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Pathogenesis and progression mechanisms of pulmonary hypertension and right heart failure associated with left heart failure

Research Project

Project/Area Number 18K08070
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 53020:Cardiology-related
Research InstitutionOsaka University

Principal Investigator

SERA FUSAKO  大阪大学, 医学系研究科, 特任助教(常勤) (70794139)

Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2019: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2018: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords肺高血圧症 / 心不全
Outline of Final Research Achievements

In this study, we examined genetic risk factors and noninvasive risk stratification of pulmonary hypertension in left heart failure. For genetic risk, we found that in left heart failure patients with pulmonary hypertension, those with genetic mutations associated with pulmonary hypertension had a worse prognosis than those without mutations.
For noninvasive risk stratification, we studied in heart failure hospitalized patients with preserved ejection fraction and showed that pulmonary hypertension with increased pulmonary vascular resistance is associated with death and heart failure hospitalization one year after discharge. Among the echocardiographic indices, left ventricular diameter of 48 mm or less and E/e'16.5 or greater were shown to be useful for risk stratification.

Academic Significance and Societal Importance of the Research Achievements

現在まで、肺高血圧および右心不全を発症した心不全に対する確立した治療法はありませんが、症例報告レベルでは、肺血管拡張薬が奏功した報告もあることから、適切な層別化により肺血管拡張薬などの既存の薬剤の恩恵を得られる症例が存在する可能性も考えられます。また、実臨床においてハイリスク症例を早期に同定できれば、予後悪化の連鎖を食い止めるために肺動脈や右室機能不全をターゲットとした重症化予防のための新規治療戦略の確立につながることが期待されます。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (8 results)

All 2021 2020

All Presentation (8 results) (of which Int'l Joint Research: 3 results,  Invited: 3 results)

  • [Presentation] 心臓移植登録を見据えた心臓移植実施施設と非実施施設の運携2021

    • Author(s)
      世良英子,大谷朋仁,赤澤康弘 ,中本敬,戸田宏一, 宮川繁, 坂田泰史
    • Organizer
      第57回日本移植学会総会
    • Related Report
      2021 Annual Research Report
    • Invited
  • [Presentation] Pulmonary Hypertension in Patients with Myeloproliferative Disease2021

    • Author(s)
      Fusako Sera, Hidetaka Kioka, Keiko Yamauchi-Takihara, Yasushi Sakata
    • Organizer
      The 6th Annual Scientifi Session of the Korean Pulmonary Hypertension Society 2021
    • Related Report
      2021 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 第2群肺高血圧症診断・治療のpitfall2020

    • Author(s)
      世良 英子
    • Organizer
      第84回 日本循環器学会学術集会
    • Related Report
      2020 Research-status Report
    • Invited
  • [Presentation] Clinical characteristics and prognostic impact of pulmonary hypertension in heart failure with preserved ejection fraction: the PURSUIT HFpEF study2020

    • Author(s)
      Fusako Sera, Tomohito Ohtani, Kei Nakamoto, Takahisa Yamada, Yoshio Yasumura, Shunsuke Tamaki, Takaharu Hayashi, Masamichi Yano, Shungo Hikoso, Keiko Yamauchi-Takihara, Yasushi Sakata
    • Organizer
      ESC Congress 2020
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] Prevalence and Characteristics of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction: The PURSUIT HFpEF Study2020

    • Author(s)
      世良英子、大谷朋仁、中本敬、安村良男、山田貴久、上松正朗, 玉置俊介、樋口義治、中川雄介、藤久和、西野雅巳、彦惣俊吾、中谷大作、瀧原 圭子、坂田 泰史
    • Organizer
      第84回 日本循環器学会学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 新基準に基づく左室収縮能が保たれた心不全に伴う肺高血圧の検討2020

    • Author(s)
      世良 英子、大谷 朋仁、山田 貴久、安村 良男、玉置 俊介、林 隆治、中川 彰人、彦惣 俊吾、瀧原 圭子、坂田 泰史
    • Organizer
      第5回 日本肺高血圧・肺循環学会学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] Impact of the new definition of pulmonary hypertension in heart failure with preserved ejection fraction2020

    • Author(s)
      Fusako Sera, Tomohito Ohtani, Kei Nakamoto, Shungo Hikoso, Daisaku Nakatani, Shunsuke Tamaki, Masamichi Yano, Takaharu Hayashi, Akito Nakagawa, Yusuke Nakagawa, Yoshio Yasumura, Takahisa Yamada, Keiko Yamauchi-Takihara, Yasuhi Sakata
    • Organizer
      AHA Scientific Sessions 2020
    • Related Report
      2020 Research-status Report
    • Int'l Joint Research
  • [Presentation] Prevalence and Characteristics of Pulmonary Hypertension in Heart Failure with Preserved Ejection Fraction: The PURSUIT HFpEF Study2020

    • Author(s)
      世良 英子
    • Organizer
      第84回日本循環器学会学術集会
    • Related Report
      2019 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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