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2009 Fiscal Year Final Research Report

Loss of Renal Functional Reserve and Cardiovascular Events : The Key Mechanisms to Understand Cardio-Renal Connection

Research Project

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Project/Area Number 19390232
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Kidney internal medicine
Research InstitutionNagoya City University

Principal Investigator

KIMURA Genjiro  Nagoya City University, 大学院・医学研究科, 教授 (30315874)

Co-Investigator(Kenkyū-buntansha) FUKUDA Michio  名古屋市立大学, 大学院・医学研究科, 准教授 (50363940)
DOHI Yasuaki  名古屋市立大学, 大学院・医学研究科, 准教授 (40305529)
OHTE Nobuyuki  名古屋市立大学, 大学院・医学研究科, 准教授 (10185332)
Project Period (FY) 2007 – 2009
Keywords高血圧学 / 心-腎連関 / 血圧日内リズム / 慢性腎臓病(CKD) / 夜間血圧 / 食塩 / RA系抑制薬 / 心血管事故
Research Abstract

It is known as cardio-renal connection the phenomena that cardiovascular events occur frequently as a function of renal dysfunction. We have shown that as renal function deteriorates the nocturnal blood pressure is elevated and longer duration is required until nocturnal pressure falls below daytime averages. Since nocturnal hypertension is established as a strong cardiovascular risk, we propose that nocturnal hypertension and salt sensitivity play important roles in the genesis of cardio-renal connection.

  • Research Products

    (22 results)

All 2009 2008 2007 Other

All Journal Article (9 results) (of which Peer Reviewed: 9 results) Presentation (4 results) Book (8 results) Remarks (1 results)

  • [Journal Article] Impaired myocardial oxidative metabolism in the remote normal region in patients in the chronic phase of myocardial infarction and left ventricular remodeling.2009

    • Author(s)
      Ohte N, Narita H, Iida A, Wakami K, Asada K, Fukuta H, Kato T, Hyano J, Kimura G
    • Journal Title

      J Nucl Cardiol 16(1)

      Pages: 73-81

    • Peer Reviewed
  • [Journal Article] Elevated plasma levels of B-type natriuretic peptide but not C-reactive protein are associated with higher red cell distribution width in patients with coronary artery disease.2009

    • Author(s)
      Fukuta H, Ohte N, Mukai S, Saeki T, Asada K, Wakami K, Kimura G
    • Journal Title

      Int Heart J 50

      Pages: 301-312

    • Peer Reviewed
  • [Journal Article] Correlation between left ventricular end-diastolic pressure and peak left atrial wall strain during left ventricular systole.2009

    • Author(s)
      Wakami K, Ohte N, Asada K, Fukuta H, Goto T, Mukai S, Narita H, Kimura G
    • Journal Title

      Am Soc Echocardiogr 22

      Pages: 847-851

    • Peer Reviewed
  • [Journal Article] Angiotensin II type 1 receptor blocker, olmesartan, restores nocturnal blood pressure decline by enhancing daytime natriuresis.2008

    • Author(s)
      Fukuda M, Yamanaka T, Mizuno M, Motokawa M, Shirasawa Y, Miyagi S, Nishio T, Yoshida A, Kimura G
    • Journal Title

      J Hypertension 26

      Pages: 583-588

    • Peer Reviewed
  • [Journal Article] Diuretics should be used as the second-line agent in combination with RAS inhibitors in proteinuric patients with CKD.2008

    • Author(s)
      Fukuda M, Kimura G
    • Journal Title

      Kidney Int 74

      Pages: 1358

    • Peer Reviewed
  • [Journal Article] Patients with renal dysfunction require a longer duration until blood pressure dips during the night.2008

    • Author(s)
      Fukuda M, Mizuno M, Yamanaka T, Motokawa M, Shirasawa Y, Nishio T, Miyagi S, Yoshida A, Kimura G
    • Journal Title

      Hypertension 52

      Pages: 1155-1160

    • Peer Reviewed
  • [Journal Article] Does B-type natriuretic peptide predict the new onset of Hypertension?2008

    • Author(s)
      Takase H, Dohi H, Toriyama T, Okado T, Tanaka S, Sato K, Kimura G
    • Journal Title

      Hypertens Res 31

      Pages: 1737-1744

    • Peer Reviewed
  • [Journal Article] Predicted prevalence in Japan of chronic kidney disease (CKD).2007

    • Author(s)
      Kimura G
    • Journal Title

      Clin Exp Nephrol 11

      Pages: 188-189

    • Peer Reviewed
  • [Journal Article] A pathophysiologic study of tako-tsubo cardiomyopathy with F-18 fluorodeoxyglucose positron emission tomography.2007

    • Author(s)
      Yoshida T, Hibino T, Kako N, Murai S, Oguri M, Kato K, Yajima K, Ohte N, Yokoi K, Kimura G
    • Journal Title

      Eur Heart J 28

      Pages: 2598-2604

    • Peer Reviewed
  • [Presentation] Salt and Hypertension - Japanese View. International Symposium "Salt and Hypertension". Chaired by Michael Alderman.2009

    • Author(s)
      Genjiro Kimura
    • Organizer
      18th Annual Congress of Korean Society of Hypertension
    • Place of Presentation
      Seoul, Korea
    • Year and Date
      2009-05-17
  • [Presentation] The reason BP falls or does not fall when a person sleeps. Plenary Symposium "The importance of sleep BP at different times of the day", Chaired by Bryan Williams & Trefor Morgan.2009

    • Author(s)
      Genjiro Kimura
    • Organizer
      7th Asian-Pacific Congress of Hypertension 2009
    • Place of Presentation
      Kuala Lumpur, Malaysia
    • Year and Date
      2009-02-22
  • [Presentation] Renal protection with antihypertensive treatment. Symposium "Managing high risk hypertensive patients", Chaired by Pham Gia Khai & Nazar Luqman.2009

    • Author(s)
      Genjiro Kimura
    • Organizer
      7th Asian-Pacific Congress of Hypertension 2009
    • Place of Presentation
      Kuala Lumpur, Malaysia
    • Year and Date
      2009-02-21
  • [Presentation] Early predictors of renal protection with antihypertensive therapy. Educational Track Session: Kidney Disease and Transplantation, Chaired by Thomas Philipp & Otto Kuchel.2008

    • Author(s)
      Genjiro Kimura
    • Organizer
      22nd Scientific Meeting of the International Society of Hypertension
    • Place of Presentation
      Berlin, Germany
    • Year and Date
      2008-06-19
  • [Book] CKDとRAS.医学のあゆみ.レニン・アンジオテンシ系のすべて. (小室一成監修)2009

    • Author(s)
      木村玄次郎
    • Total Pages
      473-478
    • Publisher
      医歯薬出版株式会社:東京
  • [Book] ワンポイントノートで学ぶ透析療法の基本改訂第2版2009

    • Author(s)
      木村玄次郎
    • Total Pages
      127
    • Publisher
      東京医学社:東京
  • [Book] 腎実質性高血圧、腎血管性高血圧. 高血圧専門医ガイドブック(日本高血圧学会編)2009

    • Author(s)
      木村玄次郎
    • Total Pages
      196-201
    • Publisher
      診断と治療社:東京
  • [Book] 腎と高血圧. 初学者から専門医までの腎臓学入門改訂第2版2009

    • Author(s)
      木村玄次郎
    • Total Pages
      113-120
    • Publisher
      東京:東京医学社
  • [Book] 腎と高血圧. 専門医のための腎臓病学第2版(下条文武)2009

    • Author(s)
      木村玄次郎
    • Total Pages
      101-109
    • Publisher
      東京:医学書院
  • [Book] RENAAL. NAVIGATORー高血圧ナビゲーター第二版ー(熊谷裕生、小室一成、堀内正嗣、森下竜一編)2008

    • Author(s)
      木村玄次郎
    • Total Pages
      218-219
    • Publisher
      メディカルビュー社
  • [Book] 腎と高血圧. 日本腎臓学会創立50周年記念誌(日本腎臓学会50周年記念事業委員会編)2007

    • Author(s)
      木村玄次郎
    • Total Pages
      77-82
  • [Book] 二次性高血圧の診断と治療. 内科学第9版(杉本恒明、矢崎義雄編)2007

    • Author(s)
      木村玄次郎
    • Total Pages
      633-638
    • Publisher
      東京:朝倉書店
  • [Remarks]

    • URL

      http://www.med.nagoya-cu.ac.jp/inter3.dir/top.htm

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Published: 2011-06-18   Modified: 2016-04-21  

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