowase S, Kurosaki K, Mizukami A, Kohno R, Abe H, Aonuma K, Nogami A
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Journal Title
Heart Rhythm
Volume: 印刷中
Issue: 6
Pages: 921-927
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Muller maneuver as a tool for stress echocardiography: evaluation of exercise capacity in patients with dilated cardiomyopathy.2018
Author(s)
Onoue T, Fukuda S, Hayashi A, Hei S, Kado Y, Nagata Y, Iwataki M, Kohno R, Miyamoto T, Oginosawa Y, Araki M, Sonoda S, Takeuchi M, Abe H, Otsuji Y
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Journal Title
JACC Cardiovasc Imaging
Volume: 11
Pages: 1031-1032
Related Report
Peer Reviewed / Open Access
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[Journal Article] 2017 HRS expert consensus statement on magnetic resonance imaging and radiation exposure in patients with cardiovascular implantable electronic devices.2017
Author(s)
Indik JH, Gimbel JR, Abe H,Alkmim-Teixeira R, Birgersdotter-Green U, Clarke GD, Dickfeld TL, Froelich JW, Grant J, Hayes DL, Heidbuchel H, Idriss SF, Kanal E, Lampert R, Machado CE, Mandrola JM, Nazarian S, Patton KK, Rozner MA, Russo RJ, Shen WK, Shinbane JS, Teo WS, Uribe W. (27人中３番目）
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Journal Title
Heart Rhythm
Volume: 14
Issue: 7
Pages: e97-e153
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] The phenotypic spectrum of a mutation hotspot responsible for the short QT syndrome2017
Author(s)
Hu D, Zhang J, Li Y, Pfeiffer R, Gollob MH, Healey J, Harrell DT, Makita N, Abe H, Sum Y, Guo J, Zhang L, Yan G, Mah D, Walsh EP, Leopold HB, Giustetto C, Gaita F, Zienciuk-Krajka A, Mazzabti A, Priori SG, Antzelevitch C, Barajas-Martines H
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Journal Title
JACC Clinical Electrophysiol
Volume: 3
Pages: 727-743
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Superior Rhythm Discrimination With the SmartShock Technology Algorithm ― Results of the Implantable Defibrillator With Enhanced Features and Settings for Reduction of Inaccurate Detection (DEFENSE) Trial ―2017
Author(s)
Oginosawa Y, Kohno R, Honda T, Kikuchi K, Nozoe M, Uchida M, Minamiguchi H, Sonoda K, Ogawa M, Ideguchi T, Kizaki Y, Nakamura T, Oba K, Higa S, Yoshida K, Tsunoda S, Fujino Y, Abe H
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Journal Title
Circulation Journal
Volume: 81
Issue: 9
Pages: 1272-1277
DOI
NAID
ISSN
1346-9843, 1347-4820
Related Report
Peer Reviewed / Open Access
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[Presentation] Reduced Physical Activity Predicts Clinical Outcome in Patients with Pacemaker Implantation―Results from the Japanese Heart Rhythm Society Registry2019
Author(s)
Arimoto T, Watanabe E, Kohno R, Shimeno K, Kikuchi K, Doi A, Inoue K, Takashi N, Nogami A, Abe H, Okumura K
Organizer
The 66th Annual meeting of the Japanese Heart Rhythm Society
Related Report
Int'l Joint Research
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[Book] 不整脈20192019
Author(s)
安部治彦、河野律子
Total Pages
238
Publisher
メデイカルレビュー社
ISBN
9784779222702
Related Report
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[Book] 不整脈20172017
Author(s)
河野律子、安部治彦
Total Pages
215
Publisher
メデイカルレビュー社
ISBN
9784779214943
Related Report
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