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2010 Fiscal Year Final Research Report

Effect of ultra short-acting β1-adrenergic receptor blocker on cardiac muscle as an immunomodulation therapy under excessive stress.

Research Project

  • PDF
Project/Area Number 20592119
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Emergency medicine
Research InstitutionShiga University of Medical Science

Principal Investigator

TSUJITA Yasuyuki  Shiga University of Medical Science, 医学部, 講師 (60343224)

Co-Investigator(Renkei-kenkyūsha) EGUCHI Yutaka  滋賀医科大学, 医学部, 教授 (00263054)
SAOTOME Takao  滋賀医科大学, 医学部, 准教授 (60311726)
HAMAMOTO Tetsu  滋賀医科大学, 医学部, 助教 (40378469)
YAMANE Tetsunobu  滋賀医科大学, 医学部, 助教 (50464194)
HAYAFUJI Kiyoyuko  滋賀医科大学, 医学部, 助教 (10447881)
Project Period (FY) 2008 – 2010
Keywords集中治療医学 / β遮断薬
Research Abstract

Patients of paroxysmal atrial fibrillation with a rapid ventricular response caused by SIRS were injected with landiolol, a short-acting selective β1-adrenergic receptor blocker and the changes in heart rate and blood pressure were recorded, hemodynamic parameters including cardiac index were measured, and the serum levels of inflammatory cytokines were measured. Next, we compared the effects of landiolol, digoxin, cibenzoline, and verapamil for patients with paroxysmal atrial fibrillation and a rapid ventricular response caused by SIRS. Landiolol certainly decreased the heart rate without inducing a massive decline in blood pressure. Landiolol decreased cardiac index, but increased the stroke volume index. Landiolol decreased the serum levels of interleukin-6. Landiolol decreased the heart rate more than the other drugs. The blood pressure lowering effect of landiolol was comparable to those of cibenzoline and verapamil. The success rate of pharmacological cardioversion using landiolol was higher than that using digoxin or verapamil, and was nearly equal to that using cibenzoline.

  • Research Products

    (14 results)

All 2011 2010 2009 2008 Other

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

  • [Journal Article] Association between polymorphism of the AGTR1 and cardiovascular events in a Japanese general sample (The Shigaraki Study)2009

    • Author(s)
      Tamaki S, Nakamura Y, Tabara Y, Okamura T, Kanda H, Kita Y, Kadowaki T, Tsujita Y, Chowdhury Turin T, Horie M, Miki T, Ueshima H.
    • Journal Title

      Int J Cardiol 136

      Pages: 354-355

    • Peer Reviewed
  • [Journal Article] A surviving case of mitochondrial cardiomyopathy diagnosed from the symptoms of multiple organ dysfunction syndrome2008

    • Author(s)
      Tsujita Y, Kunitomo T, Fujii M, Furukawa S, Otsuki H, Fujino K, Hamamoto T, Tabata T, Matsumura K, Sasaki T, Saotome T, Kawai H, Matsumoto T, Maeda K, Horie M, Eguchi Y
    • Journal Title

      Int J Cardiol 128

      Pages: e43-e45

    • Peer Reviewed
  • [Journal Article] Toxicokinetics of digoxin that was ingested with suicidal intent : Report of a nonfatal case.2008

    • Author(s)
      Konishi H, Tabata T, Tsujita Y, Hamamoto T, Matsumura K, Fujino K, Otsuki H, Furukawa S, Sasaki T, Saotome T, Eguchii Y, Sumi M, Sudo M, Uenishi K, Hoshino N, Minouchi T, Yamaji A
    • Journal Title

      Jpn J TDM 25

      Pages: 104-109

    • Peer Reviewed
  • [Journal Article] 全身性炎症反応症候群による頻脈性心房細動に対するランジオロールの有効性

    • Author(s)
      辻田靖之、山根哲信、浜本徹、早藤清行、藤野和典、松村一弘、五月女隆男、江口豊
    • Journal Title

      日本集中治療医学会雑誌 印刷中

    • Peer Reviewed
  • [Presentation] 敗血症の診断と治療、最近の話題2011

    • Author(s)
      辻田靖之
    • Organizer
      能登川医師団勉強会
    • Place of Presentation
      東近江(講演)
    • Year and Date
      2011-05-10
  • [Presentation] SIRSによる頻脈性心房粗動・細動に対する塩酸ランジオロールの有効性2011

    • Author(s)
      辻田靖之
    • Organizer
      第4回県北周術期管理懇話会
    • Place of Presentation
      佐世保(特別講演)
    • Year and Date
      2011-04-01
  • [Presentation] 当院における重症敗血症の治療成績と国際比較2011

    • Author(s)
      辻田靖之、松山千穂、青井良太、早藤清行、山根哲信、松浪薫、浜本徹、松村一弘、五月女隆男、江口豊
    • Organizer
      第38回日本集中治療医学会学術集会
    • Place of Presentation
      横浜
    • Year and Date
      2011-02-24
  • [Presentation] SIRSによる頻脈性心房粗動・細動に対する最新の治療方針2010

    • Author(s)
      辻田靖之
    • Organizer
      呼図吸循環・集中治療セミナー
    • Place of Presentation
      大津
    • Year and Date
      2010-01-20
  • [Presentation] SIRSによる頻脈性心房粗動・細動に対する塩酸ランジオロールの有効性2009

    • Author(s)
      辻田靖之、浜本徹、古川智之、早藤清行、布施郁子、藤野和典、松村一弘、五月女隆男、江口豊
    • Organizer
      第36回日本集中治療医学会学術集会ワークショップ
    • Place of Presentation
      大阪
    • Year and Date
      2009-02-26
  • [Presentation] 周術期管理におけるβ_1遮断薬使用の実際2008

    • Author(s)
      辻田靖之
    • Organizer
      彦根地区循環管理勉強会
    • Place of Presentation
      彦根
    • Year and Date
      2008-09-09
  • [Presentation] 周術期管理におけるβ_1遮断薬使用の実際2008

    • Author(s)
      辻田靖之
    • Organizer
      近江八幡地区循環管理勉強会
    • Place of Presentation
      近江八幡
    • Year and Date
      2008-09-02
  • [Presentation] SIRSによる頻脈性心房細動心房粗動にランジオロールが有効であった2症例2008

    • Author(s)
      井上明星、辻田靖之、浜本徹、木村匡男、細川慎一、古川智之、大槻秀樹、藤野和典、松村一弘、佐々木禎治、五月女隆男、江口豊
    • Organizer
      第53回日本集中治療医学会近畿地方会
    • Place of Presentation
      京都
    • Year and Date
      2008-06-28
  • [Presentation] 周術期管理におけるβ_1遮断薬使用の実際2008

    • Author(s)
      辻田靖之
    • Organizer
      湖南救急集中治療セミナー
    • Place of Presentation
      草津
    • Year and Date
      2008-05-10
  • [Book] 大動脈の疾患・四肢の血管疾患(ハリソン内科学第3版(原著第17版))(福井次矢、黒川清編集)

    • Author(s)
      辻田靖之
    • Publisher
      メディカル・サイエンス・インターナショナル

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Published: 2012-01-26   Modified: 2016-04-21  

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