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Impact of exercise therapy on stabilization of coronary plaque after acute coronary syndrome.

Research Project

Project/Area Number 24591071
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

DAIDA Hiroyuki  順天堂大学, 医学部, 教授 (40197596)

Co-Investigator(Renkei-kenkyūsha) MIYAUCHI Katsumi  順天堂大学, 医学部, 先任准教授 (60200119)
KAZUNORI Shimada  順天堂大学, 医学部, 先任准教授 (60327814)
YOKOYAMA Miho  順天堂大学, 医学部, 助教 (60407301)
Project Period (FY) 2012-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥5,330,000 (Direct Cost: ¥4,100,000、Indirect Cost: ¥1,230,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords急性冠症候群 / 血管内超音波 / 冠動脈プラーク / 包括的心臓リハビリテーション / 身体活動量 / プラークの安定化
Outline of Final Research Achievements

We enrolled 40 patients with ACS who had been treated by emergency percutaneous coronary intervention for culprit lesions and having an untouched non-culprit target lesion of <25% stenosis that could be visualized by IB-IVUS. The average age was 60±11 years old, and thirty-seven were male. Twenty-eight patients had ST elevated MI. The culprit lesions included 22 left anterior descending arteries, 5 left circumflex arteries, and 13 right coronary arteries. With regard to coronary risk factors, 23 patients had hypertension, 39 patients had dyslipidemia, 11 patients had diabetes, and 17 patients had smoking.
Patients were assigned into the aggressive CR group (n=20) and the usually CR groups (n=20). No significant differences of age, gender, coronary risk factors, number of diseased vessels, or ejection fraction, were observed between the two groups. Until now, restudy of IB-IVUS had completed in 32 out of 40 subjects. We expect that the final analysis will be completed in early August.

Report

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

    (20 results)

All 2015 2014 2013

All Journal Article (9 results) (of which Peer Reviewed: 9 results,  Open Access: 3 results) Presentation (9 results) Book (2 results)

  • [Journal Article] Impact of lipoprotein(a) as residual risk on long-term outcomes in patients after percutaneous coronary intervention.2015

    • Author(s)
      Konishi H, Miyauchi K, Kasai T, Tsuboi S, Ogita M, Naito R, Sai E, Fukushima Y, Katoh Y, Okai I, Tamura H, Okazaki S, Daida H.
    • Journal Title

      Am J Cardiol.

      Volume: 115 Pages: 157-160

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] The high molecular weight adiponectin level is associated with the atherogenic lipoprotein profiles in healthy Japanese males.2014

    • Author(s)
      Miyazaki T, Hiki M, Shimada K, Kume A, Kiyanagi T, Sumiyoshi K, Ohmura H, Daida H.
    • Journal Title

      J Atheroscler Thromb.

      Volume: 21 Pages: 672-9

    • NAID

      130004444791

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Long-term prognosis and clinical characteristics of young adults (≤40 years old) who underwent percutaneous coronary intervention.2014

    • Author(s)
      Konishi H, Miyauchi K, Kasai T, Tsuboi S, Ogita M, Naito R, Katoh Y, Okai I, Tamura H, Okazaki S, Daida H.
    • Journal Title

      J Cardiol.

      Volume: 64 Pages: 171-4

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of admission glycemia and glycosylated hemoglobin A1c on long-term clinical outcomes of non-diabetic patients with acute coronary syndrome.2014

    • Author(s)
      Naito R, Miyauchi K, Ogita M, Kasai T, Kawaguchi Y, Tsuboi S, Konishi H, Okazaki S, Kurata T, Daida H.
    • Journal Title

      J Cardiol.

      Volume: 63

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Low high-density lipoprotein cholesterol is a residual risk factor associated with long-term clinical outcomes in diabetic patients with stable coronary artery disease who achieve optimal control of low-density lipoprotein cholesterol.2014

    • Author(s)
      Ogita M, Miyauchi K, Miyazaki T, Naito R, Konishi H, Tsuboi S, Dohi T, Kasai T, Yokoyama T, Okazaki S, Kurata T, Daida H.
    • Journal Title

      Heart Vessels.

      Volume: 29 Pages: 35-41

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Increased lysophosphatidic acid levels in culprit coronary arteries of patients with acute coronary syndrome.2013

    • Author(s)
      Dohi T, Miyauchi K, Ohkawa R, Nakamura K, Kurano M, Kishimoto T, Yanagisawa N, Ogita M, Miyazaki T, Nishino A, Yaginuma K, Tamura H, Kojima T, Yokoyama K, Kurata T, Shimada K, Daida H, Yatomi Y.
    • Journal Title

      Atherosclerosis.

      Volume: 229 Pages: 192-7

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Management and two-year long-term clinical outcome of acute coronary syndrome in Japan.2013

    • Author(s)
      Daida H. et al.
    • Journal Title

      Circ J.

      Volume: 77 Pages: 934-43

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of cardiac rehabilitation on muscle mass, muscle strength, and exercise tolerance in diabetic patients after coronary artery bypass grafting.2013

    • Author(s)
      Nishitani M. et al.
    • Journal Title

      J cardiol.

      Volume: 61 Pages: 216-21

    • NAID

      10031187790

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Increased circulating soluble LR11 in patients with acute coronary syndrome.2013

    • Author(s)
      Ogita M. et al.
    • Journal Title

      Clin Chim Acta.

      Volume: 415 Pages: 191-4

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Presentation] Residual risks for diabetic patients with coronary artery disease2015

    • Author(s)
      代田浩之
    • Organizer
      第64回米国心臓学会議
    • Place of Presentation
      San Diego
    • Year and Date
      2015-03-15
    • Related Report
      2014 Annual Research Report
  • [Presentation] プラーク退縮と安定化を目指した積極的脂質低下療法の意義2014

    • Author(s)
      代田浩之
    • Organizer
      第28回日本臨床内科医学会
    • Place of Presentation
      盛岡
    • Year and Date
      2014-10-12
    • Related Report
      2014 Annual Research Report
  • [Presentation] 虚血性心疾患の脂質管理2014

    • Author(s)
      代田浩之
    • Organizer
      日本循環器学会
    • Place of Presentation
      仙台
    • Year and Date
      2014-09-27
    • Related Report
      2014 Annual Research Report
  • [Presentation] 我が国における冠動脈疾患の予防戦略2014

    • Author(s)
      代田浩之
    • Organizer
      第128回日本循環器学会北陸地方会
    • Place of Presentation
      金沢
    • Year and Date
      2014-07-06
    • Related Report
      2014 Annual Research Report
  • [Presentation] Prognostic Impact of Exercise Tolerance in Diabetic Patients after Off-pump Coronary Artery Bypass Grafting2014

    • Author(s)
      横山美帆
    • Organizer
      第78回日本循環器学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 急性冠症候群患者の冠動脈プラーク退縮における回復期心臓リハビリテーションの効果2013

    • Author(s)
      横山美帆
    • Organizer
      第61回日本心臓病学会学術集会
    • Place of Presentation
      熊本
    • Related Report
      2013 Research-status Report
  • [Presentation] Management and Two-year Long-term Clinical Outcomes of Patients with Acute Coronary Syndrome in Japan: The PACIFIC Registry2013

    • Author(s)
      代田浩之
    • 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] Diabetes and Cardiovascular Disease: Current Strategy on Comprehensive Management and Coronary Revascularization to Improving Long-term Outcomes.2013

    • Author(s)
      宮内克己
    • 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] Clinical Significance of Comprehensive Cardiac Rehabilitation on Coronary Plaque Volume Changes in Patients after Acute Coronary Syndrome.2013

    • Author(s)
      横山美帆
    • 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] 循環器疾患 治療過程で遭遇する諸問題の解決法2014

    • Author(s)
      代田浩之
    • Total Pages
      413
    • Publisher
      日本医事新報社
    • Related Report
      2014 Annual Research Report
  • [Book] スマート栄養管理術123栄養とスポーツの管理が重要であるこれだけの理由2014

    • Author(s)
      横山美帆、波多江千恵、代田浩之
    • Total Pages
      259
    • Publisher
      医歯薬出版株式会社
    • Related Report
      2013 Research-status Report

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

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