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EFFICACY OF ADDITIONAL ALDOSTERONE ANTAGONISTS IN TREATING JAPANESE RESISTANT HYPERTENSIVE SUBJECTS WITHOUT HISTORY OF HEART FAILURE

Research Project

Project/Area Number 19790533
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeSingle-year Grants
Research Field Circulatory organs internal medicine
Research InstitutionKyushu University

Principal Investigator

NISHIZAKA Mari  Kyushu University, 大学病院, 医員 (00448424)

Research Collaborator DAVID A. Calhoun  University of Alabama sa Birmingham, Vascular Biology and Hypertension Program, 教授
LOUIS J. Dell'italia  University of Alabama at Birmingham, Cenrer for Heart Failure Research, 教授
SUZANNE Suzanne  University of Alabama at Birmingham, Vascular Blogy and Hypertension Program, 教授
KOMIYA Youko  九州大学, 大学病院, 生理検査技師
KAWAHARA Gorou  九州大学, 大学病院, 生理検査技師
TADA Chie  九州大学, 大学病院, 生理検査技師
HORIKAWA Ahiori  九州大学, 大学病院, 生理検査技師
Project Period (FY) 2007 – 2008
Project Status Completed (Fiscal Year 2008)
Budget Amount *help
¥3,720,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥420,000)
Fiscal Year 2008: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2007: ¥1,900,000 (Direct Cost: ¥1,900,000)
Keywordsアルドステロン / 治療抵抗性高血圧 / 高血圧性心臓病 / 心不全 / 血管内皮機能 / 食塩感受性 / 高血圧性心臟病
Research Abstract

治療抵抗性高血圧と考えられた患者の42%はコンプライアンスが不十分であった。これらの患者を除外し、平均降圧薬数3.8、血圧158/86mmHgの患者群において高アルドステロン血症患者は17%で米国人患者(白人26%/黒人26%)と有意な人種差を認めなかった。抗アルドステロン薬追加6週間で平均17/12mmHgの降圧を得、血管機能は改善した。心機能には有意な変化を認めなかった。日本人の内服治療コンプライアンスの問題、人種によらぬ抗アルドステロン薬追加の有効性が示唆された。

Report

(3 results)
  • 2008 Annual Research Report   Final Research Report ( PDF )
  • 2007 Annual Research Report
  • Research Products

    (16 results)

All 2009 2008 2007

All Journal Article (7 results) (of which Peer Reviewed: 7 results) Presentation (7 results) Book (2 results)

  • [Journal Article] Characterization of resistant hypertension: association between resistant hypertension, aldosterone, and persistent intravascular volume expansion2008

    • Author(s)
      Gaddam KK, Nishizaka MK, Pratt-Ubunama MN, Pimenta E, Aban I, Oparil S, Calhoun DA
    • Journal Title

      Arch Intern Med 168

      Pages: 1159-1164

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] American Heart Association Professional Education Committee. Resistant hypertension : diagnosis, evaluation, and treatment : a scientific statement from the American Heart Association Professional Education Committee of the Council for High Blood Pressure Research2008

    • Author(s)
      Calhoun DA, et al
    • Journal Title

      Ciculation 117

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Relation of dietary salt and aldosterone to urinary proteinexcretion in subjects with resistant hypertension2008

    • Author(s)
      Pimenta E, Gaddam KK, Pratt-UbunamMN, Nishizaka MK, Aban I, Oparil S, Calhoun DA
    • Journal Title

      Hypertension 51

      Pages: 339-344

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Characterization of resistant hypertension : association between resistant hypertension, aldosterone, and persistent intravascular volume expansion2008

    • Author(s)
      Gaddam KK, et.al.
    • Journal Title

      Arch Intern Med 168

      Pages: 1159-1164

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Relation of dietary salt and aldosterone to urinary protein excretion in subjects with resistant hypertensin.2008

    • Author(s)
      Pimenta, E, et. al.
    • Journal Title

      Hypertension 51

      Pages: 339-344

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Aldosterone excess and resistance to 24-h blood pressure control2007

    • Author(s)
      Pimenta E, Gaddam KK, Pratt-Ubunama MN, Nishizaka MK, Cofield SS, Oparil S, Calhoun DA
    • Journal Title

      Journal of Hypertension 25

      Pages: 2131-2137

    • Related Report
      2008 Final Research Report
    • Peer Reviewed
  • [Journal Article] Aldosterone excess and resistance to 24-h blood Pressure control.2007

    • Author(s)
      Pimenta, E, et. al.
    • Journal Title

      Journal of Hypertension 25

      Pages: 2131-2137

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Presentation] Dietary Sodium and Aldosterone Breakthrough as Potential TreatmenTargets in the Management of ResistanHypertension2008

    • Author(s)
      Mari K Nishizaka and David A Calhoun
    • Organizer
      The 1st International Aldosterone Forum in Japan
    • Place of Presentation
      Tokyo, Japan
    • Year and Date
      2008-03-11
    • Related Report
      2008 Final Research Report
  • [Presentation] Hyperaldosteronism is Equally Comin African-American and White Patientswith Resistant Hypertension2008

    • Author(s)
      Saima Husain, Mari K Nishizaka, Monique Pratt-Ubunama, Krishna K Gaddam, Eduardo Pimenta, Suzanne Oparil, David A Calhoun
    • Organizer
      62st Annual High Blood Pressure Research Conference 2008
    • Place of Presentation
      Atlanta, GA, USA
    • Related Report
      2008 Final Research Report
  • [Presentation] Hyperaldosteronism is Equally Common in African-American and Whi to Patients with Resistant Hypertension2008

    • Author(s)
      Saima Husain, et.al.
    • Organizer
      62st Annual High Blood Pressure Research Conference 2008
    • Place of Presentation
      Atlanta, GA, USA
    • Related Report
      2008 Annual Research Report
  • [Presentation] High Dietayy Salt Worsens Aldosterone-Induced Proteinuria in Patient with Resistant Hypertension2007

    • Author(s)
      Eduardo Pimenta, Krishna K Gaddam, Monique Pratt-Ubunama, Mary K Nishizaka,Inmaculada Abban, Suzanne Oparil, David A Calhoun
    • Organizer
      61st Annual High Blood Pressure Research Conference 2007
    • Place of Presentation
      Tucson, AZ, USA
    • Year and Date
      2007-09-26
    • Related Report
      2008 Final Research Report
  • [Presentation] High Dietary Salt Worsens Aldosterone-Induced Proteinuria in Patients with Resistant Hypertension2007

    • Author(s)
      Eduardo, Pimenta, et. al.
    • Organizer
      61st Annual High Blood Pressure Resarch Conference 2007
    • Place of Presentation
      Tucson, AZ, USA
    • Year and Date
      2007-09-26
    • Related Report
      2007 Annual Research Report
  • [Presentation] High Dietary Salt Worsens Aldosterone-Induced Proteinuria in Patients with Resistant Hypertension2007

    • Author(s)
      Eduardo, Pimenta, et. al.
    • Organizer
      22nd American Society of Hypertension Annual Scientific Session 2007
    • Place of Presentation
      Chicago, IL, USA
    • Year and Date
      2007-05-20
    • Related Report
      2007 Annual Research Report
  • [Presentation] High DietaSalt Worsens Aldosterone-Induced Proteinuria in Patients with Resistant Hypertension2007

    • Author(s)
      Eduardo Pimenta, Krishna K Gaddam, Monique Pratt-Ubunama, Mary K Nishizaka,Inmaculada Abban, Suzanne Oparil, David A Calhoun
    • Organizer
      22nd American Society of Hypertension Annual Scientific Session2007
    • Place of Presentation
      Chicago, IL,USA
    • Year and Date
      2007-03-20
    • Related Report
      2008 Final Research Report
  • [Book] 選択的アルドステロンブロッカーのすべて(Part3-3治療抵抗性高血圧における選択的アルステロンブロッカーによる治療戦略を検証する)2009

    • Author(s)
      西坂 麻里、David A. Calhoun and Suzanne Oparil他共著
    • Publisher
      先端医学社(In Press)
    • Related Report
      2008 Final Research Report
  • [Book] 選択的アルドステロンブロッカーのすべて(Part3-3治療抵抗性高血圧における選択的アルドステロンブロッカーによる治療戦略を検証する)2009

    • Author(s)
      西坂麻里,et.al.
    • Publisher
      先端医学社(In Press)
    • Related Report
      2008 Annual Research Report

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Published: 2007-04-01   Modified: 2016-04-21  

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