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Clinical Evaluation of Calcium Overload in Heart Failure

Research Project

Project/Area Number 25461048
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionNiigata University

Principal Investigator

Kashimura Takeshi  新潟大学, 医歯学総合研究科, 特任准教授 (70419290)

Co-Investigator(Renkei-kenkyūsha) MINAMINO Tohru  新潟大学, 医歯学系, 教授 (90328063)
Research Collaborator WATANABE Tohru  
Project Period (FY) 2013-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords心不全 / カルシウム過負荷 / 頻度収縮性関係 / 交互脈 / 刺激後増強反応 / ペーシング / 収縮後増強反応 / 連結期収縮性関係
Outline of Final Research Achievements

In patients with heart failure, one of the main cause of myocardial systolic dysfunction is considered to be myocardial calcium overload, however there is no method to show calcium overload directly in vivo in heart failure patients. Therefore, we hypothesized that calcium overload was a condition in which the amount of calcium loaded in myocardial sarcoplasmic reticulum was too much to release effectively in a coupling interval. Then we examined patterns of change in left ventricular systolic force by changing heart rate using atrial pacing during cardiac catheterization. We found that in patients with left ventricular systolic dysfunction showed enhancement of systolic force during tachycardia was smaller than that of control although cessation of pacing and following long coupling interval enhanced systolic force significantly more than that of control. These findings and our other findings suggest calcium overload in patients with heart failure.

Report

(5 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (10 results)

All 2016 2015 2014 2013

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 5 results,  Acknowledgement Compliant: 1 results) Presentation (5 results)

  • [Journal Article] Failing Left Ventricles Have an Enhanced Post-Stimulation Potentiation Despite Their Impaired Force Frequency Relationship2016

    • Author(s)
      Watanabe T, *Kashimura T, Kodama M, Tanaka K, Fujiki S, Hayashi Y, Obata H, Hanawa H, Minamino T.
    • Journal Title

      International Heart Journal

      Volume: 57 Issue: 3 Pages: 317-322

    • DOI

      10.1536/ihj.15-374

    • NAID

      130005153698

    • ISSN
      1349-2365, 1349-3299
    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Failing Left Ventricles Have an Enhanced Post-Stimulation2016

    • Author(s)
      Watanabe T, Kashimura T, Kodama M, Tanaka K, Fujiki S, Hayashi Y, Obata H, Hanawa H, Minamino T
    • Journal Title

      Int Heart J

      Volume: 未定

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Cibenzoline Abolished Pulsus Alternans in a HOCM Patient2015

    • Author(s)
      Watanabe T, Kashimura T, Obata H, Minamino T.
    • Journal Title

      Internal Medicine

      Volume: 54 Issue: 17 Pages: 2273-2273

    • DOI

      10.2169/internalmedicine.54.4500

    • NAID

      130005097158

    • ISSN
      0918-2918, 1349-7235
    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Cibenzoline Abolished Pulsus Alternans in a HOCM Patient2015

    • Author(s)
      Tohru Watanabe, Takeshi Kashimura, Hiroaki Obata, and Tohru Minamino
    • Journal Title

      Internal Medicine

      Volume: 未定

    • NAID

      130005097158

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relative refractoriness of left ventricular contraction underlies human tachycardia-induced mechanical and electrical alternans.2014

    • Author(s)
      Kashimura T, Kodama M, Watanabe T, Tanaka K, Hayashi Y, Ohno Y, Obata H, Ito M, Hirono S, Hanawa H, Minamino T.
    • Journal Title

      Pacing Clin Electrophysiol

      Volume: 37 Issue: 2 Pages: 197-206

    • DOI

      10.1111/pace.12230

    • Related Report
      2013 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] Hemodynamic Characteristics of Patients with Impaired Force Frequency Relationship2016

    • Author(s)
      Kashimura T, Kodama M, Watanabe T, FUjiki S, Hayashi Y, Minamino T
    • Organizer
      第20回日本心不全学会学術集会
    • Place of Presentation
      札幌、北海道
    • Year and Date
      2016-10-07
    • Related Report
      2016 Annual Research Report
  • [Presentation] 心内膜心筋生検における外注の電子顕微鏡診断の意義2015

    • Author(s)
      渡辺 達、柏村 健、藤木伸也、林 由香、田中孔明、小幡裕明、塙 晴雄、南野 徹
    • Organizer
      第37回 心筋生検研究会
    • Place of Presentation
      神戸国際会議場(兵庫県神戸市中央区)
    • Year and Date
      2015-12-10
    • Related Report
      2015 Research-status Report
  • [Presentation] Rationale for Endomyocardial Biopsy of Heart Failure Patients Who Have Responded to Usual Care.2015

    • Author(s)
      渡辺 達、柏村 健、田中孔明、小幡裕明、塙 晴雄、南野 徹
    • Organizer
      第19回日本心不全学会
    • Place of Presentation
      ナレッジキャピタル コングレコンベンションセンター(大阪府大阪市北区)
    • Year and Date
      2015-10-22
    • Related Report
      2015 Research-status Report
  • [Presentation] Intravenous cibenzoline shifts force-frequency relationship downwards and decreases intraventricular pressure gradient during tachycardia in patients with hypertrophic obstructive cardiomyopathy2014

    • Author(s)
      Tohru Watanabe, Takeshi Kashimura, Koumei Tanaka, Hiroaki Obata, Haruo Hanawa, and Tohru Minamino
    • Organizer
      第17回 日本心不全学会
    • Place of Presentation
      大阪国際会議場
    • Year and Date
      2014-10-10 – 2014-10-12
    • Related Report
      2014 Research-status Report
  • [Presentation] Reduction of LV dP/dtmax by Intravenous Cibenzoline Predicts the Efficacy of Its Oral Administration in Patients with Hypertrophic Obstructive Cardiomyopathy.2013

    • Author(s)
      Tohru Watanabe, Takeshi Kashimura, Hiromi Kayamori, Hiroaki Obata, Haruo Hanawa, and Tohru Minamino
    • Organizer
      第17回 日本心不全学会
    • Place of Presentation
      大宮
    • Related Report
      2013 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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