Circulation Journal最新文献_第5页

Glucose Fluctuations and Epicardial Adipose Tissue　- A New Paradigm for Diabetic Myocardial Damage. 葡萄糖波动与心外膜脂肪组织——糖尿病心肌损伤的新范式。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-25 Epub Date: 2026-08-11 DOI: 10.1253/circj.CJ-26-0685

Takeshi Soeki

引用次数: 0

Current Status and Barriers to Heart Failure Care in Japanese Geriatric Health Services Facilities　- A Nationwide Cross-Sectional Survey. 日本老年保健服务机构心力衰竭护理的现状和障碍——一项全国性的横断面调查。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-18 DOI: 10.1253/circj.CJ-26-0558

Yoshiharu Kinugasa, Miyuki Tsuchihashi-Makaya, Akiko Okada, Masakazu Saitoh, Isao Miyajima, Hiroshi Sakurashita, Koshiro Kanaoka, Dai Yumino, Shungo Hikoso, Koichiro Kinugawa, Kazuhiro Yamamoto

{"title":"Current Status and Barriers to Heart Failure Care in Japanese Geriatric Health Services Facilities　- A Nationwide Cross-Sectional Survey.","authors":"Yoshiharu Kinugasa, Miyuki Tsuchihashi-Makaya, Akiko Okada, Masakazu Saitoh, Isao Miyajima, Hiroshi Sakurashita, Koshiro Kanaoka, Dai Yumino, Shungo Hikoso, Koichiro Kinugawa, Kazuhiro Yamamoto","doi":"10.1253/circj.CJ-26-0558","DOIUrl":"https://doi.org/10.1253/circj.CJ-26-0558","url":null,"abstract":"Background: As Japan faces a heart failure (HF) pandemic, geriatric health service facilities (GHSFs) are vital for transitional HF care from hospital to home. This study investigated HF care practices, challenges, and support needs in Japanese GHSFs.Methods and results: We conducted a cross-sectional web-based survey of 171 GHSFs. We analyzed current management practices, perceived difficulties, and support needs regarding HF care in GHSFs. Concerns over high medication costs for HF were the primary reason for admission refusal (49.7%). Although daily symptom assessments, including dyspnea and edema were common, weight monitoring was conducted only monthly in 50.3% of facilities. HF care infrastructure was inadequate: 99.4% of GHSFs had no specialized staff (e.g., certified HF educators), only 38.0% had access to expert consultation, and only 56.7% provided HF-specific rehabilitation. Consequently, 44.4% of representatives reported significant perceived difficulty in HF care, primarily in judging consultation timing (75.0%). Facilities reporting low/neutral satisfaction with information desired advance care planning (ACP) and consultation criteria. HF patients had significantly lower home discharge rates than the overall facility residents (median [interquartile range] 20.0% [4.1-34.6%] vs. 34.0% [19.0-49.0%]; P<0.01).Conclusions: Concerns over financial barriers, along with structural and communication barriers in GHSFs, drive admission refusals and complicate HF management, potentially limiting home discharge. Improving transitional HF care requires addressing these financial concerns, providing standardized staff education and specialized support, and bridging information gaps, specifically regarding ACP and consultation criteria, between hospitals and facilities.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031893","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

Impact of Right Ventricular Involvement on Bleeding and Mortality in Patients With Right Coronary Artery-Related Myocardial Infarction　- Insights From Nationwide Registry. 右室受累对右冠状动脉相关性心肌梗死患者出血和死亡率的影响——来自全国登记的见解

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-17 DOI: 10.1253/circj.CJ-26-0028

Satoshi Honda, Kensaku Nishihira, Misa Takegami, Sunao Kojima, Yasuhide Asaumi, Mike Saji, Jun Yamashita, Kohei Wakabayashi, Kiyoshi Hibi, Jun Takahashi, Yasuhiko Sakata, Morimasa Takayama, Tetsuya Sumiyoshi, Teruo Noguchi, Hisao Ogawa, Satoshi Yasuda

{"title":"Impact of Right Ventricular Involvement on Bleeding and Mortality in Patients With Right Coronary Artery-Related Myocardial Infarction　- Insights From Nationwide Registry.","authors":"Satoshi Honda, Kensaku Nishihira, Misa Takegami, Sunao Kojima, Yasuhide Asaumi, Mike Saji, Jun Yamashita, Kohei Wakabayashi, Kiyoshi Hibi, Jun Takahashi, Yasuhiko Sakata, Morimasa Takayama, Tetsuya Sumiyoshi, Teruo Noguchi, Hisao Ogawa, Satoshi Yasuda","doi":"10.1253/circj.CJ-26-0028","DOIUrl":"https://doi.org/10.1253/circj.CJ-26-0028","url":null,"abstract":"Background: Right ventricular involvement (RVI) in acute myocardial infarction (AMI) patients is recognized as a high-risk subset. However, its impact on bleeding and mortality is not well defined in patients with right coronary artery (RCA)-related ST-segment elevation acute myocardial infarction (STEMI) undergoing percutaneous coronary intervention (PCI).Methods and results: Using data from the multicenter, prospective Japan AMI Registry including 3,411 patients, we analyzed 993 patients with RCA-related STEMI who underwent PCI. The incidence of all-cause mortality and major bleeding, defined as Bleeding Academic Research Consortium Type 3 or 5, was compared between patients with and without RVI. RVI was present in 9% (n=92) of patients. During a 12-month follow-up, RVI was independently associated with an increased risk of all-cause mortality (adjusted hazard ratio [HR] 2.05; 95% confidence interval [CI] 1.11-3.79) and major bleeding (adjusted HR 2.28; 95% CI 1.13-4.57) in Cox analysis, although this bleeding association was attenuated in adjusted competing-risk analysis (adjusted subdistribution HR 1.87; 95% CI 0.90-3.89). Among patients with RVI, those who experienced major bleeding had a significantly higher risk of death (HR 4.88, 95% CI 1.63-14.58).Conclusions: In patients with RCA-related STEMI treated with PCI, RVI was associated with increased mortality and appeared to be associated with a higher risk of bleeding.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983511","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

Radial Wall Strain Derived From Coronary Angiography Reflects Plaque Morphology of Future Acute Coronary Syndrome. 冠状动脉造影得出的桡动脉壁应变反映未来急性冠状动脉综合征的斑块形态。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-16 DOI: 10.1253/circj.CJ-26-0372

Mayuka Masuda, Takayoshi Toba, Yoichiro Sugizaki, Hiroyuki Kawamori, Takashi Hiromasa, Daichi Fujimoto, Tetsuya Yamamoto, Seigo Iwane, Hiroshi Tsunamoto, Shota Naniwa, Masayoshi Fujii, Yuki Sakamoto, Yuta Fukuishi, Koshi Matsuhama, Kotaro Higuchi, Hiroya Okamoto, Nobuhiro Watanabe, Ken Takata, Shotaro Yoshida, Masamichi Iwasaki, Amane Kozuki, Junya Shite, Tomofumi Takaya, Hiromasa Otake

{"title":"Radial Wall Strain Derived From Coronary Angiography Reflects Plaque Morphology of Future Acute Coronary Syndrome.","authors":"Mayuka Masuda, Takayoshi Toba, Yoichiro Sugizaki, Hiroyuki Kawamori, Takashi Hiromasa, Daichi Fujimoto, Tetsuya Yamamoto, Seigo Iwane, Hiroshi Tsunamoto, Shota Naniwa, Masayoshi Fujii, Yuki Sakamoto, Yuta Fukuishi, Koshi Matsuhama, Kotaro Higuchi, Hiroya Okamoto, Nobuhiro Watanabe, Ken Takata, Shotaro Yoshida, Masamichi Iwasaki, Amane Kozuki, Junya Shite, Tomofumi Takaya, Hiromasa Otake","doi":"10.1253/circj.CJ-26-0372","DOIUrl":"https://doi.org/10.1253/circj.CJ-26-0372","url":null,"abstract":"Background: Radial wall strain (RWS) is a potential marker of plaque vulnerability; however, its association with plaque morphology in future acute coronary syndrome (ACS) remains unclear.Methods and results: We retrospectively enrolled 98 patients with ACS who underwent optical coherence tomography-guided percutaneous coronary intervention and had a prior coronary angiography (CAG) 1 month to 5 years before ACS. RWS was calculated as the maximum percentage change in lumen diameter within a cardiac cycle (RWSmax). Mild-to-intermediate stenotic lesions on the index CAG were classified as culprit lesions (CLs) and non-CLs (NCLs) of ACS. CLs were further categorized as plaque rupture (PR) or erosion (PE). We identified 74 CLs (50 PRs, 24 PEs) and 96 NCLs. Angiographic and physiological parameters were comparable across the groups; however, RWSmaxwas significantly higher in both PRs and PEs than in NCLs (15.8% vs. 12.6%, P<0.001; 14.1% vs. 12.6%, P=0.012, respectively). In Cox regression analysis, RWSmaxwas associated with subsequent PRs (hazard ratio [HR] 1.56; 95% confidence interval [CI] 1.34-1.82; P<0.001) and PEs (HR 1.33; 95% CI 1.05-1.67; P=0.017). Multinomial logistic regression showed that higher RWSmaxfavored PR, lower RWSmaxfavored NCL, and the estimated probability of PE remained low across the RWSmaxspectrum.Conclusions: RWSmaxwas independently associated with subsequent PR and PE, with a higher estimated probability of PR than of PE.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983562","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

Determinants of Disproportionality in Functional Mitral Regurgitation　- Importance of Mitral Valve Morphology. 功能性二尖瓣反流中歧化的决定因素-二尖瓣形态的重要性。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-16 DOI: 10.1253/circj.CJ-26-0057

Yoshihito Arao, Nobuyuki Kagiyama, Yuki Izumi, Satonori Maekawara, Tomohiro Kaneko, Mai Terada, Mike Saji, Nobuo Iguchi, Ryosuke Higuchi, Itaru Takamisawa, Mamoru Nanasato, Toyoaki Murohara, Mitsuaki Isobe

{"title":"Determinants of Disproportionality in Functional Mitral Regurgitation　- Importance of Mitral Valve Morphology.","authors":"Yoshihito Arao, Nobuyuki Kagiyama, Yuki Izumi, Satonori Maekawara, Tomohiro Kaneko, Mai Terada, Mike Saji, Nobuo Iguchi, Ryosuke Higuchi, Itaru Takamisawa, Mamoru Nanasato, Toyoaki Murohara, Mitsuaki Isobe","doi":"10.1253/circj.CJ-26-0057","DOIUrl":"https://doi.org/10.1253/circj.CJ-26-0057","url":null,"abstract":"Background: Disproportionate (d-) functional mitral regurgitation (FMR) is characterized by greater mitral regurgitation (MR) severity than expected from left ventricular (LV) dilatation. Morphological determinants of this imbalance remain unclear.Methods and results: Consecutive patients who underwent transcatheter edge-to-edge repair (TEER) for symptomatic FMR were divided into 2 groups: d-FMR and proportionate (p-) FMR (effective regurgitant orifice area [EROA]/LV end-diastolic volume [LVEDV] >0.20 or ≤0.20 mm2/mL, respectively). Of the 114 FMR patients included, those with d-FMR (n=66) were more likely to be female and had a significantly larger EROA than patients with p-FMR (n=48), despite a smaller LVEDV index and lower tenting height. Metrics of LV dyssynchrony and etiologies were similar between the 2 groups, but the d-FMR group had a higher proportion of pseudo-prolapse (28.8% vs. 8.3%; P=0.007), extreme mitral annular dilatation (>700 mm2/m2; 53.0% vs. 29.2%; P=0.011), and deep indentation (24.2% vs. 4.2%; P=0.004). Although these factors were prevalent in the population, no patient with MR due purely to any of these factors underwent TEER. After adjustment by age, sex, and LVEDV index, the number of factors present was associated with d-FMR (odds ratio 4.15; P<0.001). Similar results were obtained when using an EROA/LVEDV cut-off of 0.14 mm2/mL.Conclusions: Additional morphological factors were associated with greater MR severity beyond LV size and with residual MR after TEER, supporting a phenotype-based interpretation of FMR disproportionality.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983474","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

Endomyocardial Biopsy and Clinical Outcomes in Acute Myocarditis　- Multicenter Cohort Study. 急性心肌炎的心肌内膜活检和临床结果-多中心队列研究。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-10 DOI: 10.1253/circj.CJ-26-0349

Junho Hyun, Kyung-Hee Kim, Minjung Bak, Hyukjin Park, In-Cheol Kim, Mi-Na Kim, Sang Eun Lee, Jeong Hoon Yang

{"title":"Endomyocardial Biopsy and Clinical Outcomes in Acute Myocarditis　- Multicenter Cohort Study.","authors":"Junho Hyun, Kyung-Hee Kim, Minjung Bak, Hyukjin Park, In-Cheol Kim, Mi-Na Kim, Sang Eun Lee, Jeong Hoon Yang","doi":"10.1253/circj.CJ-26-0349","DOIUrl":"https://doi.org/10.1253/circj.CJ-26-0349","url":null,"abstract":"Background: Endomyocardial biopsy (EMB) remains the gold standard for diagnosing acute myocarditis (AM); however, its prognostic value has not been fully established. We investigated the prognostic impact of EMB, with a focus on fulminant myocarditis (FM).Methods and results: We included 841 AM patients across 7 hospitals who were categorized having undergone EMB (n=268) or not (n=573). The primary outcome was in-hospital death; the secondary outcome was a composite of all-cause death, cardiac transplantation, or left ventricular assist device implantation. In-hospital mortality was lower in the EMB group (6.3% vs. 11.5%; P=0.019), with a similar reduction in the EMB group among patients with FM (11.3% vs. 23.7%; P=0.002), despite a higher rate of extracorporeal membrane oxygenation. During a median follow-up of 447 days, the composite outcome was also lower in the EMB group among patients with FM (P=0.031). In multivariable analyses, EMB was independently associated with lower in-hospital mortality in both the overall cohort and the FM subgroup. Outcomes did not differ substantially across histopathologic subtypes, although patients with giant cell myocarditis had a worse prognosis.Conclusions: In patients with AM, EMB was associated with lower in-hospital mortality and improved long-term outcomes, particularly among those with FM. Further well-designed prospective studies are warranted to evaluate the clinical impact of EMB and its potential role in improving outcomes.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921206","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

Unexplained Syncope in Patients With Congenital Long QT Syndrome　- Role of Implantable Loop Recorders in Diagnostic Evaluation. 先天性长QT综合征患者不明原因的晕厥——植入式环路记录仪在诊断评价中的作用。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-08 DOI: 10.1253/circj.CJ-26-0111

Yuichiro Miyazaki, Takeshi Aiba, Koichi Kato, Hideo Fukunaga, Hiroshi Morita, Takahisa Noma, Tatsunori Takahashi, Akira Mizukami, Toshihiro Nakamura, Satoshi Oka, Akinori Wakamiya, Nobuhiko Ueda, Kenzaburo Nakajima, Tsukasa Kamakura, Mitsuru Wada, Kohei Ishibashi, Yuko Inoue, Koji Miyamoto, Satoshi Nagase, Kengo Kusano

{"title":"Unexplained Syncope in Patients With Congenital Long QT Syndrome　- Role of Implantable Loop Recorders in Diagnostic Evaluation.","authors":"Yuichiro Miyazaki, Takeshi Aiba, Koichi Kato, Hideo Fukunaga, Hiroshi Morita, Takahisa Noma, Tatsunori Takahashi, Akira Mizukami, Toshihiro Nakamura, Satoshi Oka, Akinori Wakamiya, Nobuhiko Ueda, Kenzaburo Nakajima, Tsukasa Kamakura, Mitsuru Wada, Kohei Ishibashi, Yuko Inoue, Koji Miyamoto, Satoshi Nagase, Kengo Kusano","doi":"10.1253/circj.CJ-26-0111","DOIUrl":"https://doi.org/10.1253/circj.CJ-26-0111","url":null,"abstract":"Background: Syncope is common in patients with congenital long QT syndrome (LQTS). However, not all episodes of syncope or loss of consciousness are caused by torsades de pointes (TdP); some are attributable to bradycardia or non-cardiac causes. This study investigated the clinical utility of implantable loop recorders (ILRs) in patients with LQTS presenting with unexplained syncope.Methods and results: We retrospectively studied 18 patients with LQTS (7 with LQTS type (LQT) 1, 3 with LQT2, 1 with LQT3, and 7 genotype-negative LQTS) who underwent ILR implantation for recurrent syncope. Multiple causes of syncope were suspected in each patient; there were 14 cases of arrhythmia, 4 of epilepsy, 8 of neurally mediated syncope (NMS), and 9 of unknown cause. During a mean (±SD) follow-up of 37±22 months after ILR implantation, 8 (44%) patients experienced recurrent syncope. Four episodes were caused by TdP and the remaining 4 episodes were attributed to epilepsy or NMS (cardioinhibitory type). No significant difference was observed in baseline clinical characteristics between patients with and without TdP following ILR implantation, but female sex (P=0.051) and a higher Schwartz score (P=0.08) tended to be associated with TdP.Conclusions: Syncope in patients with LQTS is not always attributable to TdP, and non-arrhythmic causes should be considered. Although ILRs may aid in diagnostic evaluation, careful risk stratification remains essential in patients with suspected arrhythmic syncope.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921296","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

The Hidden Burden of Cancer-Associated Venous Thromboembolism　- An Emerging Challenge in Cardio-Oncology. 癌症相关静脉血栓栓塞的隐性负担——心脏肿瘤学的新挑战。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-03 DOI: 10.1253/circj.CJ-26-0701

Jiro Sakamoto

引用次数: 0

Development and Validation of Risk Models for Outcomes of Isolated Coronary Artery Bypass Grafting　- A Nationwide Analysis in Japan. 孤立冠状动脉旁路移植术结果风险模型的开发和验证——日本全国范围内的分析。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-09-02 DOI: 10.1253/circj.CJ-26-0160

Sachiko Hayashi, Hiraku Kumamaru, Shiori Nishimura, Aya Saito, Hideyuki Shimizu, Noboru Motomura

{"title":"Development and Validation of Risk Models for Outcomes of Isolated Coronary Artery Bypass Grafting　- A Nationwide Analysis in Japan.","authors":"Sachiko Hayashi, Hiraku Kumamaru, Shiori Nishimura, Aya Saito, Hideyuki Shimizu, Noboru Motomura","doi":"10.1253/circj.CJ-26-0160","DOIUrl":"https://doi.org/10.1253/circj.CJ-26-0160","url":null,"abstract":"Background: Reliable preoperative risk assessment is essential in cardiac surgery. In Japan, coronary artery bypass grafting (CABG) risk models have been developed from the Japan Cardiovascular Surgery Database - Adult section (JCVSD-A), with JapanSCORE I and II released previously. To reflect contemporary practice, we developed and validated JapanSCORE III, an updated risk model for isolated CABG, using JCVSD-A.Methods and results: We identified patients undergoing isolated CABG between 2018 and 2023 in the JCVSD-A. The dataset was temporally split into development (2018-2022) and validation (2023) cohorts. A least absolute shrinkage and selection operator model was developed to predict operative mortality, incorporating imaging-based predictors and clinically relevant factors. Secondary outcome models were constructed for stroke, reoperation, prolonged ventilation, renal failure, deep sternal wound infection (DSWI), gastrointestinal complications, and intensive care unit stay >7 days. Model performance was assessed by areas under the curve (AUC) and calibration plots. Among 70,180 patients (mean age 69.3 years; 20% women), operative mortality was 2.7%. The incidence of stroke, reoperation, prolonged ventilation, renal failure, DSWI, gastrointestinal complications, and prolonged ICU stay was 1.8%, 1.5%, 3.7%, 2.0%, 1.1%, 1.3%, and 13.2%, respectively. Operative mortality and renal failure models demonstrated good discrimination (AUC >0.8) and calibration in validation.Conclusions: Operative outcomes remained stable despite increasing predicted risk. The JapanSCORE III models showed good predictive performance, providing valid tools for preoperative risk stratification.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":" ","pages":""},"PeriodicalIF":5.8,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148882357","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

The Tell-Tale Heart　- Persistent Immune Activation in Histologically Rejection-Free Heart Transplant Recipients. 无组织学排斥的心脏移植受者的心脏持续免疫激活。

IF 5.8 3区医学

Circulation Journal Pub Date : 2026-08-29 DOI: 10.1253/circj.CJ-26-0642

Toshiyuki Ko, Hiroyuki Morita

引用次数: 0