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Clinical management of characteristic changes of endothelial function in pregnancy induced hypertension

Research Project

Project/Area Number 23592408
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Obstetrics and gynecology
Research InstitutionNagoya City University

Principal Investigator

SUZUKI Yoshikatsu  名古屋市立大学, 医学(系)研究科(研究院), 研究員 (30254288)

Co-Investigator(Kenkyū-buntansha) YAMAMOTO Tamao  名古屋市立大学, 大学院医学研究科, 研究員 (20405210)
Co-Investigator(Renkei-kenkyūsha) ITOH Takeo  名古屋市立大学, 大学院医学研究科, 教授 (70159888)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords妊娠高血圧症候群 / 血管内皮機能障害 / 診察室外血圧 / 降圧治療 / L-アルギニン / 葉酸 / 妊婦 / 高血圧 / 血管内皮機能 / 発症予知 / 発症予防
Research Abstract

The aim is to improve the endothelial cells dysfunction seen in pregnancy induced hypertension (PIH). The diagnosis of hypertension of PIH was established by home blood pressure measurement and 24 hour ambulatory blood pressure monitoring instead of clinic BP. Furthermore, endothelial cell function was evaluated by flow mediated vasodilatation (FMD) of brachial artery by hyperemia. Administration of L-arginine plus folic acids might improve reduced FMD in high risk women of PIH and prevent from PIH, especially preeclampsia. While oral administration of labetalol could stabilized BP in PIH, especially gestational hypertension, nicardipine iv. could inhibit severe hypertension in puerperal women complicated by hypertensive emergency.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (57 results)

All 2014 2013 2012 2011 Other

All Journal Article (28 results) (of which Peer Reviewed: 15 results) Presentation (24 results) Book (5 results)

  • [Journal Article] Characteristic changes in systemic blood pressure in eclampsia.2014

    • Author(s)
      Kojima R, Matsuura A, Yamamoto T, Watanabe K, Suzuki Y.
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 印刷中

    • NAID

      130004687096

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Characteristic changes in calcium metabolism in preeclamptic women in Japan2013

    • Author(s)
      Yamamoto T, Matsuura A, Suzuki Y.
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 2 Pages: 108-112

    • DOI

      10.14390/jsshp.1.108

    • NAID

      130004638237

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Annual Research Report 2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Outline of Definition and Classification of “Pregnancy induced Hypertension (PIH)”2013

    • Author(s)
      Watanabe K, Naruse K, Tanaka K, Metoki H, Suzuki Y
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 1 Pages: 3-4

    • DOI

      10.14390/jsshp.1.3

    • NAID

      130005002831

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] A Brief Review of the 2009 JSSHP Guidelines for the care and treatment of Pregnancy induced Hypertension2013

    • Author(s)
      Naruse K, Suzuki Y, Nakamoto S, Makino S, Metoki H, Mimura K, Miyake H, Morikawa M, Murayama T, Nohira T, Ohno Y, Sugimura M, Takahashi H, Tanaka K, Watanabe K
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 1 Pages: 5-7

    • DOI

      10.14390/jsshp.1.5

    • NAID

      130005002836

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Committee report on cerebrovascular disorders, including eclampsia and emergency medical services, of the Japan Society for the Study of Hypertension in Pregnancy2013

    • Author(s)
      Suzuki Y, Adachi T, Ohno Y, Matsuda H, Naruse K, Metoki H, Nakai Y, Nakamoto O, Watanabe K, Ohkuchi A, Yamamoto T
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 1 Pages: 8-12

    • DOI

      10.14390/jsshp.1.8

    • NAID

      130005002838

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Survey of the use of anticoagulation and anesthesia during cesarean section in patients with severe Pregnancy induced Hypertension (PIH) between 2010 and 2011 in Japan2013

    • Author(s)
      Sugimura M, Matsubara S, Watanabe T, Okutomi T, Suzuki Y, Nakamoto O, Katayama T, Murayama Y
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 1 Pages: 13-22

    • DOI

      10.14390/jsshp.1.13

    • NAID

      130005002829

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Validation of the gestational week division border for subclassification of pregnancy induced hypertension2013

    • Author(s)
      Yamasaki M, Nakamoto O, Suzuki Y, Takagi K, Seki H, Eguchi K, Hidaka A, Satoh K
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 1 Pages: 23-30

    • DOI

      10.14390/jsshp.1.23

    • NAID

      130005002830

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Incidence of eclampsia in Japanese women2013

    • Author(s)
      Watanabe K, Suzuki Y, Yamamoto T
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 1 Pages: 31-34

    • DOI

      10.14390/jsshp.1.31

    • NAID

      130005002832

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Characteristic changes in systemic blood pressure just before the onset of eclampsia2013

    • Author(s)
      Matsuura A, Yamamoto T, Watanabe K, Suzuki Y
    • Journal Title

      Hypertension Research in Pregnancy

      Volume: 1 Issue: 1 Pages: 35-39

    • DOI

      10.14390/jsshp.1.35

    • NAID

      130005002833

    • ISSN
      2187-5987, 2187-9931
    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] 子癇の治療2013

    • Author(s)
      鈴木佳克,松浦綾乃,山本珠生
    • Journal Title

      血圧

      Volume: 20 Pages: 40-44

    • Related Report
      2013 Final Research Report
  • [Journal Article] 妊娠と高血圧2013

    • Author(s)
      鈴木佳克,松浦綾乃,山本珠生
    • Journal Title

      日本医師会雑誌

      Volume: 142特別号(1) Pages: 280-283

    • Related Report
      2013 Final Research Report
  • [Journal Article] 妊娠高血圧症候群管理治療ガイドライン2013

    • Author(s)
      鈴木佳克,山本珠生
    • Journal Title

      医学の歩み

      Volume: 241 Pages: 1123-1128

    • Related Report
      2013 Final Research Report
  • [Journal Article] 子癇の治療.2013

    • Author(s)
      鈴木佳克, 松浦綾乃, 山本珠生.
    • Journal Title

      血圧

      Volume: 20 Pages: 40-44

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 妊娠と高血圧.2013

    • Author(s)
      鈴木佳克, 松浦綾乃, 山本珠生.
    • Journal Title

      日本医師会雑誌

      Volume: 142 特別号(1)

    • Related Report
      2013 Annual Research Report
  • [Journal Article] 妊娠高血圧症候群管理治療ガイドライン.2013

    • Author(s)
      鈴木佳克, 山本珠生.
    • Journal Title

      医学の歩み

      Volume: 241 Pages: 1123-1128

    • Related Report
      2013 Annual Research Report
  • [Journal Article] Committee report on cerebrovascular disorders, including eclampsia and emergency medical services, of the Japan Society for the Study of Hypertension in Pregnancy.2013

    • Author(s)
      Suzuki Y, et al.
    • Journal Title

      Hypertension Research In Pregnancy

      Volume: 1 Pages: 8-12

    • NAID

      130005002838

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Characteristic changes in systemic blood pressure just before the onset of eclampsia.2013

    • Author(s)
      Matsuura A, Yamamoto T, Watanabe K, Suzuki Y.
    • Journal Title

      Hypertension Research In Pregnancy

      Volume: 1 Pages: 35-39

    • NAID

      130005002833

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Incidence of eclampsia in Japanese women. Hypertens Res Pregnancy.2013

    • Author(s)
      Watanabe K, Suzuki Y, Yamamoto T.
    • Journal Title

      Hypertension Research In Pregnancy

      Volume: 1 Pages: 31-34

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Validation of the gestational week division border for subclassification of pregnancy induced hypertension.2013

    • Author(s)
      Yamasaki M, Nakamoto O, Suzuki Y, et al.
    • Journal Title

      Hypertension Research In Pregnancy

      Volume: 1 Pages: 23-30

    • NAID

      130005002830

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Survey of the use of anticoagulation and anesthesia during cesarean section in patients with severe Pregnancy induced Hypertension (PIH) between 2010 and 2011 in Japan.2013

    • Author(s)
      Sugimura M, Matsubara S, Watanabe T, Okutomi T, Suzuki Y, et al.
    • Journal Title

      Hypertension Research In Pregnancy

      Volume: 1 Pages: 13-22

    • NAID

      130005002829

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] 妊娠中の血管内皮機能と栄養2012

    • Author(s)
      鈴木佳克,山本珠生
    • Journal Title

      周産期医学

      Volume: 42 Pages: 236-239

    • Related Report
      2013 Final Research Report 2012 Research-status Report
  • [Journal Article] 妊娠高血圧腎症2012

    • Author(s)
      山本珠生,鈴木佳克
    • Journal Title

      日本臨床腎臓症候群(第2版) (下)

      Volume: 18 Pages: 784-789

    • Related Report
      2013 Final Research Report
  • [Journal Article] 妊娠高血圧症候群管理治療ガイドライン2012

    • Author(s)
      鈴木佳克、山本珠生
    • Journal Title

      医学の歩み

      Volume: 241 Pages: 1123-1128

    • Related Report
      2012 Research-status Report
  • [Journal Article] 妊娠高血圧腎症2012

    • Author(s)
      山本珠生、鈴木佳克
    • Journal Title

      日本臨床

      Volume: 18 Pages: 784-789

    • Related Report
      2011 Research-status Report
  • [Journal Article] 妊娠高血圧腎症(PE)における高血圧の発症機序と重症化決定因子2011

    • Author(s)
      鈴木佳克,山本珠生,伊藤猛雄
    • Journal Title

      腎と妊娠

      Volume: 71 Pages: 771-775

    • Related Report
      2013 Final Research Report
  • [Journal Article] PIH妊婦の入院管理と分娩時の注意点2011

    • Author(s)
      山本珠生,鈴木佳克
    • Journal Title

      ペリネイタルケア

      Volume: 30 Pages: 42-47

    • Related Report
      2013 Final Research Report 2011 Research-status Report
  • [Journal Article] 妊娠高血圧腎症 (PE) における高血圧の発症機序と重症化決定因子2011

    • Author(s)
      鈴木佳克、山本珠生、伊藤猛雄
    • Journal Title

      腎と妊娠

      Volume: 71 Pages: 771-775

    • Related Report
      2011 Research-status Report
  • [Journal Article] Characteristic changes in systemic blood pressure in eclampsia

    • Author(s)
      Kojima R, Matsuura A, Yamamoto T, Watanabe K, Suzuki Y
    • Journal Title

      Hypertens Res Pregnancy

      Volume: (in press)

    • NAID

      130004687096

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Presentation] 妊娠時の高血圧の管理―産科医による降圧療法―2013

    • Author(s)
      鈴木佳克,松浦綾乃,山本珠生
    • Organizer
      第36回日本高血圧学会総会日本高血圧学会・日本妊娠高血圧学会合同シンポジウム「妊娠時高血圧の管理」
    • Place of Presentation
      大阪市,大阪国際会議場
    • Year and Date
      2013-10-24
    • Related Report
      2013 Final Research Report
  • [Presentation] The underlying mechanisms in reduced action of endothelial nitric oxide in resistance artery in preeclampsia2013

    • Author(s)
      Suzuki Y, Yamamoto T
    • Organizer
      ISSHP European Congress
    • Place of Presentation
      Rica Ishavshotel, Tromso, Norway
    • Related Report
      2013 Final Research Report
  • [Presentation] The underlying mechanisms in reduced action of endothelial nitric oxide in resistance artery in preeclampsia.2013

    • Author(s)
      Suzuki Y, Yamamoto T.
    • Organizer
      ISSHP European Congress 2013
    • Place of Presentation
      Rica Ishavshotel (Tromso, Norway)
    • Related Report
      2013 Annual Research Report
  • [Presentation] Characteristic changes of systemic blood pressure in eclampsia.2013

    • Author(s)
      Kojima R, Matsuura A, Yamamoto T, Suzuki Y.
    • Organizer
      ISSHP European Congress 2013
    • Place of Presentation
      Rica Ishavshotel (Tromso, Norway)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 日本高血圧学会・日本妊娠高血圧学会合同シンポジウム: 妊娠時の高血圧の管理―産科医による降圧療法―2013

    • Author(s)
      鈴木佳克, 松浦綾乃, 山本珠生.
    • Organizer
      第36回日本高血圧学会総会
    • Place of Presentation
      大阪国際会議場 (大阪府)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 妊娠高血圧症候群における24h ABPMを用いた血圧変動の検討.2013

    • Author(s)
      鈴木佳克, 松浦綾乃, 山本珠生.
    • Organizer
      第34回日本妊娠高血圧学会
    • Place of Presentation
      富山国際会議場 (富山県)
    • Related Report
      2013 Annual Research Report
  • [Presentation] PIH妊婦に対するトランデート内服に関する有用性の検討.2013

    • Author(s)
      松浦綾乃, 鈴木佳克, 荒川友恵, 山本珠生.
    • Organizer
      第34回日本妊娠高血圧学会
    • Place of Presentation
      富山国際会議場 (富山県)
    • Related Report
      2013 Annual Research Report
  • [Presentation] L-NAME投与による胎盤形成不全発症動物にみられる血管内皮機能異常の研究.2013

    • Author(s)
      山本珠生, 鈴木佳克, 伊藤猛雄.
    • Organizer
      第34回日本妊娠高血圧学会
    • Place of Presentation
      富山国際会議場 (富山県)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 妊娠高血圧症候群におけるトランデート投与時の血圧変動に関する検討.2013

    • Author(s)
      荒川友恵, 松浦綾乃, 山本珠生, 山田浩一, 鈴木佳克.
    • Organizer
      第34回日本妊娠高血圧学会
    • Place of Presentation
      富山国際会議場 (富山県)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 子癇発症後に認めた急激な血圧低下.2013

    • Author(s)
      小島龍司, 松浦綾乃, 鈴木佳克, 山本珠生.
    • Organizer
      第34回日本妊娠高血圧学会
    • Place of Presentation
      富山国際会議場 (富山県)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 診察室高血圧における24時間自由行動下血圧測定の意義.2013

    • Author(s)
      鈴木佳克、山本珠生、松浦綾乃、川端俊一、坪井文菜、加藤智子、若山伸行、関宏一郎、西川尚実、六鹿正文、柴田金光
    • Organizer
      第65回日本産科婦人科学会学術講演会
    • Place of Presentation
      札幌市教育文化会館 (北海道)
    • Related Report
      2013 Annual Research Report
  • [Presentation] 子癇発症における血圧変動の意義.2013

    • Author(s)
      松浦 綾乃、鈴木 佳克、山本 珠生、川端 俊一、坪井 文菜、加藤 智子、若山 伸行、関 宏一郎、西川 尚実、六鹿 正文、柴田 金光
    • Organizer
      第65回日本産科婦人科学会学術講演会
    • Place of Presentation
      札幌市教育文化会館 (北海道)
    • Related Report
      2013 Annual Research Report
  • [Presentation] Could the supplementation of L-arginine plus folic acid improve reduced endothelial function seen in preeclampsia?2012

    • Author(s)
      Suzuki Y, Yamamoto T, Matsuura A
    • Organizer
      XVIII ISSHP World Congress
    • Place of Presentation
      Geneva, Switzerland
    • Related Report
      2013 Final Research Report
  • [Presentation] シンポジウム「妊娠高血圧症候群妊婦の血圧管理-降圧薬の選択と降圧目標」子癇の予防もしくは子癇の際の降圧治療2012

    • Author(s)
      鈴木佳克,松浦綾乃,山本珠生,渡辺員支
    • Organizer
      第33回日本妊娠高血圧学会
    • Place of Presentation
      長崎市、長崎ブリックホール
    • Related Report
      2013 Final Research Report
  • [Presentation] Could the supplementation of L-arginine plus folic acid improve reduced endothelial function seen in preeclampsia?2012

    • Author(s)
      Suzuki Y, Yamamoto T, Matsuura A
    • Organizer
      XVIII ISSHP World Congress
    • Place of Presentation
      International Conference Center Geneva (Geneva, Switzerland)
    • Related Report
      2012 Research-status Report
  • [Presentation] Characteristic changes in endothelial function in uterine artery by administration of no synthase inhibitor during period of placental formation.2012

    • Author(s)
      Suzuki Y, Yamamoto T
    • Organizer
      XVIII ISSHP World Congress
    • Place of Presentation
      International Conference Center Geneva (Geneva, Switzerland)
    • Related Report
      2012 Research-status Report
  • [Presentation] Oscillation of blood pressure seen in eclamptic women.2012

    • Author(s)
      Suzuki Y, Yamamoto T, Matsuura A
    • Organizer
      XVIII ISSHP World Congress
    • Place of Presentation
      International Conference Center Geneva (Geneva, Switzerland)
    • Related Report
      2012 Research-status Report
  • [Presentation] シンポジウム:子癇の予防もしくは子癇の際の降圧治療2012

    • Author(s)
      鈴木佳克、松浦綾乃、山本珠生、渡辺員支
    • Organizer
      第33回日本妊娠高血圧学会
    • Place of Presentation
      長崎ブリックホール (長崎県)
    • Related Report
      2012 Research-status Report
  • [Presentation] 子癇発作は急激な血圧上昇にて誘導され、発症直後に血圧は低下する2012

    • Author(s)
      松浦綾乃、鈴木佳克、川端俊一、山本珠生、渡辺員支
    • Organizer
      第33回日本妊娠高血圧学会
    • Place of Presentation
      長崎ブリックホール (長崎県)
    • Related Report
      2012 Research-status Report
  • [Presentation] 子癇には早期発症型と遅発発症型がある-代表的子癇3症例の検討-2012

    • Author(s)
      鈴木佳克、山本珠生、中本收、渡辺員支
    • Organizer
      第64回日本産科婦人科学会学術講演会
    • Place of Presentation
      神戸ポートピアホテル・神戸国際展示場 (兵庫県)
    • Related Report
      2012 Research-status Report
  • [Presentation] シンポジウム「妊婦における血圧管理のベストアプローチ」妊娠高血圧症候群の管理と治療2011

    • Author(s)
      鈴木佳克
    • Organizer
      第34回日本高血圧学会総会
    • Place of Presentation
      宇都宮
    • Year and Date
      2011-10-20
    • Related Report
      2013 Final Research Report
  • [Presentation] 妊娠高血圧症候群の管理と治療2011

    • Author(s)
      鈴木佳克
    • Organizer
      第34回日本高血圧学会総会(招待講演)
    • Place of Presentation
      栃木県総合文化センター(栃木県)
    • Related Report
      2011 Research-status Report
  • [Presentation] 葉酸投与と赤血球中葉酸濃度に関する検討2011

    • Author(s)
      鈴木佳克、山本珠生
    • Organizer
      第63回日本産科婦人科学会学術講演会
    • Place of Presentation
      大阪国際会議場(大阪府)
    • Related Report
      2011 Research-status Report
  • [Presentation] L-NAME投与による胎盤形成不全発症動物における血管内皮機能異常の研究2011

    • Author(s)
      山本珠生、鈴木佳克、伊藤猛雄
    • Organizer
      第63回日本産科婦人科学会学術講演会
    • Place of Presentation
      大阪国際会議場(大阪府)
    • Related Report
      2011 Research-status Report
  • [Book] PIHにおける降圧薬による管理法:産褥期(授乳期)および中高年に至るまで.日本妊娠高血圧学会編.「妊娠と高血圧内科医・産科医のための薬剤療法マニュアル」2013

    • Author(s)
      鈴木佳克,山本珠生, 他
    • Publisher
      金原出版
    • Related Report
      2013 Final Research Report
  • [Book] 産科診療マニュアル2013

    • Author(s)
      鈴木佳克,山本珠生.杉村基,竹田省編
    • Publisher
      日本医学館
    • Related Report
      2013 Final Research Report
  • [Book] PIHにおける降圧薬による管理法:産褥期 (授乳期) および中高年に至るまで.2013

    • Author(s)
      鈴木佳克, 山本珠生 他
    • Total Pages
      211
    • Publisher
      金原出版
    • Related Report
      2013 Annual Research Report
  • [Book] 産科診療マニュアル2013

    • Author(s)
      鈴木佳克, 山本珠生 他
    • Total Pages
      410
    • Publisher
      日本医学館
    • Related Report
      2013 Annual Research Report
  • [Book] よくわかる妊娠高血圧症候群Q&A-新基準のガイダンス-2011

    • Author(s)
      鈴木佳克
    • Total Pages
      120
    • Publisher
      金原出版
    • Related Report
      2011 Research-status Report

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Published: 2011-08-05   Modified: 2019-07-29  

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