Therapeutic target in patients with heart failure complicated by chronic kidney disease
Project/Area Number |
26461088
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Research Category |
Grant-in-Aid for Scientific Research (C)
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Allocation Type | Multi-year Fund |
Section | 一般 |
Research Field |
Cardiovascular medicine
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Research Institution | Japan Research Promotion Society for Cardiovascular Diseases |
Principal Investigator |
Yoshikawa Tsutomu 公益財団法人日本心臓血圧研究振興会(臨床研究施設・研究部門), 内科医局, 副院長・部長 (20174906)
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Co-Investigator(Kenkyū-buntansha) |
香坂 俊 慶應義塾大学, 医学部(信濃町), 講師 (30528659)
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Project Period (FY) |
2014-04-01 – 2017-03-31
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Project Status |
Completed (Fiscal Year 2016)
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Budget Amount *help |
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2016: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
|
Keywords | 心不全 / 慢性腎臓病 / バイオマーカー / 長期予後 / 腎機能 / 利尿薬 |
Outline of Final Research Achievements |
We enrolled patients with acute decompensated heart failure (ADHF) consecutively at 4 major teaching hospitals in western Tokyo area. We found that intravenous use of furosemide was associated with in-hospital clinical outcome but its significance was different by the baseline eGFR. In addition, plasma volume depletion induced by diuretic use was different between ADHF with preserved ejection fraction and ADHF with reduced ejection fraction. We finally examined the significance of baseline renal function on short-term and long-term clinical outcome in 1732 patients with ADHF. Worsening renal function (WRF) was more common in patients with lower eGFR group than higher group. WRF was an independent predictor of the in-hospital death, but did not predict the cardiac event after discharge. eGFR at admission was an independent predictor of all-cause mortality and rehospitalization for ADHF during the long-term follow-up by the Cox proportional hazard analysis.
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Report
(4 results)
Research Products
(71 results)
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[Journal Article] Predictive Value of QRS Duration at Admission for In-Hospital Clinical Outcome of Takotsubo Cardiomyopathy2017
Author(s)
Yamaguchi T, Yoshikawa T, Isogai T, Miyamoto T, Maekawa Y, Ueda T, Sakata K, Murakami T, Yamamoto T, Nagao K, Takayama M
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Journal Title
Circulation Journal
Volume: 81
Issue: 1
Pages: 62-68
DOI
NAID
ISSN
1346-9843, 1347-4820
Related Report
Peer Reviewed / Open Access
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[Journal Article] Effect of Obesity on the Prognostic Impact of Atrial Fibrillation in Heart Failure With Preserved Ejection Fraction2017
Author(s)
Yagawa M, Nagatomo Y, Izumi Y, Mahara K, Tomoike H, Shiraishi Y, Kohno T, Mizuno A, Goda A, Kohsaka S, Yoshikawa T
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Journal Title
Circulation Journal
Volume: 81
Issue: 7
Pages: 966-973
DOI
NAID
ISSN
1346-9843, 1347-4820
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[Journal Article] Current use of guideline-based medical therapy in elderly patients admitted with acute heart failure with reduced ejection fraction and its impact on event-free survival.2017
Author(s)
Akita K, Kohno T, Kohsaka S, Shiraishi Y, Nagatomo Y, Izumi Y, Goda A, Mizuno A, Sawano M, Inohara T, Fukuda K, Yoshikawa T
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Journal Title
Int J Cardiol
Volume: 235
Pages: 162-168
Related Report
Peer Reviewed / Acknowledgement Compliant
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[Journal Article] Validation of the Get With The Guideline-Heart Failure risk score in Japanese patients and the potential improvement of its discrimination ability by the inclusion of B-type natriuretic peptide level.2016
Author(s)
Shiraishi Y, Kohsaka S, Abe T, Mizuno A, Goda A, Izumi Y, Yagawa M, Akita K, Sawano M, Inohara T, Takei M, Takashi K, Higuchi S, Yamazoe M, Mahara K, Fukuda K, Yoshikawa T.
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Journal Title
American Heart Journal
Volume: 171
Issue: 1
Pages: 33-39
DOI
Related Report
Peer Reviewed / Open Access / Int'l Joint Research
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[Journal Article] Extent of Late Gadolinium Enhancement on Cardiac Magnetic Resonance Imaging in Japanese Hypertrophic Cardiomyopathy Patients2016
Author(s)
Hen Y, Iguchi N, Utanohara Y, Takada K, Machida H, Takara A, Teraoka K, Sumiyoshi T, Takamisawa I, Takayama M, Yoshikawa T
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Journal Title
Circulation Journal
Volume: 80
Issue: 4
Pages: 950-957
DOI
NAID
ISSN
1346-9843, 1347-4820
Related Report
Peer Reviewed / Open Access
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[Journal Article] Immunoadsorption therapy for dilated cardiomyopathy using tryptophan column-A prospective, multicenter, randomized, within-patient and parallel-group comparative study to evaluate efficacy and safety.2016
Author(s)
Yoshikawa T, Baba A, Akaishi M, Wakabayashi Y, Monkawa T, Kitakaze M, Izumi T, Tomoike H.
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Journal Title
J Clin Apher.
Volume: 31
Issue: 6
Pages: 141-150
DOI
Related Report
Peer Reviewed / Open Access
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[Journal Article] Rationale and design of the double-blind, randomized, placebo-controlled multicenter trial on efficacy of early initiation of eplerenone treatment in patients with acute heart failure (EARLIER).2015
Author(s)
Asakura M, Yamamoto H, Asai K, Hanatani A, Hirata K, Hirayama A, Kimura K, Kobayashi Y, Momomura S, Nakagawa Y, Nishi Y, Saito Y, Satoh Y, Yamada T, Yamashina A, Yasuda S, Yoshikawa T, Kada A, Uesaka H, Kitakaze M, on behald of the EARLIER investigators and coordinators
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Journal Title
Cardiovasc Drugs Ther
Volume: 25
Issue: 2
Pages: 179-185
DOI
Related Report
Peer Reviewed
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[Journal Article] Effect of estimated plasma volume reduction on renal function for acute heart failure differs between patients with preserved and reduced ejection fraction.2015
Author(s)
Takei M, Shun Kohsaka S, Shiraishi Y, oda A, Izumi Y, Yagawa M, Mizuno A, Inohara T, Kohno T, Fukuda K, Yoshikawa T
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Journal Title
Circ Heart Fail
Volume: 8
Issue: 3
Pages: 527-532
DOI
Related Report
Peer Reviewed / Acknowledgement Compliant
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[Journal Article] Effect of estimated plasma volume reduction on renal function for acute heart failure differs between patients with preserved and reduced ejection fraction.2015
Author(s)
Takei M, Shun Kohsaka S, Shiraishi Y, oda A, Izumi Y, Yagawa M, Mizuno A, Inohara T, Kohno T, Fukuda K, Yoshikawa T
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Journal Title
Circ Heart Fail (in press)
Volume: -
Related Report
Peer Reviewed / Acknowledgement Compliant
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[Journal Article] Rationale and design of the double-blind, randomized, placebo-controlled multicenter trial on efficacy of early initiation of eplerenone treatment in patients with acute heart failure (EARLIER).2015
Author(s)
Asakura M, Yamamoto H, Asai K, Hanatani A, Hirata K, Hirayama A, Kimura K, Kobayashi Y, Momomura S, Nakagawa Y, Nishi Y, Saito Y, Satoh Y, Yamada T, Yamashina A, Yasuda S, Yoshikawa T, Kada A, Uesaka H, Kitakaze M, on behald of the EARLIER investigators and coordinators
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Journal Title
Cardiovasc Drugs Ther (online publication)
Volume: -
Related Report
Peer Reviewed
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[Presentation] Impact of body mass index on ih-hospital prognosis in patients with Takotsubo cardiomyopathy: Multicenter cohort study2017
Author(s)
Isogai T, Yoshikawa T, Ueda T, Maekawa Y, Sakata K, Yamaguchi T, Imori Y, Murakami T, Teraoka K, Mochizuki H, Nagao K, Yamamoto T, Takayama M
Organizer
81th Japanese Circulation Society Meeting
Place of Presentation
Kanazawa
Year and Date
2017-03-19
Related Report
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[Presentation] Atrial fibrillation has a differential prognostic impact in obese vs. non-obese patients with heart failure with preserved ejection fraction2017
Author(s)
Yoshikawa T, Nagatomo Y, Yagawa M, Izumi Y, Mahara K, Tomoike H, Shiraishi Y, Inohara T, Mizuno A, Goda A, Kohsaka S
Organizer
Late Breaking Cohort Studies 3 “Heart Failure: Its Clinical Background and Treatment”, 81th Japanese Circulation Society Meeting
Place of Presentation
Kanazawa
Year and Date
2017-03-18
Related Report
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[Presentation] Monthly variations of incidence of Takotsubo cardiomyopathy in the Tokyo CCU Network Registry2017
Author(s)
Murakami T, Yoshikawa T, Maekawa Y, Ueda T, Sakata K, Isogai T, Yamaguchi T, Mochizuki H, Imori Y, Teraoka K, Yamamoto T, Nagao K, Takayama M
Organizer
81th Japanese Circulation Society Meeting
Place of Presentation
Kanazawa
Year and Date
2017-03-18
Related Report
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[Presentation] Different contribution of modifiable patient characteristics to early and late adverse outcomes in patients with acute heart failure2017
Author(s)
Kimura M, Kohno T, Kohsaka S, Shiraishi Y, Fukuoka R, Nagatomo Y, Yagawa M, Goda A, Mizuno A, Sujino Y, Fukuda K, Yoshikawa T
Organizer
81th Japanese Circulation Society Meeting
Place of Presentation
Kanazawa
Year and Date
2017-03-18
Related Report
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[Presentation] Relationship between elevated peripheral leukocyte counts and in-hospital outcomes in patients with Takotsubo cardiomyopathy2017
Author(s)
Maekawa Y, Yoshikawa T, Ueda T, Sakata K, Isogai T, Yamaguchi T, Imori Y, Teraoka K, Murakami T, , Mochizuki H, Nagao K, Yamamoto T, Takayama M
Organizer
81th Japanese Circulation Society Meeting
Place of Presentation
Kanazawa
Year and Date
2017-03-18
Related Report
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[Presentation] Validation of the Seattle Heart Failure Model in heart failure patients: A report from the West Tokyo Heart Failure Registry2017
Author(s)
Shiraishi Y, Kohsaka S, Kohno T, Shoji S, Goda A, Higuchi S, Mizuno A, Sugino Y, Yagawa M, Nagatomo Y, Mahara K, Yoshikawa T
Organizer
81th Japanese Circulation Society Meeting
Place of Presentation
Kanazawa
Year and Date
2017-03-17
Related Report
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[Presentation] Length of Stay in Patients Hospitalized for Acute Heart Failure ―A Report from the West Tokyo Heart Failure (WET-HF) Registry―.2016
Author(s)
Moriyama H, Kohno T, Kohsaka S, Shiraishi Y, Akita K, Yagawa Y, Higuchi S, Goda A, Mizuno A, Fukuda K, Yoshikawa T
Organizer
80th Japanese Circulation Society Meeting
Place of Presentation
Sendai
Year and Date
2016-03-19
Related Report
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[Presentation] International Comparison of Hospitalized Patients with Heart Failure with Preserved Ejection Fraction Based on Nationwide Registry-JASPER Study.2016
Author(s)
Anzai T, Nagai T, Sugano Y, Takashio S, Takahama H, Ohhara T, Kanzaki H, Noguchi T, Kusano K, Yasuda S, Saito Y, Yoshikawa T, Ogawa H
Organizer
80th Japanese Circulation Society Meeting
Place of Presentation
Sendai
Year and Date
2016-03-18
Related Report
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[Presentation] Pathophysiology of heart failure with preserved ejection fraction from the point of view of nationwide registry-JASPER study.2015
Author(s)
Anzai T, Nagai T, Sugano Y, Ohara T, Kanzaki H, Noguchi T, Kusano K, Yasuda S, Saito Y, Yoshikawa T, Ogawa H
Organizer
79th Japanese Circulation Society Meeting
Place of Presentation
Osaka
Year and Date
2015-04-26
Related Report
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[Presentation] Patient characteristics and outcome in Japanese and British patients admitted for acute heart failure: aa prospective international cohort study.2015
Author(s)
Shiraishi Y, Benjamin D, Kohsaka S, Goda A, Izumi Y, Sawano M, Inohara T, Kohno T, Tagawa M, Mahara K, Fukuda K, Yoshikawa T, Cleland JGF
Organizer
79th Japanese Circulation Society Meeting
Place of Presentation
Osaka
Year and Date
2015-04-25
Related Report
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[Presentation] Impaired renal function on admission does not presdict short-term, but predicts ,long-term clinical outcomes in acutely decompensated heart failure patients.2015
Author(s)
Izumi Y, Yagawa M, Mahara K, Tomoike H, Shiraishi Y, Inohara T, Goda A, Yamazoe M, Mizuno A, Kohsaka S, Yoshikawa T
Organizer
79th Japanese Circulation Society Meeting
Place of Presentation
Osaka
Year and Date
2015-04-25
Related Report
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[Presentation] Difference in the impact of progressive hyponatremia on long-term mortality in heart failure patients with reduced and preserved ejection fraction.2015
Author(s)
Yamazoe M, Mizuno A, Kohsa S, Inohara T, Sawano M, Kohno T, Goda A, Izumi Y, Yagawa M, Mahara K, Yoshikawa T
Organizer
79th Japanese Circulation Society Meeting
Place of Presentation
Osaka
Year and Date
2015-04-25
Related Report
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[Presentation] The implication and mid-term impact of guideline-based medical therapy in elderly population admitted with heart failure.2015
Author(s)
Akita K, Kohno T, Kohsaka S, Shiraishi Y, Izumi Y, Goda A, Mizuno A, Sawano M, Inohara T, Fukuda K, Yoshikawa T
Organizer
79th Japanese Circulation Society Meeting
Place of Presentation
Osaka
Year and Date
2015-04-24
Related Report
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