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New risk stratification for cardiac sudden death by using signal averaged fragmented QRS complex

Research Project

Project/Area Number 24591051
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionOkayama University

Principal Investigator

MORITA Hiroshi  岡山大学, 医歯(薬)学総合研究科, 教授 (50322227)

Co-Investigator(Kenkyū-buntansha) TOH Norihisa  岡山大学, 大学病院, 助教 (70600641)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords心臓突然死 / fragmented QRS / 伝導障害 / 不整脈基質 / 12誘導心電図 / 分裂性QRS電位 / 心室頻拍 / 心室細動 / 心臓性突然死
Outline of Final Research Achievements

We created a software to analyze signal averaged fragmented QRS (fQRS) and evaluated its significances on various heart diseases. In 321 patients with Brugada syndrome, existence of fQRS, early repolarization and spontaneous fluctuation of the ST level were predictors of the ventricular fibrillation (VF) occurrence. In patients with new onset VF, aggravation of the fQRS occurred and progression of the myocardial injury should be required for occurrence of VF.
In 78 patients with non-ischemic dilated cardiomyopathy, existence of fQRS predicted occurrence of heart failure. In p127 patients with sarcoidosis, fQRS predicted occurrence of ventricular tachycardaia.

Report

(4 results)
  • 2014 Annual Research Report   Final Research Report ( PDF )
  • 2013 Research-status Report
  • 2012 Research-status Report
  • Research Products

    (43 results)

All 2015 2014 2013 2012 Other

All Journal Article (25 results) (of which Peer Reviewed: 18 results,  Open Access: 2 results) Presentation (11 results) Book (7 results)

  • [Journal Article] Decreased intrathoracic impedance associated with optivol alert can diagnose increased b-type natriuretic peptide- momotaro (monitoring and management of optivol alert to reduce heart failure hospitalization) study2015

    • Author(s)
      Nishii N, Kubo M, Okamoto Y, Fujii S, Watanabe A, Toyama Y, Yamada T, Doi M, Morita H, Ito H
    • Journal Title

      Circulation Journal

      Volume: 79

    • NAID

      130005073154

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Risk Stratification in Patients With Brugada Syndrome Without Previous Cardiac Arrest2015

    • Author(s)
      Okamura H, Kamakura T, Morita H, Tokioka K, Nakajima I, Wada M, Ishibashi K, Miyamoto K, Noda T, Aiba T, Nishii N, Nagase S, Shimizu W, Yasuda S, Ogawa H, Kamakura S, Ito H, Ohe T, Kusano KF
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 2 Pages: 310-317

    • DOI

      10.1253/circj.CJ-14-1059

    • NAID

      130004704033

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between coronary artery calcification and left ventricular diastolic dysfunction in elderly people2015

    • Author(s)
      Osawa K, Miyoshi T, Oe H, Sato S, Nakamura K, Kohno K, Morita H, Kanazawa S, Ito H
    • Journal Title

      Heart and vessels

      Volume: 30

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Isolation of canine coronary sinus musculature from the atria by radiofrequency catheter ablation prevents induction of atrial fibrillation2014

    • Author(s)
      Morita H, Zipes DP, Morita ST, Wu J
    • Journal Title

      Circulation

      Volume: 7 Issue: 6 Pages: 1181-1188

    • DOI

      10.1161/circep.114.001578

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Multiform premature ventricular contractions and polymorphic ventricular tachycardia caused by purkinje activity with slow conduction in idiopathic ventricular fibrillation2014

    • Author(s)
      Nagase S, Banba K, Nishii N, Morita H, Fukushima Kusano K, Ohe T, Ito H
    • Journal Title

      Intern Med

      Volume: 53 Pages: 725-728

    • NAID

      130003392731

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Left ventricular epicardial electrogram recordings in idiopathic ventricular fibrillation with inferior and lateral early repolarization2014

    • Author(s)
      Nakagawa K, Nagase S, Morita H, Ito H
    • Journal Title

      Heart Rhythm

      Volume: 11 Issue: 2 Pages: 314-317

    • DOI

      10.1016/j.hrthm.2013.10.057

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Depolarization and Repolarization Abnormalities are Synergistically Associated with Fatal Arrhythmic Events in Patients with Brugada Syndrome.2014

    • Author(s)
      Tokioka K, Kusano KF, Morita H, Miura D, Nishii N, Nagase S, Nakamura K, Kohno K, Ito H, Ohe T.
    • Journal Title

      J Am CollCardiol

      Volume: in press Issue: 20 Pages: 2131-2138

    • DOI

      10.1016/j.jacc.2014.01.072

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Add-on ezetimibe reduces small dense low-density lipoprotein cholesterol levels without affecting absorption of eicosapentaenoic acid in patients with coronary artery disease: A pilot study2014

    • Author(s)
      Kubo M, Miyoshi T, Kimura T, Noda Y, Kohno K, Nakamura K, Morita H, Ito H
    • Journal Title

      American journal of cardiovascular drugs

      Volume: 14 Issue: 5 Pages: 387-392

    • DOI

      10.1007/s40256-014-0082-3

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pioglitazone prevents the endothelial dysfunction induced by ischemia and reperfusion in healthy subjects2014

    • Author(s)
      Sakatani Y, Miyoshi T, Oe H, Noda Y, Ohno Y, Nakamura K, Saito Y, Osawa K, Morita H, Kohno K, Ito H
    • Journal Title

      Journal of cardiovascular pharmacology

      Volume: 64 Issue: 4 Pages: 326-331

    • DOI

      10.1097/fjc.0000000000000124

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Additional diagnostic value of first-pass myocardial perfusion imaging without stress when combined with 64-row detector coronary ct angiography in patients with coronary artery disease2014

    • Author(s)
      Osawa K, Miyoshi T, Koyama Y, Hashimoto K, Sato S, Nakamura K, Nishii N, Kohno K, Morita H, Kanazawa S, Ito H
    • Journal Title

      Heart

      Volume: 100 Issue: 13 Pages: 1008-1915

    • DOI

      10.1136/heartjnl-2013-305468

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Bezafibrate improves postprandial hypertriglyceridemia and associated endothelial dysfunction in patients with metabolic syndrome: A randomized crossover study2014

    • Author(s)
      Ohno Y, Miyoshi T, Noda Y, Oe H, Toh N, Nakamura K, Kohno K, Morita H, Ito H
    • Journal Title

      Cardiovascular diabetology

      Volume: 13 Issue: 1 Pages: 71-71

    • DOI

      10.1186/1475-2840-13-71

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Left ventricular epicardial electrogram recordings in idiopathic ventricular fibrillation with inferior and lateral early repolarization.2014

    • Author(s)
      Nakagawa K, Nagase S, Morita H, Ito H.
    • Journal Title

      Heart Rhythm.

      Volume: 11 Issue: 1 Pages: 314-317

    • DOI

      10.1186/1475-2840-13-61

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 遺伝性不整脈の病態に基づいた薬物治療2014

    • Author(s)
      杉山洋樹、森田 宏
    • Journal Title

      呼吸と循環

      Volume: 62 Pages: 841-846

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Brugada症候群、進行性伝導障害(PCCD)2014

    • Author(s)
      上岡 亮、森田 宏
    • Journal Title

      Cardiac Practice

      Volume: 25 Pages: 105-109

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 合併症のある高血圧症例のβ遮断薬:不整脈・心臓突然死2014

    • Author(s)
      上岡 亮、森田 宏
    • Journal Title

      血圧

      Volume: 21 Pages: 764-767

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 左室側壁心外膜側に不整脈基質が存在すると考えられたJ波症候群の1例2014

    • Author(s)
      中川晃志、永瀬 聡、和田匡史、田中正道、西井伸洋、寒川睦子、河野晋久、中村一文、森田 宏、草野研吾、伊藤 浩、湯本晃久、向原直木、大江 透
    • Journal Title

      臨床心臓電気生理

      Volume: 37 Pages: 127-135

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Multiform Premature Ventricular Contractions and Polymorphic Ventricular Tachycardia Caused by Purkinje Activity with Slow Conduction in Idiopathic Ventricular Fibrillation2014

    • Author(s)
      Nagase S, Banba K, Nishii N, Morita H, Fukushima Kusano K, Ohe T, Ito H.
    • Journal Title

      Internal Medicine

      Volume: 53 Issue: 7 Pages: 725-728

    • DOI

      10.2169/internalmedicine.53.1147

    • NAID

      130003392731

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Brugada症候群と特発性心室細動. 心電図攻略法2014

    • Author(s)
      上岡亮、森田 宏.
    • Journal Title

      レジデント

      Volume: 7 Pages: 91-100

    • Related Report
      2013 Research-status Report
  • [Journal Article] Prognostic significance of early repolarization in inferolateral leads in Brugada patients with documented ventricular fibrillation: a novel risk factor for Brugada syndrome with ventricular fibrillation.2013

    • Author(s)
      Kawata H, Morita H, Yamada Y, Noda T, Satomi K, Aiba T, Isobe M, Nagase S, Nakamura K, Fukushima Kusano K, Ito H, Kamakura S, Shimizu W.
    • Journal Title

      Heart Rhythm.

      Volume: 10 Issue: 8 Pages: 1161-1168

    • DOI

      10.1016/j.hrthm.2013.04.009

    • Related Report
      2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical outcome and risk stratification in Brugada syndrome.2013

    • Author(s)
      Wada T, Morita H.
    • Journal Title

      J Arrhythmia.

      Volume: 29 Issue: 2 Pages: 100-109

    • DOI

      10.1016/j.joa.2012.12.008

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Ion channel complex disease in long QT syndrome.2013

    • Author(s)
      Morita H.
    • Journal Title

      Heart Rhythm.

      Volume: 10 Issue: 5 Pages: 738-739

    • DOI

      10.1016/j.hrthm.2013.01.026

    • Related Report
      2013 Research-status Report 2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Brugda症候群. 致死的不整脈の最前線.2013

    • Author(s)
      森田 宏.
    • Journal Title

      最新医学

      Volume: 68 Pages: 1579-1587

    • Related Report
      2013 Research-status Report
  • [Journal Article] 心電図のどこをみるか。あなたなら、どう動く?不整脈診療Q&A.2013

    • Author(s)
      和田匡史、森田 宏.
    • Journal Title

      救急・集中治療

      Volume: 25 Pages: 595-601

    • Related Report
      2013 Research-status Report
  • [Journal Article] Fragmented QRS: What is The Meaning?2012

    • Author(s)
      Take Y, Morita H.
    • Journal Title

      Indian Pacing Electrophysiological Journal

      Volume: 12 Pages: 213-225

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] The compound mutation, a model for acquire long QT syndrome2012

    • Author(s)
      Morita H.
    • Journal Title

      Journal of Cardiology Cases

      Volume: 6 Issue: 6 Pages: e187-e188

    • DOI

      10.1016/j.jccase.2012.09.006

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Can family history of sudden death predict a risk for ventricular fibrillation in patients with Brugada syndrome?2014

    • Author(s)
      .Morita H, Nagase S, Nishii N, Nakagawa K, Ueoka A, Miyoshi A, Kubo M, Ito H
    • Organizer
      87th AHA Scientific Sessions 2014
    • Place of Presentation
      Chicago
    • Year and Date
      2014-11-15 – 2014-11-19
    • Related Report
      2014 Annual Research Report
  • [Presentation] The clinical validity of prior radiofrequency catheter ablation for prevention of recurrent atrial fibrillation after transcatheter closure of atrial septal defect2014

    • Author(s)
      Nakgawa K, Nagase S, Akagi T, Kijima Y, Wada T, Nakamura K, Morita H, Ito H
    • Organizer
      ESC CONGRESS 2014
    • Place of Presentation
      Barcelona
    • Year and Date
      2014-08-30 – 2014-09-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] Monitoring of intrathoracic impedance can reduce heart failure hospitalization2014

    • Author(s)
      Nishii N, Kubo M, Okamoto Y, Fujii S, Watanabe A, Y. Toyama, Yamada T, Doi M, Morita H, Ito H
    • Organizer
      ESC CONGRESS 2014
    • Place of Presentation
      Barcelona
    • Year and Date
      2014-08-30 – 2014-09-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] Mid-term failure of linox td leads2014

    • Author(s)
      Nishii N, A. Miyoshi, Wada T, Kijima Y, Kubo M, Nakgawa K, Nagase S, Morita H, Ito H
    • Organizer
      ESC CONGRESS 2014
    • Place of Presentation
      Barcelona
    • Year and Date
      2014-08-30 – 2014-09-03
    • Related Report
      2014 Annual Research Report
  • [Presentation] Arrhythmias in Various Diseases: Lessons from Animal Models Experimental Model of the Brugada Syndrome2014

    • Author(s)
      Morita H, Zipes DP
    • Organizer
      第29回日本不整脈学会・第31回日本心電学会合同学術集会
    • Place of Presentation
      東京
    • Year and Date
      2014-07-22 – 2014-07-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] The significance of completer right bundle branch block in Brugada syndrome2014

    • Author(s)
      Wada T, Nagase S, Nakagawa K, Nishii N, Kohno K, Morita H, Nakamura K, Ito H
    • Organizer
      35th Annual Scientific Sessions of Heart Rhyhtm 2014
    • Place of Presentation
      San Francisco
    • Year and Date
      2014-05-07 – 2014-05-10
    • Related Report
      2014 Annual Research Report
  • [Presentation] Progressive conduction disturbance promotes onset of ventricular fibrillation in patients with Brugada syndrome2014

    • Author(s)
      Morita H, Nagase S, Nishii N, Nakagawa K, Kono K, Ito H
    • Organizer
      35th Annual Scientific Sessions of Heart Rhyhtm 2014
    • Place of Presentation
      San Francisco
    • Year and Date
      2014-05-07 – 2014-05-10
    • Related Report
      2014 Annual Research Report
  • [Presentation] Brugada 症候群における心筋障害とその催不整脈作用

    • Author(s)
      森田 宏
    • Organizer
      第27回日本不整脈学会学術大会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] Fever not only unmasks Brugada-type ECG but also exaggerates depolarization parameters

    • Author(s)
      Hiroshi Morita, Kohei Miyaji, Yutaka Take, Koji Nakagawa, Masamichi Tanaka, Nobuhiro Nishii, Satoshi Nagase, Kazufumi Nakamura, Hiroshi Ito
    • Organizer
      第77回日本循環器学会学術集会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] Late Potential After Sodium-Channel Blocker Test is a New Predictor for Lethal Arrhythmic Event in Brugada Syndrome.

    • Author(s)
      Tadashi Wada, Hiroshi Morita, Koji Nakagawa, Masamichi Tanaka, Hironobu Nishii, Satoshi Nagase, Kazufumi Nakamura, Yoshihisa Kohno, Kengo F. Kusano, Hiroshi Ito
    • Organizer
      第77回日本循環器学会学術集会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Presentation] Fragmented QRS complex on 12-lead ECG is a predictor of ventricular tachyarrhythmia in patients with systemic sarcoidosis

    • Author(s)
      Yutaka Take, Hiroshi Morita, Kimikazu Banba, Norihisa Toh, Eiki Hirose, Atsushi Hirohata, Kazufumi Nakamura, Kunihisa Kohno, Kengo Kusano, Keizo Yamamoto, Tohru Ohe, Hiroshi Ito
    • Organizer
      第77回日本循環器学会学術集会
    • Place of Presentation
      横浜
    • Related Report
      2012 Research-status Report
  • [Book] 不整脈診療クリニカルクエスチョン2002015

    • Author(s)
      森田 宏
    • Total Pages
      332
    • Publisher
      診断と治療社
    • Related Report
      2014 Annual Research Report
  • [Book] EBM循環器疾患の治療2015-20162015

    • Author(s)
      森田 宏
    • Total Pages
      472
    • Publisher
      中外医学社
    • Related Report
      2014 Annual Research Report
  • [Book] 拡張不全の日常診療Q&A2015

    • Author(s)
      森田 宏
    • Total Pages
      227
    • Publisher
      中外医学社
    • Related Report
      2014 Annual Research Report
  • [Book] Medical Topics Series 不整脈20152015

    • Author(s)
      橘 元見、森田 宏
    • Publisher
      メディカルビュー社
    • Related Report
      2014 Annual Research Report
  • [Book] Sudden Death: Causes, Risk Factors and Prevention.2013

    • Author(s)
      Morita H, Zipes DP, Wu J.
    • Total Pages
      259
    • Publisher
      Nova Science Publishers, Inc. New York
    • Related Report
      2013 Research-status Report
  • [Book] β遮断薬を臨床で生かす.2013

    • Author(s)
      森田 宏.
    • Total Pages
      182
    • Publisher
      南江堂
    • Related Report
      2013 Research-status Report
  • [Book] 不整脈概論 専門医になるためのエッセンシャルブック2013

    • Author(s)
      森田 宏.
    • Total Pages
      422
    • Publisher
      メディカルビュー社
    • Related Report
      2013 Research-status Report

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Published: 2013-05-31   Modified: 2019-07-29  

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