Coronary Microvascular Dysfunction Underlying Non-Ischemic Heart Failure and Development of Potential Therapeutic Strategies
Project/Area Number |
18K08110
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Review Section |
Basic Section 53020:Cardiology-related
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Research Institution | Kumamoto University |
Principal Investigator |
Tsujita Kenichi 熊本大学, 大学院生命科学研究部(医), 教授 (60571263)
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Project Period (FY) |
2018-04-01 – 2023-03-31
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Project Status |
Completed (Fiscal Year 2022)
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Budget Amount *help |
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2018: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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Keywords | 心不全 / 冠微小循環障害 / 心筋症 / 心筋虚血 / 冠内圧 / 冠血流 / 心筋エネルギー代謝 / 微小循環障害 |
Outline of Final Research Achievements |
Microvascular Dysfunction (MVD) has been thought to be one of the potential mechanisms underlying the heart failure in elderly. However, established diagnostic procedures themselves have been lacking. In this research project, the investigators have established an diagnostic scheme of MVD invasively and non-invasively in non-ischemic heart failure patients in the clinical setting and proposed several potential therapeutic options and added considerable description in the updated guideline published by the Japanese Circulation Society.
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Academic Significance and Societal Importance of the Research Achievements |
本研究から得られるデータは、そのまま高齢者心不全の基盤病態解明に直結し、治療戦略提示に繋がるものである。 本研究から、MVD評価指標の確立・標準化への道筋がつけられ、今後本邦並びに海外においても一定の侵襲的診断手順IDPが標準的に行われ、MVD研究の共通言語となり得る。国内におけるMVD研究組織が構築され、更には国際共同研究が推進される事で、MVD研究のスピードアップが期待される。本研究からMVDへの治療戦略としていくつかのオプションの可能性が示唆され、これらの成果がガイドラインに記載されたことは社会的意義が大きい。
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Report
(6 results)
Research Products
(89 results)
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[Journal Article] Discordance between fractional flow reserve and instantaneous wave-free ratio in patients with severe aortic stenosis: A retrospective cohort study2023
Author(s)
Yamanaka F, Shishido K, Yokota S, Moriyama N, Ochiai T, Yamada T, Hayashi T, Miyashita H, Yokoyama H, Yamanaga K, Tabata N, Yamaguchi M, Yamagishi T, Matsumoto T, Tobita K, Mizuno S, Tanaka Y, Murakami M, Takahashi S, Saito S, Tsujita K.
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Journal Title
Journal of Cardiology
Volume: 81
Issue: 2
Pages: 138-143
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Clinical impact of beta-blockers at discharge on long-term clinical outcomes in patients with non-reduced ejection fraction after acute myocardial infarction2023
Author(s)
Sakagami A, Soeda T, Saito Y, Nakao K, Ozaki Y, Kimura K, Ako J, Noguchi T, Suwa S, Fujimoto K, Dai K, Morita T, Shimizu W, Hirohata A, Morita Y, Inoue T, Okamura A, Mano T, Wake M, Tanabe K, Shibata Y, Owa M, Tsujita K, et al.
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Journal Title
Journal of Cardiology
Volume: 81
Issue: 1
Pages: 83-90
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Effect of the ALDH2 Variant on the Prevalence of Atrial Fibrillation in Habitual Drinkers2022
Author(s)
Yamashita T, Arima Y, Hoshiyama T, Tabata N, Sueta D, Kawahara Y, Ito M, Kanazawa H, Ishii M, Yamanaga K, Hanatani S, Takashio S, Araki S, Suzuki S, Yamamoto E, Kaikita K, Oniki K, Saruwatari J, Matsushita K, Tsujita K.
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Journal Title
JACC: Asia
Volume: 2
Issue: 1
Pages: 62-70
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] East Asian variant aldehyde dehydrogenase type 2 genotype exacerbates ischemia/reperfusion injury with ST-elevation myocardial infarction in men: possible sex differences2022
Author(s)
Ishida T, Arima Y, Mizuno Y, Harada E, Yamashita T, Sueta D, Sakamoto K, Suzuki S, Kaikita K, Yamada Y, Shimomura H, Oniki K, Saruwatari J, Hokimoto S, Yasue H, Tsujita K.
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Journal Title
Heart and Vessels
Volume: 37
Issue: 2
Pages: 184-193
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] International prospective cohort study of microvascular angina ? Rationale and design2020
Author(s)
Suda Akira、Takahashi Jun、Beltrame John F.、Berry Colin、Camici Paolo G.、Crea Filippo、Escaned Javier、Ford Tom、Carlos Kaski Juan、Kiyooka Takahiko、Metha Puja K.、Ong Peter、Ozaki Yukio、Pepine Carl、Rimoldi Ornella、Safdar Basmah、Sechtem Udo、Tsujita Kenichi、Yii Eric、Noel Bairey Merz C.、Shimokawa Hiroaki
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Journal Title
IJC Heart & Vasculature
Volume: 31
Pages: 100630-100630
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] JCS 2020 Guideline on Diagnosis and Treatment of Cardiac Amyloidosis2020
Author(s)
Kitaoka H, Izumi C, Izumiya Y, Inomata T, Ueda M, Kubo T, Koyama J, Sano M, Sekijima Y, Tahara N, Tsukada N, Tsujita K, Tsutsui H, Tomita T, Amano M, Endo J, Okada A, Oda S, Takashio S, Baba Y, Misumi Y, Yazaki M, Anzai T, Ando Y, Isobe M, Kimura T, Fukuda K; Japanese Circulation Society Joint Working Group.
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Journal Title
Cir J
Volume: 84
Issue: 9
Pages: 1610-1671
DOI
NAID
Related Report
Peer Reviewed / Open Access
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[Journal Article] H2FPEF Score as a Prognostic Value in HFpEF Patients2019
Author(s)
Sueta Daisuke、Yamamoto Eiichiro、Nishihara Taiki、Tokitsu Takanori、Fujisue Koichiro、Oike Fumi、Takae Masafumi、Usuku Hiroki、Takashio Seiji、Arima Yuichiro、Suzuki Satoru、Nakamura Taishi、Ito Miwa、Kanazawa Hisanori、Sakamoto Kenji、Kaikita Koichi、Tsujita Kenichi
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Journal Title
American Journal of Hypertension
Volume: 32
Issue: 11
Pages: 1082-1090
DOI
Related Report
Peer Reviewed / Open Access
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[Presentation] Gender Differences in Clinical Characteristics in Wild-Type Transthyretin Amyloidosis Cardiomyopathy2021
Author(s)
Takashio S, Morioka M, Nishi M, Nakashima N, Yamada T, Hirakawa K, Hanatani S, Usuku H, Yamamoto E, Matsushita K, Tsujita K
Organizer
European Society of Cardiology-ESC Congress 2021
Related Report
Int'l Joint Research
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[Presentation] Correlations between Pathological Deposition and Non-Invasive Diagnostic Modalities Like 99 mTc-PYP Scintigraphy, Cardiac Magnetic Resonance, GLS in Patients with Transthyretin Cardiac Amyloidosis2021
Author(s)
Morioka M, Takashio S, Nakashima N, Nishi M, Hirakawa K, Hanatani S, Usuku H, YamamotoE, Matsushita K, Kaikita K, Tsujita K
Organizer
European Society of Cardiology-ESC Congress 2021
Related Report
Int'l Joint Research
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[Presentation] Prognostic Significance of Soluble Programed Cell Death Ligand-1 on Cardiovascular Outcomes in Patients with Atherosclerotic Cardiovascular Dsease2021
Author(s)
Miyazaki S, Fujisue K, Yamanaga K, Yamamoto E, Egashira K, Komorita T, Sueta D, Usuku H, Araki S, Takasiho S, Matsushita K, Tsujita K
Organizer
American Heart Association Scientific Sessions 2021
Related Report
Int'l Joint Research
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