Circulation Journal最新文献_第3页

Usefulness of Apple Watch Electrocardiograms for Identifying the Origin of Premature Ventricular Contractions. Apple Watch心电图对识别室性早搏起源的作用。

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-12-06 DOI: 10.1253/circj.CJ-24-0815

Masaru Kato, Shunsuke Kawatani, Takuya Tomomori, Akihiro Okamura, Yasuhito Kotake, Koji Aoyama, Jun Akagi, Shintaro Okuda, Shota Hayashi, Kazuhiro Yamamoto

引用次数: 0

Subclinical Intra-Aortic Thrombus Associated With Impella CP Device　- Consideration of Anatomic Characteristics. 与Impella CP装置相关的亚临床主动脉内血栓——对解剖学特征的考虑。

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-12-20 DOI: 10.1253/circrep.CJ-24-0557

Eriko Saito, Kazuya Ikeda, Shinya Fujii, Takashi Miyamoto

引用次数: 0

Initial Holter Electrocardiogram Index to Predict the Burden of Subsequent Persistent Premature Ventricular Complex in Childhood. 预测儿童期持续性室性早搏负担的初始 Holter 心电图指数

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-07-20 DOI: 10.1253/circj.CJ-24-0438

Gaku Izumi, Satoru Shida, Norio Kobayashi, Hirokuni Yamazawa, Atsuhito Takeda

{"title":"Initial Holter Electrocardiogram Index to Predict the Burden of Subsequent Persistent Premature Ventricular Complex in Childhood.","authors":"Gaku Izumi, Satoru Shida, Norio Kobayashi, Hirokuni Yamazawa, Atsuhito Takeda","doi":"10.1253/circj.CJ-24-0438","DOIUrl":"10.1253/circj.CJ-24-0438","url":null,"abstract":"Background: Asymptomatic premature ventricular complex (PVC) in childhood often disappears over time. However, predictive factors for persistent PVC are unknown. We examined predictive factors for persistent PVCs on initial Holter electrocardiogram (ECG) in pediatric patients with asymptomatic PVC.Methods and results: The initial Holter ECG findings of untreated PVC patients (n=216) between 2010 and 2021 were examined. Multivariable analysis was performed to clarify predictive factors for subsequent persistent PVC burden for each index (age, sex, PVC burden, PVC origin, minimum and maximum mean RR intervals [RRmin and RRmax, respectively]) of the 3 heartbeats of baseline sinus rhythm immediately before the PVC. The median age at initial Holter ECG was 11.6 years (range 5.8-18.8 years), the PVC burden was 5.22% (range 0.01-44.21%), RRmin was 660 ms, RRmax was 936 ms, RRrange (=RRmax-RRmin) was 273 ms, and 15 (7%) PVC runs were identified. The median follow-up period was 5.1 years (range 0.8-9.4 years), and the final Holter PVC burden was 3.99% (range 0-36.38%). In multivariate analysis, RRrange was the only independent risk factor for predicting a final Holter PVC burden >10%, with an area under the curve of 0.920 using an RRrange of 600 ms as the cut-off value.Conclusions: A wide RRrange at the initial Holter ECG may be a predictive indicator for persistent PVC in childhood.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":"234-239"},"PeriodicalIF":3.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Uncertainty　- Is Left Atrial Reservoir Strain the Missing Piece? 探索不确定性--左心房贮液器应变是缺失的部分吗？

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-07-31 DOI: 10.1253/circj.CJ-24-0476

Hidehira Fukaya, Keiko Ryo-Koriyama

引用次数: 0

Effects of Longitudinal Changes in Anemia Status on Clinical Outcomes in Patients With Non-Valvular Atrial Fibrillation　- Analysis From the Hokuriku-Plus AF Registry. 贫血状态的纵向变化对非瓣膜性心房颤动患者临床预后的影响--来自 Hokuriku-Plus 心房颤动登记的分析。

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-08-27 DOI: 10.1253/circj.CJ-24-0132

Toyonobu Tsuda, Kenshi Hayashi, Takeshi Kato, Takashi Kusayama, Yoichiro Nakagawa, Akihiro Nomura, Hayato Tada, Soichiro Usui, Kenji Sakata, Masa-Aki Kawashiri, Noboru Fujino, Masakazu Yamagishi, Masayuki Takamura

{"title":"Effects of Longitudinal Changes in Anemia Status on Clinical Outcomes in Patients With Non-Valvular Atrial Fibrillation　- Analysis From the Hokuriku-Plus AF Registry.","authors":"Toyonobu Tsuda, Kenshi Hayashi, Takeshi Kato, Takashi Kusayama, Yoichiro Nakagawa, Akihiro Nomura, Hayato Tada, Soichiro Usui, Kenji Sakata, Masa-Aki Kawashiri, Noboru Fujino, Masakazu Yamagishi, Masayuki Takamura","doi":"10.1253/circj.CJ-24-0132","DOIUrl":"10.1253/circj.CJ-24-0132","url":null,"abstract":"Background: Anemia, a common comorbidity in older patients with heart failure (HF) and atrial fibrillation (AF), is associated with an increased risk of adverse events. This study evaluated the prognostic effects of longitudinal changes in anemia status on clinical outcomes in patients with AF.Methods and results: We prospectively evaluated data of 1,388 patients with AF from the Hokuriku-Plus AF Registry (1,010 men; mean [±SD] age 72.3±9.7 years) and recorded the incidence of death, HF, thromboembolism, and major bleeding. Of these patients, the 1,233 for whom hemoglobin levels were available at baseline and at the 1-year follow-up were further evaluated. Patients were categorized into 3 groups based on longitudinal changes in 1-year anemia status: Group 1, AF without anemia; Group 2, AF with improved anemia; and Group 3, AF with sustained or new-onset anemia. Over the 1-5 years of follow up, the incidences of death, HF, thromboembolism, and major bleeding were significantly higher among patients with than without anemia. In addition, the incidence of death or HF was significantly higher in Group 3 than in Groups 1 and 2. Multivariate analysis revealed no anemia or improvement in anemia in 1 year as an independent predictor for a favorable prognosis for cardiovascular death and HF.Conclusions: Recovery from anemia may be associated with a favorable clinical course of AF.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":"164-173"},"PeriodicalIF":3.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

10-Year Trends of Antithrombotic Therapy Status and Clinical Outcomes in Patients With Atrial Fibrillation and Renal Dysfunction　- The Fushimi AF Registry. 心房颤动合并肾功能不全患者的抗血栓治疗状态和临床结果的 10 年趋势--伏见心房颤动注册研究。

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-10-31 DOI: 10.1253/circj.CJ-24-0614

Nobutoyo Masunaga, Mitsuru Ishii, Kouhei Oka, Keita Okamoto, Yusuke Yoshida, Kimihito Minami, Kenjiro Ishigami, Kosuke Doi, Yasuhiro Hamatani, Takashi Yoshizawa, Yuya Ide, Akiko Fujino, Moritake Iguchi, Hiromichi Wada, Koji Hasegawa, Hikari Tsuji, Masahiro Esato, Mitsuru Abe, Masaharu Akao

{"title":"10-Year Trends of Antithrombotic Therapy Status and Clinical Outcomes in Patients With Atrial Fibrillation and Renal Dysfunction　- The Fushimi AF Registry.","authors":"Nobutoyo Masunaga, Mitsuru Ishii, Kouhei Oka, Keita Okamoto, Yusuke Yoshida, Kimihito Minami, Kenjiro Ishigami, Kosuke Doi, Yasuhiro Hamatani, Takashi Yoshizawa, Yuya Ide, Akiko Fujino, Moritake Iguchi, Hiromichi Wada, Koji Hasegawa, Hikari Tsuji, Masahiro Esato, Mitsuru Abe, Masaharu Akao","doi":"10.1253/circj.CJ-24-0614","DOIUrl":"10.1253/circj.CJ-24-0614","url":null,"abstract":"Background: Anticoagulation therapy for atrial fibrillation (AF) has undergone major changes following the introduction of direct oral anticoagulants (DOAC) in 2011. However, the transition of anticoagulation therapy for AF patients with severe renal dysfunction remains to be elucidated.Methods and results: Follow-up data, including creatinine clearance (CrCl), were available for 3,706 patients in the Fushimi AF Registry. We divided patients into 3 groups based on CrCl as follows: (1) CrCl ≥50 mL/min; (2) 50 mL/min>CrCl≥30 mL/min; and (3) CrCl <30 mL/min. In patients with CrCl ≥50 mL/min and 50>CrCl≥30 mL/min, prescription of oral anticoagulants increased year-by-year from 2011 to 2021 with a growing proportion of DOAC; however, the prescription of oral anticoagulants remained almost unchanged in those with CrCl <30 mL/min. In patients with CrCl ≥50 mL/min and 50 mL/min>CrCl≥30 mL/min, the incidence of adverse events, including stroke/systemic embolism and major bleeding, was lower among patients enrolled after 2014 than before 2013. However, these trends were not seen in patients with CrCl <30 mL/min.Conclusions: Despite the increased use of DOAC in patients with AF since 2011, anticoagulation therapy for AF patients with severe renal dysfunction has largely remained unchanged, and a reduction in adverse events in those patients has not been observed.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":"174-183"},"PeriodicalIF":3.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548711","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Current Real-World Status of Oral Anticoagulant Management in Japanese Patients. 日本患者口服抗凝剂管理的实际现状。

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-11-15 DOI: 10.1253/circj.CJ-24-0827

Tomoya Hara, Masataka Sata

引用次数: 0

Impact of Underdosing of Direct Oral Anticoagulants on Clinical Outcomes in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention. 直接口服抗凝药物剂量不足对房颤患者经皮冠状动脉介入治疗临床结果的影响。

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-12-20 DOI: 10.1253/circj.CJ-24-0418

Hideki Kitahara, Tatsuro Yamazaki, Takashi Hiraga, Sakuramaru Suzuki, Yuji Ohno, Junya Harada, Kenichi Fukushima, Tatsuhiko Asano, Naoki Ishio, Raita Uchiyama, Hirofumi Miyahara, Shinichi Okino, Masanori Sano, Nehiro Kuriyama, Masashi Yamamoto, Naoya Sakamoto, Junji Kanda, Yoshio Kobayashi

{"title":"Impact of Underdosing of Direct Oral Anticoagulants on Clinical Outcomes in Patients With Atrial Fibrillation Undergoing Percutaneous Coronary Intervention.","authors":"Hideki Kitahara, Tatsuro Yamazaki, Takashi Hiraga, Sakuramaru Suzuki, Yuji Ohno, Junya Harada, Kenichi Fukushima, Tatsuhiko Asano, Naoki Ishio, Raita Uchiyama, Hirofumi Miyahara, Shinichi Okino, Masanori Sano, Nehiro Kuriyama, Masashi Yamamoto, Naoya Sakamoto, Junji Kanda, Yoshio Kobayashi","doi":"10.1253/circj.CJ-24-0418","DOIUrl":"10.1253/circj.CJ-24-0418","url":null,"abstract":"Background: Underdoses of direct oral anticoagulants (DOAC) are sometimes prescribed due to bleeding risk concerns in patients with atrial fibrillation (AF). We investigated the prevalence of DOAC underdosing and its impact on clinical outcomes in AF patients undergoing percutaneous coronary intervention (PCI).Methods and results: This multicenter observational cohort study enrolled patients with AF on DOAC undergoing PCI between January 2015 and March 2021 at 15 institutions across Japan. Clinical outcomes within 1 year, including major adverse cardiovascular events (MACE), all-cause mortality, ischemic stroke, and major bleeding events, were evaluated. Of 623 patients enrolled, 167 (26.8%) received underdoses, 224 (36.0%) received appropriate low doses, 210 (33.7%) received appropriate standard doses, and 22 (3.5%) received overdoses. Clinical outcomes were compared between patients with underdoses (n=167) and appropriate doses (n=434). Although the incidence of MACE, all-cause mortality, and major bleeding events did not differ significantly between the 2 groups (log-rank P=0.850, P=0.163, and P=0.711, respectively), ischemic stroke occurred more frequently in the underdose than appropriate-dose group (log-rank P=0.011). After propensity score matching, the same result was observed for the frequency of ischemic stroke (log-rank P=0.026).Conclusions: Compared with appropriate doses of DOAC, DOAC underdosing was associated with a higher incidence of ischemic stroke, despite no significant difference in MACE, all-cause mortality, and major bleeding events in AF patients undergoing PCI.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":"195-203"},"PeriodicalIF":3.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How Electrical Storms Recur Over Time in Patients With Implantable Cardioverter Defibrillators　- Subanalysis of the Nippon Storm Study. 植入式心律转复除颤器患者的电风暴如何随时间推移而复发--日本风暴研究的子分析。

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-24 Epub Date: 2024-08-22 DOI: 10.1253/circj.CJ-24-0390

Ryobun Yasuoka, Masahiro Maruyama, Gaku Nakazawa, Takashi Noda, Takashi Nitta, Yoshifusa Aizawa, Tohru Ohe, Takashi Kurita

{"title":"How Electrical Storms Recur Over Time in Patients With Implantable Cardioverter Defibrillators　- Subanalysis of the Nippon Storm Study.","authors":"Ryobun Yasuoka, Masahiro Maruyama, Gaku Nakazawa, Takashi Noda, Takashi Nitta, Yoshifusa Aizawa, Tohru Ohe, Takashi Kurita","doi":"10.1253/circj.CJ-24-0390","DOIUrl":"10.1253/circj.CJ-24-0390","url":null,"abstract":"Background: Electrical storms (E-storms), defined as multiple fatal ventricular arrhythmias over a short period, negatively affect the prognosis of patients receiving an implantable cardioverter defibrillator or cardiac resynchronization therapy with a defibrillator (ICD/CRT-D). However, the prognostic impact of recurrent E-storms has not been well elucidated.Methods and results: We analyzed the association between E-storm recurrences and mortality using data from 1,274 participants in the Nippon Storm Study, a prospective observational study conducted at 48 ICD/CRT-D centers in Japan. Differences in E-storm recurrences by patient characteristics were evaluated using the mean cumulative function (MCF), which is the cumulative number of E-storm episodes per patient as a function of time. Patients with multiple E-storms had a 3.39-fold higher mortality risk than those without E-storms (95% confidence interval 1.82-6.28; P<0.01). However, there was no significant difference in mortality risk between patients with a single E-storm and those without E-storms. The MCF curve exhibited a slower ascent in patients who received primary prevention ICD/CRT-D than in those who received secondary prevention ICD/CRT-D. However, when analyzing only patients with E-storms, the MCF curves demonstrated comparable trajectories in both groups.Conclusions: E-storm recurrences may have a negative impact on prognosis. Once patients with primary prevention experience an E-storm episode, they face a similar risk of subsequent recurrent E-storms as patients with secondary prevention.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":"214-223"},"PeriodicalIF":3.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rate-Dependent Left Bundle Branch Block in Transthyretin Amyloid Cardiomyopathy.

IF 3.1 3区医学

Circulation Journal Pub Date : 2025-01-21 DOI: 10.1253/circj.CJ-24-0914

Kenta Uno, Naoki Fujimoto, Tetsuji Kitano, Keishi Moriwaki, Itaru Goto, Kaoru Dohi

引用次数: 0