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Influence of chronic kidney disease on carotid atherosclerosis, stroke features, and outcomes of thrombolysis for acute stroke

Research Project

Project/Area Number 23591288
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Neurology
Research InstitutionNational Cardiovascular Center Research Institute

Principal Investigator

TOYODA Kazunori  独立行政法人国立循環器病研究センター, 病院, 部門長 (50275450)

Co-Investigator(Kenkyū-buntansha) KOKUBO Yoshihiro  独立行政法人国立循環器病研究センター, 病院, 医長 (20393217)
Project Period (FY) 2011 – 2013
Project Status Completed (Fiscal Year 2013)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2012: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2011: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywords脳血管障害 / 慢性腎臓病 / 頸動脈硬化 / 脳腎連関 / 脳出血 / 脳梗塞 / rt-PA静注療法
Research Abstract

To determine associations between chronic kidney disease (CKD) and cerebrovascular diseases, in the other words cerebro-renal interaction, the following studies were performed. (1) In the Suita Study, an epidemiological study involving Japanese urban residents, the association of CKD with carotid atherosclerosis was modest, but CKD was independently associated with carotid atherosclerosis in hypertensive subjects. (2) In acute intracerebral hemorrhage patients, excessive reduction of systolic blood pressure was associated with acute worsening renal function. Worsening renal function was related to unfavorable clinical outcome. (3) In the multicenter study, renal dysfunction was independently associated with unfavorable outcomes in rt-PA-treated ischemic stroke patients and those in intracerebral hemorrhage patients. (4) An English review on cerebro-renal interaction was completed partly based on the current study results.

Report

(4 results)
  • 2013 Annual Research Report   Final Research Report ( PDF )
  • 2012 Research-status Report
  • 2011 Research-status Report
  • Research Products

    (50 results)

All 2014 2013 2012 2011 Other

All Journal Article (17 results) (of which Peer Reviewed: 16 results) Presentation (19 results) (of which Invited: 17 results) Book (12 results) Remarks (2 results)

  • [Journal Article] Stroke and cerebrovascular diseases in cronic kidney disease2014

    • Author(s)
      Toyoda K, Ninomiya T
    • Journal Title

      Lancet Neurol

      Volume: (in press)

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Impact of chronic kidney disease on carotid atherosclerosis according to blood pressure category : The Suita Study2013

    • Author(s)
      Ohara T, Kokubo Y, Toyoda K, et al.
    • Journal Title

      Stroke

      Volume: 44 Pages: 3537-3539

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Epidemiology and registry studies of stroke in Japan2013

    • Author(s)
      Toyoda K
    • Journal Title

      Journal of Stroke

      Volume: 15 Pages: 21-26

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Antithrombotic therapy for pregnant women2013

    • Author(s)
      Toyoda K
    • Journal Title

      Neurologia Medico-chirurgica

      Volume: 53 Pages: 526-530

    • NAID

      10031178560

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of the European and Japanese guidelines for the management of intracerebral hemorrhage2013

    • Author(s)
      Toyoda K, Steiner T, Epple C, et al.
    • Journal Title

      Cerebrovasc Dis

      Volume: 35 Pages: 419-429

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Impact of chronic kidney disease on carotid atherosclerosis according to blood pressure category: The Suita Study.2013

    • Author(s)
      Ohara T, Kokubo Y, Toyoda K, Watanabe M, Koga M, Nakamura S, Nagatsuka K, Minematsu K, Nakagawa M, Miyamoto Y.
    • Journal Title

      Stroke.

      Volume: 44 Issue: 12 Pages: 3537-3539

    • DOI

      10.1161/strokeaha.113.002957

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Epidemiology and registry studies of stroke in Japan.2013

    • Author(s)
      Toyoda K.
    • Journal Title

      Journal of Stroke.

      Volume: 15 Pages: 21-26

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Antithrombotic therapy for pregnant women.2013

    • Author(s)
      Toyoda K.
    • Journal Title

      Neurologia Medico-chirurgica.

      Volume: 53 Pages: 526-530

    • NAID

      10031178560

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Comparison of the European and Japanese guidelines for the management of intracerebral hemorrhage.2013

    • Author(s)
      Toyoda K, Steiner T, Epple C, Kern R, Nagayama M, Shinohara Y, Hennerici MG.
    • Journal Title

      Cerebrovasc Dis

      Volume: 35 Issue: 5 Pages: 419-429

    • DOI

      10.1159/000351754

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The cerebro-renal interaction in stroke neurology2012

    • Author(s)
      Toyoda K
    • Journal Title

      Neurology

      Volume: 78 Pages: 1898-1899

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Systolic blood pressure lowering to 160 mmHg or less using nicardipine in acute intracerebral hemorrhage : a prospective, multicenter, observational study (the Stroke Acute Management with Urgent Risk-factor Assessment and Improvement-Intracerebral Hemorrhage study)2012

    • Author(s)
      Koga M, Toyoda K, Yamagami H, et al.
    • Journal Title

      J Hypertens

      Volume: 30 Pages: 2357-2364

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] for the Stroke Acute Management with Urgent Risk-factor Assessment and Improvement (SAMURAI) Study Investigators. Systolic blood pressure lowering to 160 mmHg or less using nicardipine in acute intracerebral hemorrhage: a prospective, multicenter, observational study (the Stroke Acute Management with Urgent Risk-factor Assessment and Improvement-Intracerebral Hemorrhage study).2012

    • Author(s)
      Koga M, Toyoda K, Yamagami H, Okuda S, Okada Y, Kimura K, Shiokawa Y, Nakagawara J, Furui E, Hasegawa Y, Kario K, Osaki M, Miyagi T, Endo K, Nagatsuka K, Minematsu K
    • Journal Title

      J Hypertens.

      Volume: 30 Pages: 2357-2364

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] The cerebro-renal interaction in stroke neurology. (Editorial)2012

    • Author(s)
      Toyoda K
    • Journal Title

      Neurology

      Volume: 78 Pages: 1898-1899

    • Related Report
      2012 Research-status Report
    • Peer Reviewed
  • [Journal Article] The cerebro-renal interaction in stroke neurology.2012

    • Author(s)
      Toyoda K
    • Journal Title

      Neurology

      Volume: 79

    • Related Report
      2011 Research-status Report
  • [Journal Article] Reduced estimated glomerular filtration rate is associated with stroke outcomes after intravenous rt-PA : the Stroke Acute Management with Urgent Risk-factor Assessment and Improvement (SAMURAI) Study2011

    • Author(s)
      Naganuma M, Koga M, Shiokawa Y, Nakagawara J, Furui E, Kimura K, Yamagami H, Okada Y, Hasegawa Y, Kario K, Okuda S, Nishiyama K, Minematsu K, Toyoda K
    • Journal Title

      Cerebrovasc Dis

      Volume: 31 Pages: 123-129

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Intravenous recombinant tissue plasminogen activator therapy for stroke patients receiving maintenance hemodialysis : the Stroke Acute Management with Urgent Risk-factor Assessment and Improvement (SAMURAI) rt-PA Registry2011

    • Author(s)
      Naganuma M, Mori M, Nezu T, Makihara N, Koga M, Okada Y, Minematsu K, Toyoda K
    • Journal Title

      Eur Neurol

      Volume: 66 Pages: 37-41

    • Related Report
      2013 Final Research Report
    • Peer Reviewed
  • [Journal Article] Reduced estimated glomerular filtration rate is associated with stroke outcomes after intravenous rt-PA: the Stroke Acute Management with Urgent Risk-factor Assessment and Improvement (SAMURAI) Study.2011

    • Author(s)
      Naganuma M, Koga M, Shiokawa Y, Nakagawara J, Furui E, Kimura K, Yamagami H, Okada Y, Hasegawa Y, Kario K, Okuda S, Nishiyama K, Minematsu K, Toyoda K
    • Journal Title

      Cerebrovascular Diseases

      Volume: 31 Pages: 123-129

    • Related Report
      2011 Research-status Report
    • Peer Reviewed
  • [Presentation] 超急性期脳梗塞治療:4.5時間時代のrt-PA静注療法2013

    • Author(s)
      豊田一則
    • Organizer
      第31回日本神経治療学会総会
    • Place of Presentation
      東京
    • Year and Date
      2013-11-22
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 頸動脈狭窄への内科治療の進歩2013

    • Author(s)
      豊田一則
    • Organizer
      第16回日本栓子検出と治療学会
    • Place of Presentation
      名古屋
    • Year and Date
      2013-10-12
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] Extending therapeutic time window of hyperacute thrombolytic therapy2013

    • Author(s)
      Toyoda K
    • Organizer
      The 6^<th> Korea-Japan Joint Stroke Conference
    • Place of Presentation
      Osaka
    • Year and Date
      2013-10-05
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 脳卒中医・神経内科医の救急への関わり2013

    • Author(s)
      豊田一則
    • Organizer
      第54回日本神経学会学術大会
    • Place of Presentation
      東京
    • Year and Date
      2013-06-01
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] Stroke features & outcomes in CKD patients2013

    • Author(s)
      Toyoda K
    • Organizer
      European Stroke Conference
    • Place of Presentation
      London, UK
    • Year and Date
      2013-05-29
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 透析患者の脳血管障害2013

    • Author(s)
      豊田一則
    • Organizer
      第58回日本透析医学会学術集会・総会
    • Place of Presentation
      福岡
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 無症候性脳血管障害:オーバービュー2012

    • Author(s)
      豊田一則
    • Organizer
      第57回日本透析医学会学術集会・総会
    • Place of Presentation
      札幌
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] Intracerebral hemorrhage during oral antithrombotic therapy2012

    • Author(s)
      Toyoda K
    • Organizer
      Asia Pacific Stroke Conference 2012
    • Place of Presentation
      Tokyo, Japan
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 無症候性脳血管障害:オーバービュー(シンポジウム)2012

    • Author(s)
      豊田一則
    • Organizer
      第57回日本透析医学会学術集会・総会
    • Place of Presentation
      札幌
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] Intracerebral hemorrhage during oral antithrombotic therapy (symposium).2012

    • Author(s)
      Toyoda K
    • Organizer
      Asia Pacific Stroke Conference 2012
    • Place of Presentation
      東京
    • Related Report
      2012 Research-status Report
    • Invited
  • [Presentation] 脳腎連関:透析医療者に知っていただきたい脳卒中最新知見2011

    • Author(s)
      豊田一則
    • Organizer
      第56回日本透析医学会学術集会・総会
    • Place of Presentation
      横浜
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] Medical management of intracranial stenosis2011

    • Author(s)
      Toyoda K
    • Organizer
      2nd Hong Kong Neurological Congress cum 24th Annual Scientific Meeting of the Hong Kong Neurological Society
    • Place of Presentation
      Hong Kong
    • Related Report
      2013 Final Research Report
    • Invited
  • [Presentation] 脳腎連関:透析医療者に知っていただきたい脳卒中最新知見。2011

    • Author(s)
      豊田一則
    • Organizer
      第56回日本透析医学会学術集会・総会(招待講演)
    • Place of Presentation
      横浜
    • Related Report
      2011 Research-status Report
  • [Presentation] Medical management of intracranial stenosis.2011

    • Author(s)
      Toyoda K
    • Organizer
      2nd Hong Kong Neurological Congress cum 24th Annual Scientific Meeting of the Hong Kong Neurological Society(招待講演)
    • Place of Presentation
      香港
    • Related Report
      2011 Research-status Report
  • [Presentation] Stroke features & outcomes in CKD patients.

    • Author(s)
      Toyoda K
    • Organizer
      European Stroke Conference
    • Place of Presentation
      London, UK
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] Extending therapeutic time window of hyperacute thrombolytic therapy.

    • Author(s)
      Toyoda K
    • Organizer
      The 6th Korea-Japan Joint Stroke Conference大阪
    • Place of Presentation
      大阪
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 脳卒中医・神経内科医の救急への関わり。

    • Author(s)
      豊田一則
    • Organizer
      第54回日本神経学会学術大会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 頸動脈狭窄への内科治療の進歩。

    • Author(s)
      豊田一則
    • Organizer
      第16回日本栓子検出と治療学会
    • Place of Presentation
      名古屋
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Presentation] 超急性期脳梗塞治療:4.5時間時代のrt-PA静注療法。

    • Author(s)
      豊田一則
    • Organizer
      第31回日本神経治療学会総会
    • Place of Presentation
      東京
    • Related Report
      2013 Annual Research Report
    • Invited
  • [Book] 脳梗塞診療読本2014

    • Author(s)
      豊田一則(編集)
    • Publisher
      中外医学社
    • Related Report
      2013 Final Research Report
  • [Book] 脳梗塞診療読本2014

    • Author(s)
      豊田一則 (編集)
    • Total Pages
      402
    • Publisher
      中外医学社
    • Related Report
      2013 Annual Research Report
  • [Book] Brain, Stroke and Kidney2013

    • Author(s)
      Toyoda K (編集)
    • Publisher
      Karger
    • Related Report
      2013 Final Research Report
  • [Book] 心原性脳塞栓症と経口抗凝固薬2013

    • Author(s)
      豊田一則(編集)
    • Publisher
      フジメディカル出版
    • Related Report
      2013 Final Research Report
  • [Book] 新版脳梗塞rt-PA静注療法実践ガイド2013

    • Author(s)
      峰松一夫、豊田一則(編集)
    • Publisher
      診断と治療社
    • Related Report
      2013 Final Research Report
  • [Book] Brain, Stroke and Kidney.2013

    • Author(s)
      Toyoda K (編集)
    • Total Pages
      133
    • Publisher
      Karger
    • Related Report
      2013 Annual Research Report
  • [Book] 心原性脳塞栓症と経口抗凝固薬2013

    • Author(s)
      豊田一則 (編集)
    • Total Pages
      159
    • Publisher
      フジメディカル出版
    • Related Report
      2013 Annual Research Report
  • [Book] 新版 脳梗塞rt-PA静注療法実践ガイド2013

    • Author(s)
      峰松一夫、豊田一則 (編集)
    • Total Pages
      148
    • Publisher
      診断と治療社
    • Related Report
      2013 Annual Research Report
  • [Book] 今日の治療指針 2012年版2012

    • Author(s)
      豊田一則
    • Publisher
      医学書院
    • Related Report
      2012 Research-status Report
  • [Book] 神経疾患最新の治療 2012-20142012

    • Author(s)
      豊田一則
    • Publisher
      南江堂
    • Related Report
      2012 Research-status Report
  • [Book] JRC蘇生ガイドライン20102011

    • Author(s)
      豊田一則(作成委員)
    • Publisher
      へるす出版
    • Related Report
      2013 Final Research Report
  • [Book] JRC蘇生ガイドライン20102011

    • Author(s)
      豊田一則(JRCガイドライン作成合同委員会委員として分担執筆)
    • Total Pages
      446
    • Publisher
      へるす出版
    • Related Report
      2011 Research-status Report
  • [Remarks] 国立循環器病研究センター 脳血管内科HP:

    • URL

      http://hospital.ncvc.go.jp/section/f001/f001-a.html

    • Related Report
      2013 Annual Research Report
  • [Remarks] 国立循環器病研究センター 脳血管内科紹介

    • URL

      http://hospital.ncvc.go.jp/section/f001/f001-a.html

    • Related Report
      2012 Research-status Report

URL: 

Published: 2011-08-05   Modified: 2019-07-29  

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