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Effects of L-carnitine on cardiac and skeletal muscle function in patients with heart failure and preserved ejection fraction

Research Project

Project/Area Number 25461058
Research Category

Grant-in-Aid for Scientific Research (C)

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

Principal Investigator

Yamamoto Kazuhiro  鳥取大学, 医学部, 教授 (90303966)

Co-Investigator(Kenkyū-buntansha) KATO Masahiko  鳥取大学, 医学部, 准教授 (40362884)
KINUGASA Yoshiharu  鳥取大学, 医学部, 助教 (60598944)
Research Collaborator SUGIHARA Shinobu  
YANAGIHARA Kiyotaka  
HORAI Masayuki  
YAMADA Kensaku  
WATANABE Tomomi  
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2014: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2013: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords拡張不全 / カルニチン
Outline of Final Research Achievements

The aim of this study is to assess the effects of L-carnitine in patients with heart failure and preserved ejection fraction (HFpEF). Currently, this study is ongoing, and the final analysis will be conducted after the completion of the study protocol. In addition to this study, we have also conducted an observational study to assess the effects of carnitine insufficiency on the prognosis of patients with HFpEF. The subjects of this observational study was 117 HFpEF patients, and they were divided into two groups with and without carnitine insufficiency. Multivariate cox hazard analysis showed that carnitine insufficiency was an independent predictor of cardiac events. This result shows that carnitine insufficiency is associated with poor prognosis in HFpEF patients, and suggests that a clinical study to assess the effects of L-carnitine prescription is valuable.

Report

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

    (30 results)

All 2016 2015 2014 2013

All Journal Article (15 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 15 results,  Open Access: 8 results) Presentation (15 results) (of which Int'l Joint Research: 1 results,  Invited: 9 results)

  • [Journal Article] Child ego state is associated with high prevalence of repeated hospitalizations in patients with heart failure.2016

    • Author(s)
      Yanagihara K, Kinugasa Y, Shirota K, Inoue Y, Ishii H, Tsunoda F, Iwata M, Sugihara S, Takeda S, Hirai M, Mimura A, Kato M, Yamamoto K
    • Journal Title

      ESC Heart Fail

      Volume: 3 Issue: 1 Pages: 18-25

    • DOI

      10.1002/ehf2.12060

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Inspiratory muscle weakness is associated with exercise intolerance in patients with heart failure with preserved ejection fraction: A preliminary study2016

    • Author(s)
      山田健作
    • Journal Title

      J Card Fail

      Volume: 22 Issue: 1 Pages: 38-47

    • DOI

      10.1016/j.cardfail.2015.10.010

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Depletion of Uric Acid Due to SLC22A12 (URAT1) Loss-of-Function Mutation Causes Endothelial Dysfunction in Hypouricemia2015

    • Author(s)
      Sugihara S, Hisatome I, Kuwabara M, Niwa K, Maharani N, Kato M, Ogino K, Hamada T, Ninomiya H, Higashi Y, Ichida K, Yamamoto K
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 5 Pages: 1125-1132

    • DOI

      10.1253/circj.CJ-14-1267

    • NAID

      130005066259

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Risk Factors for Progression of Degenerative Aortic Valve Disease in the Japanese – The Japanese Aortic Stenosis Study (JASS) Prospective Analysis –2015

    • Author(s)
      Yamamoto K, Yamamoto H, Takeuchi M, Kisanuki A, Akasaka T, Ohte N, Hirano Y, Yoshida K, Nakatani S, Takeda Y, Sozu T, Masuyama T.
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 9 Pages: 2050-2057

    • DOI

      10.1253/circj.CJ-15-0499

    • NAID

      130005095298

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] A double-blind placebo-controlled study of the effects of olprinone, a specific phosphodiesterase-III inhibitor, for preventing postoperative atrial fibrillation in patients undergoing pulmonary resection for lung cancer2015

    • Author(s)
      Nojiri T, Yamamoto K, Maeda H, Takeuchi Y, Ose N, Susaki Y, Inoue M, Okumura M
    • Journal Title

      Chest

      Volume: 148 Issue: 5 Pages: 1285-1292

    • DOI

      10.1378/chest.15-0852

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Octogenarian Patients With Heart Failure2015

    • Author(s)
      Yamamoto K
    • Journal Title

      International Heart Journal

      Volume: 56 Issue: 2 Pages: 135-136

    • DOI

      10.1536/ihj.15-020

    • NAID

      130004941302

    • ISSN
      1349-2365, 1349-3299
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Beta–blocker Therapy in Heart Failure with Preserved Ejection Fraction: Importance of Dose and Duration2015

    • Author(s)
      Yamamoto K
    • Journal Title

      Journal of Cardiology

      Volume: 79 Issue: 3 Pages: 189-194

    • DOI

      10.1016/j.jjcc.2015.02.004

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed
  • [Journal Article] “The Third Man” in Heart Failure – Heart Failure With Reduce Ejection Fraction Evolved From Heart Failure With Preserved Ejection Fraction –2015

    • Author(s)
      Yamamoto K
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 10 Pages: 2108-2109

    • DOI

      10.1253/circj.CJ-15-0857

    • NAID

      130005099871

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relation of risk factors with response to carvedilol in heart failure with preserved ejection fraction - A report from the Japanese Diastolic Heart Failure Study (J-DHF)-2014

    • Author(s)
      Yamamoto K, Origasa H, Suzuki Y, Takahashi T, Shinozaki T, Watanabe T, Sakata Y, Izumi C, Taira K, Hori M.
    • Journal Title

      J Cardiol

      Volume: 63 Issue: 6 Pages: 424-431

    • DOI

      10.1016/j.jjcc.2013.10.014

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Multidisciplinary intensive education in the hospital improves outcomes for hospitalized heart failure patients in a Japanese rural setting2014

    • Author(s)
      Kinugasa Y, Kato M, Sugihara S, Yanagihara K, Yamada K, Hirai M, Yamamoto K.
    • Journal Title

      BMC Health Serv Res

      Volume: 14 Issue: 1 Pages: 315-315

    • DOI

      10.1186/1472-6963-14-351

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Clinical Scenario 1 Is Associated With Winter Onset of Acute Heart Failure2014

    • Author(s)
      Hirai M, Kato M, Kinugasa Y, Sugihara S, Yanagihara K, Yamada K, Watanabe T, Yamamoto K.
    • Journal Title

      Circulation Journal

      Volume: 79 Issue: 1 Pages: 129-135

    • DOI

      10.1253/circj.CJ-14-0710

    • NAID

      130004704030

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Endovascular Aortic Repair Increases Vascular Stiffness and Alters Cardiac Structure and Function2014

    • Author(s)
      Takeda Y, Sakata Y, Ohtani T, Tamaki S, Omori Y, Tsukamoto Y, Aizawa Y, Shimamura K, Shirakawa Y, Kuratani T, Sawa Y, Yamamoto K, Mano T, Komuro I.
    • Journal Title

      Circulation Journal

      Volume: 78 Issue: 2 Pages: 322-328

    • DOI

      10.1253/circj.CJ-13-0877

    • NAID

      130003382224

    • ISSN
      1346-9843, 1347-4820
    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Glucocorticoids induce cardiac fibrosis via mineralocorticoid receptor in oxidative stress: contribution of elongation factor eleven-nineteen lysine-rich leukemia (ELL)2014

    • Author(s)
      Omori Y, Mano T, Ohtani T, Sakata Y, Takeda Y, Tamaki S, Tsukamoto Y, Miwa T, Yamamoto K, Komuro I.
    • Journal Title

      Yonago Acta medica

      Volume: 57 Pages: 109-116

    • NAID

      120005482531

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Discharge use of carvedilol is associated with higher survival in Japanese elderly patients with heart failure regardless of left ventricular ejection fraction2013

    • Author(s)
      Yanagihara K, Kinugasa Y, Sugihara S, Hirai M, Yamada K, Ishida K, Kato M, Yamamoto K
    • Journal Title

      J Cardiovasc Pharmacol

      Volume: 62 Issue: 5 Pages: 485-90

    • DOI

      10.1097/fjc.0000000000000006

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] The main target for inhibiting mineralocorticoid receptor-mediated signaling pathway in cardiovascular diseases2013

    • Author(s)
      Yamamoto K
    • Journal Title

      Hypertens Res

      Volume: 36 Issue: 7 Pages: 580-2

    • DOI

      10.1038/hr.2013.42

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] Child Ego State is Associated with High Prevalence of Repeated Hospitalizations in Patients with Heart Failure2016

    • Author(s)
      Yanagihara K, Kinugasa Y, Shirota K, Inoue Y, Ishii H, Tsunoda F, Sugihara S, Hirai M, Mimura A, Katoh M, yamamoto K
    • Organizer
      第80回日本循環器学会学術集会
    • Place of Presentation
      仙台国際センター
    • Year and Date
      2016-03-20
    • Related Report
      2015 Annual Research Report
  • [Presentation] Change in the Left Kidney Volume is Associated with Worsening Renal Function in Patients with Acute Decompensated Heart Failure2016

    • Author(s)
      Sugihara S, Kinugasa Y, Yamada K, Katoh M, Yamamoto K
    • Organizer
      第80回日本循環器学会学術集会
    • Place of Presentation
      仙台国際センター
    • Year and Date
      2016-03-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] The Assessment of Impaired Sleep Quality in Patients with Chronic Heart Failure2016

    • Author(s)
      Kato M, Yamada K, Fujiyama M, Matsuda E, Sugihara S, Matsubara K, Kinugasa Y、Yamamoto K
    • Organizer
      第80回日本循環器学会学術集会
    • Place of Presentation
      仙台国際センター
    • Year and Date
      2016-03-19
    • Related Report
      2015 Annual Research Report
  • [Presentation] Characteristics of heart failure with preserved ejection fraction2015

    • Author(s)
      Yamamoto K
    • Organizer
      第19回日本心不全学会学術集会
    • Place of Presentation
      グランフロント大阪
    • Year and Date
      2015-10-24
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] What exactly is HFpEF and How Do We Diagnose It?2015

    • Author(s)
      Yamamoto K
    • Organizer
      19th Annual Scientific Meeting of Heart Failure Society of America
    • Place of Presentation
      Washington DC, USA
    • Year and Date
      2015-09-29
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research / Invited
  • [Presentation] 拡張不全の病態と治療―最新の治験―2015

    • Author(s)
      山本 一博
    • Organizer
      第63回日本心臓病学会学術集会
    • Place of Presentation
      パシフィコ横浜国際会議場
    • Year and Date
      2015-09-19
    • Related Report
      2015 Annual Research Report
    • Invited
  • [Presentation] Non-cardiac Factors to Determine the Pathophysiology of Elder HFpEF2015

    • Author(s)
      Yamamoto K.
    • Organizer
      第79回日本循環器学会学術集会
    • Place of Presentation
      大阪国際会議場(大阪市)
    • Year and Date
      2015-04-26
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Medical treatment in Japan2015

    • Author(s)
      Yamamoto K.
    • Organizer
      第79回日本循環器学会学術集会
    • Place of Presentation
      大阪国際会議場(大阪市)
    • Year and Date
      2015-04-25
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] L-carnitine Insufficiency is Associated with Post-discharge Outcomes in Patients Hospitalized with Acute Decompensated Heart Failure2015

    • Author(s)
      Kinugasa Y, Sugihara S, Yamada K, Katoh M, Yamamoto K
    • Organizer
      第79回日本循環器学会学術集会
    • Place of Presentation
      大阪国際会議場(大阪市)
    • Year and Date
      2015-04-25
    • Related Report
      2014 Research-status Report
  • [Presentation] HFpEFの病態2014

    • Author(s)
      山本 一博
    • Organizer
      第37回日本高血圧学会総会
    • Place of Presentation
      横浜国際会議場(横浜市)
    • Year and Date
      2014-10-17
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] HFpEFへの新規アプローチを考える2014

    • Author(s)
      山本 一博
    • Organizer
      第14回日本抗加齢医学会総会
    • Place of Presentation
      大阪国際会議場(大阪市)
    • Year and Date
      2014-06-08
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Noninvasive assessment of ventricular distensibility and its clinical utility2014

    • Author(s)
      Yamamoto K
    • Organizer
      22th Korean Society of Echocardiography Workshop
    • Place of Presentation
      Kyunghee University Hospital, Seoul, Korea
    • Related Report
      2013 Research-status Report
    • Invited
  • [Presentation] Prevalence and Characteristics of L-carnitine Insufficiency in Patients with Decompensated Heart Failure: Who may be Candidate for L-carnitine Supplementation?2014

    • Author(s)
      Kinugasa Y, Katoh M, Yamada K, Hirai M, Yamamoto K
    • Organizer
      第78回日本循環器学会学術集会
    • Place of Presentation
      東京国際フォーラム、東京、日本
    • Related Report
      2013 Research-status Report
  • [Presentation] Left atrial dilatation as a predictive factor of beneficial response to carvedilol in patients with HFPEF2013

    • Author(s)
      Yamamoto K, Origasa H, Hori M
    • Organizer
      ESC Congress 2013
    • Place of Presentation
      Amsterdam RAI, Amsterdam, The Netherland
    • Related Report
      2013 Research-status Report
  • [Presentation] HFpEF as a cause of ADHF; Treatment2013

    • Author(s)
      Yamamoto K
    • Organizer
      Kinshukai the 1st Cardiovascular Ingternational Symposium
    • Place of Presentation
      New Otani Hotel, Osaka, Japan
    • Related Report
      2013 Research-status Report
    • Invited

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

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