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Study for prevention of stroke after TIA

Research Project

Project/Area Number 24591309
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurology
Research InstitutionNational Cardiovascular Center Research Institute

Principal Investigator

UEHARA Toshiyuki  独立行政法人国立循環器病研究センター, 病院, 医長 (60505098)

Co-Investigator(Kenkyū-buntansha) TOYODA Kazunori  国立循環器病研究センター, 病院, 部長 (50275450)
MINEMATSU Kazuo  国立循環器病研究センター, 病院, 副院長 (60200094)
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: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords一過性脳虚血発作 / 脳卒中 / 画像検査 / 救急 / 予後
Outline of Final Research Achievements

First, we elucidated the factors associated with the time from symptom onset to arrival at a stroke center in patients with TIA using data from a multicenter, retrospective study. Second, we demonstrated that the presence of Fluid-attenuated inversion recovery hyperintensity (FVH) early after symptom onset may help to diagnosis TIA, to identify the potential mechanisms of TIA and to predict recurrence risk after a TIA. Finally, we reported that patients with TIA should be cautiously manage, even when neither large-artery disease or atrial fibrillation are identified by urgent workup, and that clinical findings as motor lacunar symptom or high admission blood pressure, besides diffusion-weighted imaging findings, may be helpful to predict early stroke in such patients.

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 (23 results) (of which Peer Reviewed: 13 results,  Acknowledgement Compliant: 3 results) Presentation (9 results) (of which Invited: 2 results) Book (10 results) Remarks (1 results)

  • [Journal Article] Transient ischemic attack clinic in an urban area of Japan2015

    • Author(s)
      Suzuki R, Uehara T, Ohara T, Kawabata K, Yasui K, Hasegawa Y, Minematsu K
    • Journal Title

      Int J Stroke

      Volume: 10

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Early Stroke Risk after Transient Ischemic Attack in Patients Without Large-Artery Disease or Atrial Fibrillation.2015

    • Author(s)
      Ohara T, Uehara T, Toyoda K, Suzuki R, Sato S, Nagatsuka K, Minematsu K
    • Journal Title

      J Stroke Cerebrovasc Dis

      Volume: 24 Issue: 7 Pages: 1656-1661

    • DOI

      10.1016/j.jstrokecerebrovasdis.2015.03.039

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] TIAクリニック2015

    • Author(s)
      上原敏志、峰松一夫
    • Journal Title

      Modern Physician

      Volume: 235 Pages: 647-651

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Guidelines for management of patients with transient ischemic attack2014

    • Author(s)
      Uehara T, Minematsu K
    • Journal Title

      TIA as Acute cerebrovascular syndrome. Front Neurol Neurosci.

      Volume: 33 Pages: 103-114

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Factors associated with onset-to-door time in TIA patients admitted to stroke centers2014

    • Author(s)
      Uehara T, Kimura K, Okada Y, Hasegawa Y, Tanahashi N, Suzuki A, Takagi S, Nakagawara J, MD; Arii K, Nagahiro S, Ogasawara K, Nagao T, Uchiyama S, Matsumoto M, Iihara K, Minematsu K
    • Journal Title

      Stroke

      Volume: 45 Issue: 2 Pages: 611-613

    • DOI

      10.1161/strokeaha.113.003367

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] What should be the essential components of stroke centers in Japan? Questionnaire survey to directors of facilities certified by the Japan Stroke Society2014

    • Author(s)
      Uehara T, Yasui N, Okada Y, Hasegawa Y, Nagatsuka K, Minematsu K
    • Journal Title

      Cerebrovasc Dis

      Volume: 37 Issue: 6 Pages: 409-416

    • DOI

      10.1159/000362641

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Features of patients with amaurosis fugax as transient ischemic attack: Analyses of data from a multicenter retrospective study in Japan2014

    • Author(s)
      Tanaka K, Uehara T, Matsushima H, Suzuki R, Fujinami J, Miyagi T, Kimura K, Okada Y, Hasegawa Y, Tanahashi N, Suzuki A, Takagi S, Nakagawara J, Arii K, Nagao T, Nagahiro S, Ogasawara K, Uchiyama S, Matsumoto M, Iihara K, Toyoda K, Minematsu K
    • Journal Title

      J Stroke Cerebrovasc Dis

      Volume: 23

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Early-onset dystonia after supplementary motor area infarction2014

    • Author(s)
      Nishimura Y, Uehara T, Toyoda K
    • Journal Title

      J Stroke Cerebrovasc Dis

      Volume: 23

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Incidence and Predictors of Ischemic Stroke Events during Hospitalization in Patients with Transient Ischemic Attack2014

    • Author(s)
      Fujinami J, Uehara T, Kimura K, Okada Y, Hasegawa Y, Tanahashi N, Suzuki A, Takagi S, Nakagawara J, Arii K, Nagahiro S, Ogasawara K, Nagao T, Uchiyama S, Matsumoto M, Iihara K, Minematsu K
    • Journal Title

      Cerebrovasc Dis

      Volume: 37 Issue: 5 Pages: 330-335

    • DOI

      10.1159/000360757

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Factors associated with unfavorable outcome in minor ischemic stroke2014

    • Author(s)
      Sato S, Uehara T, Ohara T, Suzuki R, Toyoda K, Minematsu K
    • Journal Title

      Neurology

      Volume: 83 Issue: 2 Pages: 174-181

    • DOI

      10.1212/wnl.0000000000000572

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] A questionnaire survey of general practitioners in Japan in relation to management ischemic attack2014

    • Author(s)
      Suzuki R, Uehara T, Ohara T, Kawabata K, Yasui K, Hasegawa Y, Minematsu K
    • Journal Title

      Int J Stroke

      Volume: 9 Issue: 4 Pages: E16-E17

    • DOI

      10.1111/ijs.12266

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] わが国におけるstroke unitの有効性2014

    • Author(s)
      上原敏志、峰松一夫
    • Journal Title

      総合リハビリテーション

      Volume: 42 Pages: 205-210

    • Related Report
      2014 Annual Research Report 2013 Research-status Report
  • [Journal Article] 若年・壮年期の脳卒中overview2014

    • Author(s)
      上原敏志、峰松一夫
    • Journal Title

      Medical Rehabilitation

      Volume: 172 Pages: 1-5

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 一過性脳虚血発作の概念2014

    • Author(s)
      上原敏志
    • Journal Title

      日本臨床(増刊号)

      Volume: 72 Pages: 266-269

    • Related Report
      2014 Annual Research Report
  • [Journal Article] 脳卒中画像診断の進歩2014

    • Author(s)
      上原敏志、峰松一夫
    • Journal Title

      日本医師会雑誌

      Volume: 143 Pages: 1873-1876

    • Related Report
      2014 Annual Research Report
  • [Journal Article] Guidelines for management of patients with transient ischemic attack2014

    • Author(s)
      Uehara T, Minematsu K
    • Journal Title

      TIA as Acute cerebrovascular syndrome. Front Neurol Neurosci

      Volume: 33 Pages: 103-114

    • DOI

      10.1159/000351911

    • ISBN
      9783318024586, 9783318024593
    • Related Report
      2013 Research-status Report
  • [Journal Article] Factors Fassociated with onset-to-door time in TIA patients admitted to stroke centers2014

    • Author(s)
      Uehara T, Kimura K, Okada Y, Hasegawa Y, Tanahashi N, Suzuki A, Takagi S, Nakagawara J, MD; Arii K, Nagahiro S, Ogasawara K, Nagao T, Uchiyama S, Matsumoto M, Iihara K, Minematsu K
    • Journal Title

      Stroke

      Volume: 45 Pages: 611-613

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Intra- and extracranial atherosclerotic disease in acute spontaneous intracranial hemorrhage2013

    • Author(s)
      Sato S, Uehara T, Hayakawa M, Nagatsuka K, Minematsu K, Toyoda K
    • Journal Title

      J Neurol Sci

      Volume: 332 Pages: 116-120

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] 脳卒中のクリニカル・パール2013

    • Author(s)
      上原敏志、豊田一則
    • Journal Title

      Medicina

      Volume: 50 Pages: 1598-1601

    • Related Report
      2013 Research-status Report
  • [Journal Article] 一過性脳虚血発作 (TIA) の発症機序と症候2013

    • Author(s)
      上原敏志
    • Journal Title

      Prog. Med.

      Volume: 33 Pages: 1705-1708

    • Related Report
      2013 Research-status Report
  • [Journal Article] Clinical significance of fluid-attenuated inversion recovery vascular hyper intensities in transient ischemic attack2013

    • Author(s)
      Kobayashi J, Uehara T, Toyoda K, Endo K, Ohara T, Fujinami J, Nagatsuka K, Minematsu K
    • Journal Title

      Stroke

      Volume: 44

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Examination Timing and Lesion Patterns in Diffusion-Weighted Magnetic Resonance Imaging of Patients with classically defined Transient Ischemic Attack2013

    • Author(s)
      Miyagi T, Uehara T, Toyoda K, Minematsu K, et al
    • Journal Title

      J Stroke Cerebrovasc Dis

      Volume: 22

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] Guidelines for patients with transient ischemic attack2013

    • Author(s)
      Uehara T, Minematsu K
    • Journal Title

      Frontiers of Neurology and Neuroscience

      Volume: 33

    • Related Report
      2012 Research-status Report
  • [Presentation] TIAの診断のポイント (TIA mimicsとの鑑別も含めて)2015

    • Author(s)
      上原敏志
    • Organizer
      第40回日本脳卒中学会総会
    • Place of Presentation
      広島
    • Year and Date
      2015-03-27
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Incidence and predictors of subsequent ischemic stroke within 90 days of transient ischemic attack onset, using data of a multicenter prospective study2015

    • Author(s)
      Toshiyuki Uehara, Tomoyuki Ohara, Mikito Hayakawa, Shoichiro Sato, Rieko Suzuki, Kazunori Toyoda, Kazuo Minematsu: for PROMISE-TIA study Investigators
    • Organizer
      International Stroke Conference 2015
    • Place of Presentation
      Nashville
    • Year and Date
      2015-02-12
    • Related Report
      2014 Annual Research Report
  • [Presentation] 急性期脳卒中の治療 –理学療法へつなげるために –2014

    • Author(s)
      上原敏志
    • Organizer
      第54回 近畿理学療法学術大会
    • Place of Presentation
      大阪
    • Year and Date
      2014-11-03
    • Related Report
      2014 Annual Research Report
    • Invited
  • [Presentation] Factors associated with lesions on diffusion-weighted imaging in patients with transient ischemic attack: results of an interim analysis of a multicenter prospective TIA registry2014

    • Author(s)
      Toshiyuki Uehara, Tomoyuki Ohara, Rieko Suzuki, Shoichiro Sato, Tetsuya Miyagi, Yuka Hama, Ryo Shimomura, Kazunori Toyoda, Kazuo Minematsu: for PROMISE TIA registry Investigators
    • Organizer
      World Stroke Congress 2014
    • Place of Presentation
      Istanbul
    • Year and Date
      2014-10-25
    • Related Report
      2014 Annual Research Report
  • [Presentation] Factors associated with recurrent TIA: an interim analysis of a multicenter prospective TIA registry2014

    • Author(s)
      Toshiyuki Uehara, Tomoyuki Ohara, Rieko Suzuki, Shoichiro Sato, Mikito Hayakawa, Kazunori Toyoda, Kazuo Minematsu: for PROMISE TIA registry Investigators
    • Organizer
      Asia Pacific Stroke Conference 2014
    • Place of Presentation
      Taipei
    • Year and Date
      2014-09-14
    • Related Report
      2014 Annual Research Report
  • [Presentation] わが国におけるTIAレジストリの現況2014

    • Author(s)
      上原敏志
    • Organizer
      第39回日本脳卒中学会総会(シンポジウム)
    • Place of Presentation
      大阪
    • Related Report
      2013 Research-status Report
  • [Presentation] Incidence and predictors of subsequent ischemic stroke within 90 days of transient ischemic attack onset -Results of an interim analysis of a multicenter study-2013

    • Author(s)
      Toshiyuki Uehara, Tomoyuki Ohara, Rieko Suzuki, Shoichiro Sato, Tetsuya Miyagi, Yuka Kuronuma, Ryo Shimomura, Kazunori Toyoda, Kazuo Minematsu: for PROMISE TIA registry Investigators
    • Organizer
      International TIA/ACVS Conference (Symposium)
    • Place of Presentation
      Tokyo
    • Related Report
      2013 Research-status Report
  • [Presentation] TIA研究班による新たな診断基準(TIA研究班による新たな診断基準の提示)2013

    • Author(s)
      上原敏志
    • Organizer
      第16回日本栓子検出と治療学会(特別シンポジウム)
    • Place of Presentation
      名古屋
    • Related Report
      2013 Research-status Report
  • [Presentation] Surveillance and guide of TIA in Japan2012

    • Author(s)
      Uehara T
    • Organizer
      Asia Pacific Stroke Conference 2012
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
  • [Book] 一過性脳虚血発作と急性脳血管症候群: 脳血管障害の急性期マネジメント2014

    • Author(s)
      上原敏志
    • Publisher
      文光堂
    • Related Report
      2014 Annual Research Report
  • [Book] 一過性脳虚血発作: 脳梗塞診療読本2014

    • Author(s)
      上原敏志
    • Publisher
      中外医学社
    • Related Report
      2014 Annual Research Report
  • [Book] 脳血管障害の急性期マネジメント:一過性脳虚血発作と急性脳血管症候群2014

    • Author(s)
      上原敏志
    • Publisher
      文光堂
    • Related Report
      2013 Research-status Report
  • [Book] 脳梗塞診療読本:一過性脳虚血発作2014

    • Author(s)
      上原敏志
    • Publisher
      中外医学社
    • Related Report
      2013 Research-status Report
  • [Book] 今日の神経疾患治療指針:心原性脳塞栓症2013

    • Author(s)
      上原敏志、豊田一則
    • Publisher
      医学書院
    • Related Report
      2013 Research-status Report
  • [Book] 脳卒中レジデントマニュアル:①脳梗塞・TIAの臨床病型診断・治療  B 一過性脳虚血発作 (TIA)2013

    • Author(s)
      上原敏志
    • Publisher
      中外医学社
    • Related Report
      2013 Research-status Report
  • [Book] 急性期医療の実際:TIAの概念および定義2013

    • Author(s)
      上原敏志、峰松一夫
    • Publisher
      診断と治療社
    • Related Report
      2012 Research-status Report
  • [Book] あなたも名医! 脳卒中と一過性脳虚血発作を見逃すな!:一過性脳虚血発作は救急疾患か?2013

    • Author(s)
      上原敏志
    • Publisher
      日本医事新報社
    • Related Report
      2012 Research-status Report
  • [Book] 脳と循環: ジャーナルレビュー:ABCD2<4の一過性脳虚血発作(TIA)患者は、ABCD2≧4のTIA患者と同様の90日以内の脳卒中リスクをもつ2012

    • Author(s)
      上原敏志
    • Publisher
      メディカルレビュー社
    • Related Report
      2012 Research-status Report
  • [Book] 脳卒中レジデントマニュアル; 急性期脳卒中の診断と治療 ①脳梗塞・TIAの臨床病型診断・治療  B 一過性脳虚血発作 (TIA)2012

    • Author(s)
      上原敏志
    • Publisher
      中外医学社
    • Related Report
      2012 Research-status Report
  • [Remarks] 国立循環器病研究センター 脳血管内科紹介

    • URL

      http://hospital.ncvc.go.jp/section/f001/f001-a.html

    • Related Report
      2012 Research-status Report

URL: 

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

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