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Effects of atrial epicardial adipose tissue on electrical and structural remodeling on atrial fibrillation

Research Project

Project/Area Number 25860626
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Cardiovascular medicine
Research InstitutionNihon University

Principal Investigator

OKUMURA Yasuo  日本大学, 医学部, 助教 (20624159)

Project Period (FY) 2013-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2014: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2013: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords心房細動 / 心房周囲脂肪 / 高脂肪食 / 電気的リモデリング / カテーテルアブレーション / メタボリック症候群 / 肥満
Outline of Final Research Achievements

In obese pigs which fed a high-fat diet, pulmonary vein electrical refractory periods were significantly shorter and atrial fibrillation lasted longer than in the control group, which fed a normal diet. However, no histopathologic characteristics differed between the groups. These data suggests that the shorter pulmonary vein electrical refractory periods observed in response to the high-fat diet increased vulnerability to atrial fibrillation, and these electrophysiologic characteristics may underlie obesity-related atrial fibrillation. We also elucidated that left atrial ablation guided by 3-dimensional reconstructed epicardial adipose tissue CT image following pulmonary vein isolation provided a favorable clinical outcome after ablation in patients with persistent atrial fibrillation. This suggested that epicardial adipose tissue had potentially involved a vulnerable substrate for atrial fibrillation.

Report

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

    (9 results)

All 2015 2014 2013

All Journal Article (3 results) (of which Peer Reviewed: 2 results,  Open Access: 1 results) Presentation (5 results) Book (1 results)

  • [Journal Article] Epicardial adipose tissue-based defragmentation approach to persistent atrial fibrillation: its impact on complex fractionated electrogram and the ablation outcome2014

    • Author(s)
      Shiro Nakahara, Yuichi Hori, Sayuki Kobayashi, Yoshihiko Sakai, Isao Taguchi, Kan Takayanagi, Koichi Nagashima, Kazumasa Sonoda, Rikitake Kogawa, Naoko Sasaki, Ichiro Watanabe, Yasuo Okumura
    • Journal Title

      Heart Rhythm

      Volume: 11 Issue: 8 Pages: 1343-1351

    • DOI

      10.1016/j.hrthm.2014.04.040

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 心房細動持続における心房周囲脂肪の役割2014

    • Author(s)
      奥村恭男, 渡邊一郎, 永嶋孝一, 園田和正, 古川力丈, 佐々木直子, 高橋啓子, 大久保公恵, 中井俊子, 平山篤志, 中原志朗, 高柳寛
    • Journal Title

      心電図

      Volume: 34 Pages: 5055-5067

    • Related Report
      2014 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高脂肪食がブタ心房筋の電気的,構造的リモデリングに及ぼす影響2014

    • Author(s)
      奥村恭男,渡邊一郎,永嶋孝一,真野博明,園田和正,古川力丈, 佐々木直子,高橋啓子,磯一貴,大久保公恵,中井俊子,平山篤志
    • Journal Title

      日本大学医学部総合医学研究所紀要

      Volume: 2 Pages: 66-69

    • Related Report
      2014 Annual Research Report
  • [Presentation] Effects of a High-Fat Diet on Electrical Properties of Porcine Atria2015

    • Author(s)
      Naoko Sasaki, Yasuo Okumura, Ichiro Watanabe, Koichi Nagashima, Kazumasa Sonoda, Rikitake Kogawa, Keiko Takahashi, Kazuki Iso, Kimie Ohkubo, Toshiko Nakai, Rie Takahashi, Yoshiki Taniguchi, Masako Mitsumata, Mizuki Nikaido, Atsushi Hirayama
    • Organizer
      Heart Rhythm 2015, 36th annual scientific sessions
    • Place of Presentation
      Boston (USA)
    • Year and Date
      2015-05-13 – 2015-05-16
    • Related Report
      2014 Annual Research Report
  • [Presentation] Anatomical Proximity Between the Ganglionated Plexi and Epicardial Adipose Tissue: Implication for 3 Dimensional Reconstructed Epicardial Adipose Tissue-guided Ablation2015

    • Author(s)
      Keiko Takahashi, Yasuo Okumura, Ichiro Watanabe, Masayoshi Kofune, Koichi Nagashima, Kazumasa Sonoda, Hiroaki Mano, Kimie Ohkubo, Toshiko Nakai, Naoko Sasaki, Rikitake Kogawa, Mizuki Nikaido, Atsushi Hirayama
    • Organizer
      Heart Rhythm 2015, 36th annual scientific sessions
    • Place of Presentation
      Boston (USA)
    • Year and Date
      2015-05-13 – 2015-05-16
    • Related Report
      2014 Annual Research Report
  • [Presentation] Effects of a High-Fat Diet on Electrical Properties of Porcine Atria2015

    • Author(s)
      Naoko Sasaki, Yasuo Okumura, Ichiro Watanabe, Koichi Nagashima, Kazumasa Sonoda, Rikitake Kogawa, Keiko Takahashi, Kazuki Iso, Kimie Ohkubo, Toshiko Nakai, Rie Takahashi, Yoshiki Taniguchi, Masako Mitsumata, Mizuki Nikaido, Atsushi Hirayama
    • Organizer
      第79回日本循環器学会学術集会
    • Place of Presentation
      グランフロント大阪会場(大阪府・大阪市)
    • Year and Date
      2015-04-24
    • Related Report
      2014 Annual Research Report
  • [Presentation] Anatomical Proximity Between the Ganglionated Plexi and Epicardial Adipose Tissue: Implication for 3 Dimensional Reconstructed Epicardial Adipose Tissue-guided Ablation2014

    • Author(s)
      高橋啓子、奥村恭男、渡邊一郎、永嶋孝一、 園田和正、古川力丈、佐々木直子、磯一貴、大久保公恵、中井俊子、平山篤志
    • Organizer
      第78回日本循環器学会学術集会
    • Place of Presentation
      東京
    • Related Report
      2013 Research-status Report
  • [Presentation] 心房細動維持における心房周囲脂肪の役割:心房周囲脂肪の三次元CT構築画ガイド下カテーテルアブレーションの有用性2013

    • Author(s)
      奥村恭男、渡邊一郎、永嶋孝一、園田和正、古川力丈、佐々木直子、高橋啓子、磯一貴、大久保公恵、中井俊子、中原志朗、高柳寛、平山篤志
    • 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
  • [Book] 日常診療における心房細動治療Up to Date(Medical Practice 2014年10月号)2014

    • Author(s)
      里見和浩 編、奥村恭男、永嶋孝一
    • Total Pages
      162
    • Publisher
      文光堂
    • Related Report
      2014 Annual Research Report

URL: 

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

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