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The Impact of Intensive Glycemic Control on Stablization of Coronary Vulnerable Plaque in Patients with Diabetes Mellitus

Research Project

Project/Area Number 22790736
Research Category

Grant-in-Aid for Young Scientists (B)

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

Principal Investigator

FUJII Kenichi  兵庫医科大学, 医学部, 講師 (90434943)

Project Period (FY) 2010 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2011: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2010: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords冠動脈不安定粥腫 / 糖尿病 / 動脈硬化 / 冠動脈不安全粥腫
Research Abstract

OCT was performed in all 3 major coronary arteries of 70 patients with acute myocardial infarction to evaluate the impact of diabetes mellitus on the incidence of coronary vulnerable plaque. The incidences of TCFA at culprit lesions were similar. However, non-culprit-lesion TCFAs were observed more frequently in diabetic patients than in non-diabetic patients.
Then, diabetic patients were randomly allocated to intensive glycemic control, targeting a glycosylated hemoglobin(HbA1c) level<6.5%, or standard glycemic control, targeting an HbA1c level of> 7.0%. However, there were no significant differences observed in percent changes in the fibrous cap thickness, lipid arc, and volume of lipidic component between patients with intensive glycemic control and patients with standard treatment.

Report

(3 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • Research Products

    (36 results)

All 2012 2011 2010 Other

All Journal Article (9 results) (of which Peer Reviewed: 9 results) Presentation (24 results) Book (3 results)

  • [Journal Article] Multiple Complex Coronary Atherosclerosis in Diabetic Patients with Acute Myocardial Infarction : A Three-Vessel Optical Coherence Tomography Study2012

    • Author(s)
      Fukunaga M, Fujii K, Kawasaki D, Akahori H, Nakata T, Shibuya M, Kawai K, Masutani M, Lee-Kawabata M, Tsujino T, Ohyanagi M, Masuyama T.
    • Journal Title

      Eurointervention

      Volume: (in press)

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] The impact of pravastatin pre-treatment on periprocedural microcirculatory damage in patients undergoing percutaneous coronary intervention2011

    • Author(s)
      Fujii K, Kawasaki D, Oka K, Akahori H, Iwasaku T, Fukunaga M, Eguchi A, Sawada H, Masutani M, Lee-Kawabata M, Tsujino T, Ohyanagi M, Masuyama T.
    • Journal Title

      JACC Cardiovasc Interv

      Volume: 4(5) Pages: 513-20

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Preprocedural Evaluation and Endovascular Treatment of Iliofemoral Artery Disease Without Contrast Media for Patients With Pre-Existing Renal Insufficiency2011

    • Author(s)
      Kawasaki D, Fujii K, Fukunaga M, Fujii N, Masutani M, Kawabata ML, Tsujino T, Ohyanagi M, Masuyama T.
    • Journal Title

      Circ J.

      Volume: 75(1) Pages: 179-84

    • NAID

      10027425887

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Endothelium-dependent coronary vasomotor response and neointimal coverage of zotarolimus-eluting stents 3 months after implantation2011

    • Author(s)
      Fujii K, Kawasaki D, Oka K, Akahori H, Fukunaga M, Sawada H, Masutani M, Lee-Kawabata M, Tsujino T, Ohyanagi M, Masuyama T.
    • Journal Title

      Heart

      Volume: 97(12) Pages: 977-82

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] The impact of pravastatin pre-treatment on periprocedural microcirculatory damage in patients undergoing percutaneous coronary intervention2011

    • Author(s)
      Fujii K, et al
    • Journal Title

      JACC Cardiovasc Interv

      Volume: 4(5) Issue: 5 Pages: 513-520

    • DOI

      10.1016/j.jcin.2011.02.005

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] OCT assessment of thin-cap fibroatheroma distribution in native coronary arteries2010

    • Author(s)
      Fujii K, Kawasaki D, Masutani M, Okumura T, Akagami T, Sakoda T, Tsujino T, Ohyanagi M, Masuyama T.
    • Journal Title

      JACC Cardiovasc Imaging

      Volume: 3(2) Pages: 168-75

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] OCT assessment of thin-cap fibroatheroma distribution in native coronary arteries.2010

    • Author(s)
      Fujii K, Kawasaki D, et al.
    • Journal Title

      JACC Cardiovasc Imaging

      Volume: 3(2) Pages: 168-75

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Preprocedural Evaluation and Endovascular Treatment of Iliofemoral Artery Disease Without Contrast Media for Patients With Pre-Existing Renal Insufficiency.2010

    • Author(s)
      Kawasaki D, Fujii K, et al.
    • Journal Title

      Circ J

      Volume: 75 Pages: 179-84

    • NAID

      10027425887

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Multiple Complex Coronary Atherosclerosis in Diabetic Patients with Acute Myocardial Infarction : A Three-Vessel Optical Coherence Tomography Study

    • Author(s)
      Fukunaga M, Fujii K, et al
    • Journal Title

      Eurointervention

      Volume: (In press)

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Presentation] Optimal Endpoints for Stent Implantation and Guidance : A Review of the IVUS Literature2012

    • Author(s)
      Fujii K, et al.
    • Organizer
      American College of Cardiology Scientific Session 2012
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2012-03-26
    • Related Report
      2011 Final Research Report
  • [Presentation] Optimal Endpoints for Stent Implantation and Guidance : A Review of the IVUS Literature2012

    • Author(s)
      Fujii K
    • Organizer
      American College of Cardiology 2012
    • Place of Presentation
      Chicago, USA(招待講演)
    • Year and Date
      2012-03-26
    • Related Report
      2011 Annual Research Report
  • [Presentation] Thermodilution-derived Coronary Blood Flow Pattern Immediately After Coronary Intervention as a Predictor of Microcirculatory Damage and Mid-term Clinical Outcomes After Acute Myocardial Infarction2012

    • Author(s)
      Fukunaga M, Fujii K, et al
    • Organizer
      American College of Cardiology 2012
    • Place of Presentation
      Chicago, USA
    • Year and Date
      2012-03-24
    • Related Report
      2011 Annual Research Report
  • [Presentation] Thermodilution Derived Coronary Blood Flow Pattern Immediately After Coronary Intervention as a Predictor of Microcirculatory Damage and Mid-term Clinical Outcomes After Acute Myocardial Infarction2012

    • Author(s)
      Fukunaga M, Fujii K, et al
    • Organizer
      Japanese Society of Cardiology 2012
    • Place of Presentation
      Fukuoka, JAPAN
    • Year and Date
      2012-03-18
    • Related Report
      2011 Annual Research Report
  • [Presentation] Practical Pitfalls of OCT in Plaque Characterization : SA vs. ACS2012

    • Author(s)
      Fujii K.
    • Organizer
      5th Imaging & Physiology Summit 2012
    • Place of Presentation
      Korea, Seoul
    • Year and Date
      2012-01-07
    • Related Report
      2011 Final Research Report
  • [Presentation] Practical Pitfalls of OCT in Plaque Characterization : SA vs.ACS2012

    • Author(s)
      Fujii K
    • Organizer
      5th Imaging & Physiology Summit 2012
    • Place of Presentation
      Seoul, Korea(招待講演)
    • Year and Date
      2012-01-07
    • Related Report
      2011 Annual Research Report
  • [Presentation] Histopathological Validation of Optical Coherence Tomography Analysis for Lipid-Rich Plaque and Thin-Cap Fibroatheroma2011

    • Author(s)
      Fujii K, et al.
    • Organizer
      American Heart Association Scientific Sessions
    • Place of Presentation
      Orlando, USA
    • Year and Date
      2011-11-15
    • Related Report
      2011 Final Research Report
  • [Presentation] Histopathological Validation of Optical Coherence Tomography Analysis for Lipid-Rich Plaque and Thin-Cap Fibroatheroma2011

    • Author(s)
      Fujii K, Fukunaga M, et al
    • Organizer
      American Heart Association 2011
    • Place of Presentation
      Orlando, USA
    • Year and Date
      2011-11-15
    • Related Report
      2011 Annual Research Report
  • [Presentation] The Impact of Thermodilution-derived Coronary Blood Flow Pattern on Severity of Microcirculatory Damage and Mid-term Clinical Outcomes in Patients with ST-segment Elevation Myocardial Infarction2011

    • Author(s)
      Fukunaga M, Fujii K, et al
    • Organizer
      American Heart Association 2011
    • Place of Presentation
      Orlando, USA
    • Year and Date
      2011-11-14
    • Related Report
      2011 Annual Research Report
  • [Presentation] Multiple Complex Coronary Atherosclerosis In Diabetic Patients With Acute Myocardial Infarction : A Three-Vessel Optical Coherence Tomography Study2011

    • Author(s)
      Fukunaga M, Fujii K, et al.
    • Organizer
      European Society of Cardiology 2011 Scientific Session
    • Place of Presentation
      Paris, France
    • Year and Date
      2011-08-29
    • Related Report
      2011 Final Research Report
  • [Presentation] Histopathological validation of optical coherence tomography analysis for lipid-rich plaque and thin-cap fibroatheroma2011

    • Author(s)
      Fujii x, Fuikunaga M, et al
    • Organizer
      European Society of Cardiology 2011
    • Place of Presentation
      Paris, France
    • Year and Date
      2011-08-29
    • Related Report
      2011 Annual Research Report
  • [Presentation] Multiple Complex Coronary Atherosclerosis In Diabetic Patients With Acute Myocardial Infarction : A Three-Vessel Optical Coherence Tomography Study2011

    • Author(s)
      Fukunaga M, Fujii K, et al
    • Organizer
      European Society of Cardiology 2011
    • Place of Presentation
      Paris, France
    • Year and Date
      2011-08-29
    • Related Report
      2011 Annual Research Report
  • [Presentation] Diagnostic Value of Index of Microcirculatory Resistance for Detection of Microcirculatory Damage Early After Anterior versus Non-anterior Myocardial Infarction2011

    • Author(s)
      Fukunaga M, Fujii K, et al.
    • Organizer
      American College of Cardiology Scientific Session 2011
    • Place of Presentation
      New Orleans, USA
    • Year and Date
      2011-04-03
    • Related Report
      2011 Final Research Report
  • [Presentation] Diagnostic Value of Index of Microcirculatory Resistance for Detection of Microcirculatory Damage Early After Anterior versus Non-anterior Myocardial Infarction2011

    • Author(s)
      Fukunaga M, Fujii K, et al
    • Organizer
      American College of Cardiology 2011
    • Place of Presentation
      New Orleans, USA
    • Year and Date
      2011-04-03
    • Related Report
      2011 Annual Research Report
  • [Presentation] 水泳後に生じた左上肢腫脹の1例2010

    • Author(s)
      西山真知子, 藤井健一, 他
    • Organizer
      第110回日本循環器学会近畿地方会,2010
    • Place of Presentation
      京都
    • Year and Date
      2010-11-27
    • Related Report
      2010 Annual Research Report
  • [Presentation] Effect of atorvastatin on the stability of thin-cap fibroatheroma : a three-vessel optical coherence tomography and intravascular ultrasound study2010

    • Author(s)
      Fujii K, et al.
    • Organizer
      (Featured Research Session) Japan Circulation Society Scientific Session 2010
    • Place of Presentation
      Kyoto, Japan
    • Year and Date
      2010-03-05
    • Related Report
      2011 Final Research Report
  • [Presentation] Association of endothelium-dependent coronary vasomotor response and neointimal coverage of zotarolimus-eluting stents three months after implantation2010

    • Author(s)
      Fujii K, et al.
    • Organizer
      American Heart Association Scientific Sessions 2010
    • Place of Presentation
      Chicago, USA
    • Related Report
      2011 Final Research Report
  • [Presentation] Association of endothelium-dependent coronary vasomotor response and neointimal coverage of zotarolimus-eluting stents three months after implantaion.2010

    • Author(s)
      Fujii K, Kawasaki D, et al.
    • Organizer
      American Heart Association Scientific Sessions 2010
    • Place of Presentation
      Chicago, USA.
    • Related Report
      2010 Annual Research Report
  • [Presentation] FFRを臨床にいかに活用するか? 症例提示22010

    • Author(s)
      藤井健一
    • Organizer
      第19回日本心血管インターベンション治療学会,2010
    • Place of Presentation
      仙台
    • Related Report
      2010 Annual Research Report
  • [Presentation] Association of coronary vasomotor response and neointimal coverage of zotarolimus-eluting stents at 3 months after implantation.2010

    • Author(s)
      Fujii K, Kawasaki D, et al.
    • Organizer
      第19回日本心血管インターベンション治療学会, 2010
    • Place of Presentation
      仙台
    • Related Report
      2010 Annual Research Report
  • [Presentation] ntervascular ultrasound guided endovascular therapy in combination with carbon dioxide digital subtraction arteriography for patients with chronic renal insufficiency.2010

    • Author(s)
      Kawasaki D, Fujii K, et al.
    • Organizer
      第19回日本心血管インターベンション治療学会,2010
    • Place of Presentation
      仙台
    • Related Report
      2010 Annual Research Report
  • [Presentation] Endovascular PTFE-covered stent for treatment of a popliteal artery pseudoaneurysm after endovascular therapy : a rare complication.2010

    • Author(s)
      Sumiyoshi A, Fujii K, et al.
    • Organizer
      第19回日本心血管インターベンション治療学会,2010
    • Place of Presentation
      仙台
    • Related Report
      2010 Annual Research Report
  • [Presentation] ゾタロリムスステント留置時のバルーン拡張時間がステントの拡張及び圧着度に与える影響に関する検討2010

    • Author(s)
      福永匡史, 藤井健一, 他
    • Organizer
      第58回日本心臓病学会学術集会,2010
    • Place of Presentation
      東京
    • Related Report
      2010 Annual Research Report
  • [Presentation] 急性心原性肺水腫発症後の急性腎障害(Acute Kidney Injury)期間が予後に与える影響2010

    • Author(s)
      藤井健一, 岩破俊博, 他
    • Organizer
      第58回日本心臓病学会学術集会,2010
    • Place of Presentation
      東京
    • Related Report
      2010 Annual Research Report
  • [Book] 循環器疾患エッセンシャルドラッグ118改訂第2版2010

    • Author(s)
      岩破俊博, 藤井健一, 他
    • Total Pages
      348
    • Publisher
      南江堂,東京,2010.
    • Related Report
      2010 Annual Research Report
  • [Book] 疾病と治療I全身性/呼吸器系/循環器系/感染症/中毒/救急(狭心症)2010

    • Author(s)
      藤井健一
    • Total Pages
      366
    • Publisher
      南江堂,東京,2010.
    • Related Report
      2010 Annual Research Report
  • [Book] 疾病と治療1全身性/呼吸器系/循環器系/感染症/中毒/救急2010

    • Author(s)
      藤井健一
    • Total Pages
      366
    • Publisher
      南江堂,東京,2010.急性心筋梗塞
    • Related Report
      2010 Annual Research Report

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Published: 2010-08-23   Modified: 2016-04-21  

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