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Pulse waveform analysis of bidirectional aortic blood flow: Pathophysiological implications for target organ damage in hypertension

Research Project

Project/Area Number 26461248
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Kidney internal medicine
Research InstitutionMiyagi University of Education (2016-2017)
Tohoku University (2014-2015)

Principal Investigator

Hashimoto Junichiro  宮城教育大学, 保健管理センター, 教授 (50333795)

Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2014: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords高血圧 / 大動脈 / 血流 / 臓器障害 / 腎機能 / 血行動態 / 動脈硬化 / 臨床病態学
Outline of Final Research Achievements

This study investigated the pathogenic influence of aortic pulsatile flow on hypertensive target organ damage. Bidirectional pulse waveform of aortic flow velocity was noninvasively recorded in hypertensive patients to calculate the ratio of the early diastolic reverse velocity to the systolic forward velocity (the reverse flow ratio) and the aortic compliance. The aortic flow reversal was inversely associated with the estimated glomerular filtration rate, indicating its contribution to renal dysfunction caused by aortic stiffening. Also, the aortic compliance was associated with the aortic pressure decay during diastole and the subendocardial variability index, suggesting that decreased aortic compliance predisposes to myocardial ischemia. These results indicate that target organ damage in hypertension is potentially attributable to aortic stiffening-induced flow abnormalities.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (49 results)

All 2018 2017 2016 2015 2014 Other

All Journal Article (27 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 16 results,  Open Access: 1 results,  Acknowledgement Compliant: 1 results) Presentation (18 results) (of which Int'l Joint Research: 5 results,  Invited: 15 results) Book (2 results) Remarks (1 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] Low frequency of cervicocranial artery involvement in Japanese with renal artery fibromuscular dysplasia compared with that of Caucasians2018

    • Author(s)
      Eikan Mishima, Shu Umezawa, Takehiro Suzuki, Miki Fujimura, Michiaki Abe, Junichiro Hashimoto, Takaaki Abe, Sadayoshi Ito
    • Journal Title

      Clin Exp Nephrol

      Volume: 印刷中 Issue: 6 Pages: 1294-1299

    • DOI

      10.1007/s10157-018-1575-1

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] High central blood pressure is associated with incident cardiovascular events in treated hypertensives: the ABC-J II Study2018

    • Author(s)
      Kazuo Eguchi, Hiroshi Miyashita, Tsuneo Takenaka, Yasuharu Tabara, Hirofumi Tomiyama, Yasuaki Dohi, Junichiro Hashimoto, Takayoshi Ohkubo, Kazuomi Kario, Kazuyuki Shimada
    • Journal Title

      Hypertrens Res

      Volume: 印刷中

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Association of change in central nocturnal blood pressure with change in urine albumin-creatinine ratio by a valsartan/amlodipine combination therapy2018

    • Author(s)
      Takeshi Fujiwara, Yuichiro Yano, Satoshi Hoshide, Hiroshi Kanegae, Junichiro Hashimoto, Kazuomi Kario
    • Journal Title

      Am J Hypertens

      Volume: 印刷中

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 新規バイオマーカー:脈波2018

    • Author(s)
      橋本 潤一郎
    • Journal Title

      日本臨床

      Volume: 印刷中

    • Related Report
      2017 Annual Research Report
  • [Journal Article] Central diastolic pressure decay mediates the relationship between aortic stiffness and myocardial viability: potential implications for aortosclerosis-induced myocardial ischemia2017

    • Author(s)
      Junichiro Hashimoto, Sadayoshi Ito
    • Journal Title

      J Hypertens

      Volume: 35 Issue: 10 Pages: 2034-2043

    • DOI

      10.1097/hjh.0000000000001436

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Selective embolization therapy for intrarenal artery stenosis causing renovascular hypertension: Efficacy and follow-up renal imaging2017

    • Author(s)
      Eikan Mishima, Takehiro Suzuki, Kazumasa Seiji, Yasutoshi Akiyama, Hideki Ota, Junichiro Hashimoto, Kei Takase, Takaaki Abe, Sadayoshi Ito
    • Journal Title

      J Clin Hypertens

      Volume: 19 Issue: 10 Pages: 1028-1031

    • DOI

      10.1111/jch.13040

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 'Lead pipe'-like stiff aorta with grossly widened pulse pressure in burned-out Takayasu arteritis2017

    • Author(s)
      Eikan Mishima, Takehiro Suzuki, Junichiro Hashimoto, Takaaki Abe, Sadayoshi Ito
    • Journal Title

      Eur Heart J Cardiovasc Imaging

      Volume: 18 Issue: 7 Pages: 819-819

    • DOI

      10.1093/ehjci/jex047

    • Related Report
      2017 Annual Research Report 2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Central hemodynamics for management of arteriosclerotic diseases2017

    • Author(s)
      Junichiro Hashimoto
    • Journal Title

      J Atheroscler Thromb

      Volume: 印刷中

    • NAID

      130005876089

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Inflammation and arterial stiffness in chronic kidney disease: Cause or consequence?2017

    • Author(s)
      Junichiro Hashimoto, Michael F. O'Rourke
    • Journal Title

      Am J Hypertens

      Volume: 30 Issue: 4 Pages: 350-352

    • DOI

      10.1093/ajh/hpx007

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Prelude to Takotsubo cardiomyopathy: subclinical progression of antecedent myocardial ischaemia prior to symptom onset2016

    • Author(s)
      Eikan Mishima, Yoichi Takeuchi, Tasuku Nagasawa, Junichiro Hashimoto
    • Journal Title

      Eur Heart J

      Volume: 37 Pages: 2845-2845

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] 動脈硬化の臨床評価指標:中心血行動態2016

    • Author(s)
      橋本 潤一郎
    • Journal Title

      動脈硬化予防

      Volume: 15 Pages: 5-11

    • Related Report
      2016 Research-status Report
  • [Journal Article] 心血管病診療における血管の評価2016

    • Author(s)
      伊藤 貞嘉,松尾 汎,橋本 潤一郎,山本 秀也
    • Journal Title

      動脈硬化予防

      Volume: 15 Pages: 62-78

    • Related Report
      2016 Research-status Report
  • [Journal Article] 今、知っておきたい中心血圧:臨床研究の流れ2016

    • Author(s)
      橋本 潤一郎
    • Journal Title

      Arterial Stiffness

      Volume: 22 Pages: 19-20

    • Related Report
      2016 Research-status Report
  • [Journal Article] 中心血行動態の臓器障害機序2016

    • Author(s)
      橋本 潤一郎
    • Journal Title

      診断と治療のABC:高血圧

      Volume: 116 Pages: 93-100

    • Related Report
      2016 Research-status Report
  • [Journal Article] 中心血行動態と腎臓2016

    • Author(s)
      橋本 潤一郎
    • Journal Title

      日本透析医会雑誌

      Volume: 31 Pages: 349-355

    • Related Report
      2016 Research-status Report
  • [Journal Article] Detection of segmental renal ischemia by diffusion-weighted magnetic resonance imaging: Clinical utility for diagnosis of renovascular hypertension2016

    • Author(s)
      Eikan Mishima, Koichi Kikuchi, Hideki Ota, Yasutoshi Akiyama, Takehiro Suzuki, Kazumasa Seiji, Junichiro Hashimoto, Kei Takase, Takaaki Abe, Sadayoshi Ito.
    • Journal Title

      J Clin Hypertens

      Volume: - Issue: 4 Pages: 364-365

    • DOI

      10.1111/jch.12675

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 大動脈逆流が腎機能を規定する:高血圧症に伴う大動脈硬化による腎機能障害の潜在的機序2016

    • Author(s)
      橋本 潤一郎、伊藤 貞嘉
    • Journal Title

      血圧

      Volume: -

    • Related Report
      2015 Research-status Report
  • [Journal Article] Aortic blood flow reversal determines renal function: potential explanation for renal dysfunction due to aortic stiffening in hypertension2015

    • Author(s)
      Junichiro Hashimoto, Sadayoshi Ito
    • Journal Title

      Hypertension

      Volume: 66 Issue: 1 Pages: 61-67

    • DOI

      10.1161/hypertensionaha.115.05236

    • Related Report
      2015 Research-status Report 2014 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Journal Article] Impact of small renal ischemia in hypertension development: Renovascular hypertension caused by small branch artery stenosis2015

    • Author(s)
      Eikan Mishima, Junichiro Hashimoto, Yasutoshi Akiyama, Hisato Shima, Kazumasa Seiji, Kei Takase, Takaaki Abe, Sadayoshi Ito
    • Journal Title

      J Clin Hypertens

      Volume: 18 Issue: 3 Pages: 248-249

    • DOI

      10.1111/jch.12661

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Posterior reversible encephalopathy syndrome treated with renin-angiotensin system blockade2015

    • Author(s)
      Eikan Mishima, Junichiro Hashimoto, Yasutoshi Akiyama, Kazumasa Seiji, Kei Takase, Takaaki Abe, Sadayoshi Ito
    • Journal Title

      J Neurol Sci

      Volume: 355 Issue: 1-2 Pages: 219-221

    • DOI

      10.1016/j.jns.2015.06.007

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] 中心血行動態と心腎症候群2015

    • Author(s)
      橋本 潤一郎、伊藤 貞嘉
    • Journal Title

      血圧

      Volume: 22 Pages: 268-269

    • Related Report
      2015 Research-status Report 2014 Research-status Report
  • [Journal Article] Central pulse pressure links microalbuminuria with plasma B-type natriuretic peptide elevation: causal implication for cardiorenal syndrome in hypertension2014

    • Author(s)
      Junichiro Hashimoto, Sadayoshi Ito
    • Journal Title

      Journal of Hypertension

      Volume: 32 Issue: 8 Pages: 1665-1671

    • DOI

      10.1097/hjh.0000000000000242

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Central Hemodynamics and Target Organ Damage in Hypertension2014

    • Author(s)
      Junichiro Hashimoto
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 233 Issue: 1 Pages: 1-8

    • DOI

      10.1620/tjem.233.1

    • NAID

      130004822409

    • ISSN
      0040-8727, 1349-3329
    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Establishing reference values for central blood pressure and its amplification in a general healthy population and according to cardiovascular risk factors2014

    • Author(s)
      Annie Herbert, John Kennedy Cruickshank, Stephane Laurent, Pierre Boutouyrie, The Reference Values for Arterial Measurements Collaboration (Study authors: Junichiro Hashimoto, et al)
    • Journal Title

      European Heart Journal

      Volume: 35 Issue: 44 Pages: 3122-3133

    • DOI

      10.1093/eurheartj/ehu293

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] 「高血圧治療ガイドラインJSH2014」危険因子:中心血圧2014

    • Author(s)
      橋本 潤一郎
    • Journal Title

      動脈硬化予防

      Volume: 13 Pages: 89-91

    • Related Report
      2014 Research-status Report
  • [Journal Article] 中心血行動態2014

    • Author(s)
      橋本 潤一郎
    • Journal Title

      最新医学

      Volume: 69 Pages: 163-170

    • Related Report
      2014 Research-status Report
  • [Journal Article] 生理機能検査 最新の動向 血圧脈波測定:PWVと中心血圧・AI2014

    • Author(s)
      橋本 潤一郎
    • Journal Title

      臨床病理レビュー

      Volume: 151 Pages: 27-37

    • Related Report
      2014 Research-status Report
  • [Presentation] 中心大動脈の血圧と腎臓(指定教育講演)2017

    • Author(s)
      橋本 潤一郎
    • Organizer
      第60回日本腎臓学会
    • Related Report
      2017 Annual Research Report
    • Invited
  • [Presentation] 著明な脈圧増大を伴う鉛管様大動脈と多発動脈狭窄を呈する陳旧性高安動脈炎の1例2017

    • Author(s)
      三島 英換、鈴木 健弘、橋本 潤一郎、阿部 高明、伊藤 貞嘉
    • Organizer
      第6回日本臨床高血圧フォーラム
    • Related Report
      2017 Annual Research Report
  • [Presentation] 中心血行動態と高血圧性臓器障害2016

    • Author(s)
      橋本 潤一郎
    • Organizer
      第39回日本高血圧学会総会(教育講演)
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2016-10-02
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 脳卒中における中心血行動態の病態生理学的関与2016

    • Author(s)
      橋本 潤一郎
    • Organizer
      第39回日本高血圧学会総会(シンポジウム)
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2016-10-01
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 中心血圧の研究2016

    • Author(s)
      橋本 潤一郎
    • Organizer
      第39回日本高血圧学会総会(セミナー講演)
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2016-10-01
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] Epidemiology and consequences of early vascular aging2016

    • Author(s)
      Junichiro Hashimoto
    • Organizer
      26th Scientific Meeting of International Society of Hypertension (Meet the Experts session)
    • Place of Presentation
      Seoul (Korea)
    • Year and Date
      2016-09-29
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Collective discussion on cardiometabolic risk and vascular health2016

    • Author(s)
      Junichiro Hashimoto
    • Organizer
      26th Scientific Meeting of International Society of Hypertension (Panel discussion)
    • Place of Presentation
      Seoul (Korea)
    • Year and Date
      2016-09-27
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Clinical implications of central hemodynamics on aortic and end-organ diseases2016

    • Author(s)
      Junichiro Hashimoto
    • Organizer
      26th Scientific Meeting of International Society of Hypertension (Educational lecture)
    • Place of Presentation
      Seoul (Korea)
    • Year and Date
      2016-09-26
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] Diastolic exponential decay of central blood pressure mediates between aortic stiffness and coronary perfusion2016

    • Author(s)
      Junichiro Hashimoto, Sadayoshi Ito
    • Organizer
      26th European Meeting on Hypertension and Cardiovascular Prevention (Oral presentation)
    • Place of Presentation
      Paris (France)
    • Year and Date
      2016-06-12
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] 動脈スティフネスと腎機能の視点からみた血圧変動2016

    • Author(s)
      橋本 潤一郎
    • Organizer
      第5回臨床高血圧フォーラム(シンポジウム)
    • Place of Presentation
      ステーションコンファレンス東京(東京都千代田区)
    • Year and Date
      2016-05-14
    • Related Report
      2016 Research-status Report
    • Invited
  • [Presentation] 中心血圧測定の意義2016

    • Author(s)
      橋本 潤一郎
    • Organizer
      第80回日本循環器学会(モーニングレクチャー)
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2016-03-20
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] Aortic flow and pressure dynamics: Clinical relevance to target organs in hypertension2016

    • Author(s)
      Junichiro Hashimoto
    • Organizer
      10th International Workshop on Structure and Function of the Vascular System(ワークショップ発表)
    • Place of Presentation
      パリ(フランス)
    • Year and Date
      2016-02-05
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research / Invited
  • [Presentation] 中心血行動態と高血圧性腎障害2015

    • Author(s)
      橋本 潤一郎、伊藤 貞嘉
    • Organizer
      第38回日本高血圧学会(シンポジウム発表)
    • Place of Presentation
      愛媛県県民文化会館(愛媛県松山市)
    • Year and Date
      2015-10-10
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 非侵襲的動脈硬化検査をガイドラインにどう反映させるか:中心血圧・AI2015

    • Author(s)
      橋本 潤一郎
    • Organizer
      第47回日本動脈硬化学会(シンポジウム発表)
    • Place of Presentation
      仙台国際センター(宮城県仙台市)
    • Year and Date
      2015-07-09
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 高血圧診療における血管機能検査:中心血圧,AI(パネルディスカッション発表)2014

    • Author(s)
      橋本 潤一郎
    • Organizer
      第37回日本高血圧学会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2014-10-19
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 中心動脈血圧とその展望(シンポジウム発表)2014

    • Author(s)
      橋本 潤一郎
    • Organizer
      第37回日本高血圧学会
    • Place of Presentation
      パシフィコ横浜(神奈川県横浜市)
    • Year and Date
      2014-10-18
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] Diastolic blood flow reversal in the descending aorta determines renal function: potential explanation for renal dysfunction due to aortic stiffening2014

    • Author(s)
      Junichiro Hashimoto, Sadayoshi Ito
    • Organizer
      The 25th International Society of Hypertension(第25回国際高血圧学会)
    • Place of Presentation
      アテネ(ギリシャ)
    • Year and Date
      2014-06-16
    • Related Report
      2014 Research-status Report
  • [Presentation] Central hemodynamics and renal damage/dysfunction in hypertension2014

    • Author(s)
      Junichiro Hashimoto
    • Organizer
      The 25th International Society of Hypertension Official Satellite Symposium: The Pulse of Asia 2015.(第25回国際高血圧学会公式サテライトシンポジウム)
    • Place of Presentation
      アテネ(ギリシャ)
    • Year and Date
      2014-06-12
    • Related Report
      2014 Research-status Report
    • Invited
  • [Book] Oxford Textbook of Geriatric Medicine2017

    • Author(s)
      Junichiro Hashimoto, Michael F. O'Rourke
    • Publisher
      Oxford University Press
    • Related Report
      2016 Research-status Report
  • [Book] Oxford Textbook of Geriatric Medicine2016

    • Author(s)
      Junichiro Hashimoto, Michael F. O'Rourke
    • Total Pages
      500
    • Publisher
      Oxford University Press
    • Related Report
      2015 Research-status Report
  • [Remarks] 宮城教育大学教員データベース

    • URL

      http://www.miyakyo-u.ac.jp/KyouinDB/public/teacher/view/185

    • Related Report
      2017 Annual Research Report
  • [Patent(Industrial Property Rights)] 大動脈血流波形分析に基づく腎機能の評価2014

    • Inventor(s)
      橋本 潤一郎
    • Industrial Property Rights Holder
      橋本 潤一郎
    • Industrial Property Rights Type
      特許
    • Industrial Property Number
      2014-118632
    • Filing Date
      2014-06-09
    • Related Report
      2014 Research-status Report

URL: 

Published: 2014-04-04   Modified: 2019-03-29  

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