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Primary prevention of atrial fibrillation in hypertensive patients

Research Project

Project/Area Number 25461079
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Cardiovascular medicine
Research InstitutionKawasaki Medical School

Principal Investigator

HORIO Takeshi  川崎医科大学, 医学部, 教授 (50393228)

Co-Investigator(Kenkyū-buntansha) AKIYAMA Maki  川崎医科大学, 医学部, 講師 (90309592)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2013: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Keywords心房細動 / 高血圧 / 縦断研究 / 慢性腎臓病 / レニン・アンジオテンシン系阻害薬 / 降圧薬 / レニン・アンジオテンシン系 / 左室肥大 / 左室拡張能 / 腎機能
Outline of Final Research Achievements

A total of 1,118 hypertensive patients without previous paroxysmal atrial fibrillation (AF) or structural heart disease were enrolled and followed up. By multivariate Cox regression analysis, age, smoking, and the presence of chronic kidney disease (CKD) were significantly related to the occurrence of AF. When the effects of antihypertensive agents and statin on the occurrence of AF were evaluated after adjustment for various confounding factors by multivariate Cox regression analysis, the use of renin-angiotensin system (RAS) inhibitors was independently associated with a decreased risk of AF. Our findings demonstrate that the complication of CKD is a powerful predictor of new-onset AF and that treatment with RAS inhibitors may have a beneficial effect on the primary prevention of AF in hypertensive patients.

Report

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

    (7 results)

All 2015 2014 Other

All Presentation (7 results)

  • [Presentation] 高血圧心と心房細動発症およびその予防:有効なアップストリーム療法はあるのか2015

    • Author(s)
      堀尾武史、秋山真樹、岩嶋義雄、吉原史樹、中村敏子、河野雄平
    • Organizer
      第38回日本高血圧学会総会(シンポジウム)
    • Place of Presentation
      愛媛県県民文化会館(松山)
    • Year and Date
      2015-10-11
    • Related Report
      2015 Annual Research Report
  • [Presentation] 日本人高血圧患者におけるレニン・アンジオテンシン系阻害薬の心房細動新規発症抑制効果:propensity score matching法を用いた検討2015

    • Author(s)
      堀尾武史、秋山真樹、岩嶋義雄、吉原史樹、中村敏子、河野雄平
    • Organizer
      第38回日本高血圧学会総会
    • Place of Presentation
      愛媛県県民文化会館(松山)
    • Year and Date
      2015-10-10
    • Related Report
      2015 Annual Research Report
  • [Presentation] Risk Factors and Protective Agents for New-Onset Atrial Fibrillation in Hypertensive Patients2015

    • Author(s)
      堀尾武史、秋山真樹、岩嶋義雄、吉原史樹、中村敏子、河野雄平
    • Organizer
      第79回日本循環器学会学術集会(シンポジウム)
    • Place of Presentation
      リーガロイヤルホテル大阪(大阪)
    • Year and Date
      2015-04-25
    • Related Report
      2015 Annual Research Report
  • [Presentation] プライマリーケア医師の心房細動治療に対する意識調査2014

    • Author(s)
      秋山真樹、堀尾武史
    • Organizer
      第62回日本心臓病学会学術集会
    • Place of Presentation
      仙台市民会館(宮城県・仙台市)
    • Year and Date
      2014-09-26
    • Related Report
      2014 Research-status Report
  • [Presentation] 発作性心房細動の有病を心エコー図法で指摘できるか―心機能良好でE/A高値の高齢者は高率に発作性心房細動を認める―2014

    • Author(s)
      秋山真樹、鼠尾晋太郎、井口朋和、西村 哲、堀尾武史
    • Organizer
      第25回日本心エコー図学会学術集会
    • Place of Presentation
      石川県立音楽堂(石川県・金沢市)
    • Year and Date
      2014-04-17
    • Related Report
      2014 Research-status Report
  • [Presentation] 高血圧症における心房細動発症の予知と予防に関する研究

    • Author(s)
      堀尾武史、秋山真樹、西村哲
    • Organizer
      第4回川崎医科大学学術集会
    • Place of Presentation
      川崎医科大学(岡山県倉敷市)
    • Related Report
      2013 Research-status Report
  • [Presentation] 真の“スーパーノーマル”(若年者と同様の心機能を有する高齢者)はあり得るのか -心エコー図法で“スーパーノーマル”パターンを呈する被験者について、その基礎心疾患を解明する-

    • Author(s)
      秋山真樹、堀尾武史、西村哲、坂口海雲
    • Organizer
      第4回川崎医科大学学術集会
    • Place of Presentation
      川崎医科大学(岡山県倉敷市)
    • Related Report
      2013 Research-status Report

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

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