Circulation Journal最新文献_第6页

Morphological Features of Patent Foramen Ovale Compared Between Older and Young Patients With Cryptogenic Ischemic Stroke. 老年和年轻隐源性缺血性脑卒中患者的闭孔形态学特征比较

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-08-23 Epub Date: 2024-06-11 DOI: 10.1253/circj.CJ-24-0313

Mitsutaka Nakashima, Yoichi Takaya, Rie Nakayama, Masahiro Tsuji, Teiji Akagi, Takashi Miki, Kazufumi Nakamura, Shinsuke Yuasa

{"title":"Morphological Features of Patent Foramen Ovale Compared Between Older and Young Patients With Cryptogenic Ischemic Stroke.","authors":"Mitsutaka Nakashima, Yoichi Takaya, Rie Nakayama, Masahiro Tsuji, Teiji Akagi, Takashi Miki, Kazufumi Nakamura, Shinsuke Yuasa","doi":"10.1253/circj.CJ-24-0313","DOIUrl":"10.1253/circj.CJ-24-0313","url":null,"abstract":"Background: The morphology of a patent foramen ovale (PFO) with a high-risk for cryptogenic ischemic stroke (CS) is an important factor in the selection of patients for transcatheter closure, but the morphological features of PFO in older patients with a history of CS are less known because the most data are obtained from younger patients.Methods and results: The study included 169 patients who had a history of CS and PFO. The prevalence of high-risk morphologies of PFO assessed by transesophageal echocardiography was compared between patients aged ≥60 years and patients aged <60 years. We also assessed the presence of septal malalignment of PFO on the aortic wall. The probability of CS due to PFO was evaluated using the PFO-Associated Stroke Causal Likelihood classification system. Patients aged ≥60 years had a significantly higher prevalence of atrial septal aneurysm than patients aged <60 years. The prevalence of large right-to-left shunt, long-tunnel of PFO, or Eustachian valve or Chiari's network was similar between patients aged ≥60 years and <60 years. Septal malalignment was observed more frequently in patients aged ≥60 years than in those <60 years old. Nearly 90% of patients aged ≥60 years were classified as 'possible' in the PFO-Associated Stroke Causal Likelihood classification system.Conclusions: High-risk morphologies of PFO are common in older patients with a history of CS, as well as in younger patients.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312156","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

JCS/JHRS 2022 Guideline on Diagnosis and Risk Assessment of Arrhythmia. JCS/JHRS 2022 年心律失常诊断和风险评估指南。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-08-23 Epub Date: 2023-09-11 DOI: 10.1253/circj.CJ-22-0827

Bonpei Takase, Takanori Ikeda, Wataru Shimizu, Haruhiko Abe, Takeshi Aiba, Masaomi Chinushi, Shinji Koba, Kengo Kusano, Shinichi Niwano, Naohiko Takahashi, Seiji Takatsuki, Kaoru Tanno, Eiichi Watanabe, Koichiro Yoshioka, Mari Amino, Tadashi Fujino, Yu-Ki Iwasaki, Ritsuko Kohno, Toshio Kinoshita, Yasuo Kurita, Nobuyuki Masaki, Hiroshige Murata, Tetsuji Shinohara, Hirotaka Yada, Kenji Yodogawa, Takeshi Kimura, Takashi Kurita, Akihiko Nogami, Naokata Sumitomo

引用次数: 0

Message From the Editor-in-Chief. 主编的话

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-08-23 Epub Date: 2024-07-29 DOI: 10.1253/circj.CJ-66-0229

Toshihisa Anzai

引用次数: 0

Impairment of Cognitive Function Increases Mortality Risk in Relation to Cardiac Sympathetic Denervation and Renal Dysfunction in Patients With Systolic Heart Failure. 认知功能受损增加收缩性心力衰竭患者的死亡风险与心脏交感神经去神经化和肾功能障碍有关

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-08-23 Epub Date: 2024-07-06 DOI: 10.1253/circj.CJ-24-0124

Mirei Nabuchi, Takahiro Doi, Ryosuke Hatano, Taro Tsuzuki, Kaoru Komuro, Hiroyuki Iwano, Daigo Nagahara, Satoshi Yuda, Akiyoshi Hashimoto, Tomoaki Nakata

{"title":"Impairment of Cognitive Function Increases Mortality Risk in Relation to Cardiac Sympathetic Denervation and Renal Dysfunction in Patients With Systolic Heart Failure.","authors":"Mirei Nabuchi, Takahiro Doi, Ryosuke Hatano, Taro Tsuzuki, Kaoru Komuro, Hiroyuki Iwano, Daigo Nagahara, Satoshi Yuda, Akiyoshi Hashimoto, Tomoaki Nakata","doi":"10.1253/circj.CJ-24-0124","DOIUrl":"10.1253/circj.CJ-24-0124","url":null,"abstract":"Background: In contrast to the well-known prognostic values of the cardiorenal linkage, it remains unclear whether impaired cognitive function affects cardiac prognosis in relation to cardiac sympathetic innervation and renal function in patients with heart failure (HF).Methods and results: A total of 433 consecutive HF patients with left ventricular ejection fraction (LVEF) <50% underwent the Mini-Mental State Examination (MMSE) and a neuropsychological test for screening of cognition impairment or subclinical dementia. Following metaiodobenzylguanidine (MIBG) scintigraphy, patient outcomes with a primary endpoint of lethal cardiac events (CEs) were evaluated for a mean period of 14.8 months. CEs were documented in 84 HF patients during follow-up. MMSE score, estimated glomerular filtration rate (eGFR) and standardized heart-to-mediastinum ratio of MIBG activity (sHMR) were significantly reduced in patients with CEs compared with patients without CEs. Furthermore, overall multivariate analysis revealed that these parameters were significant independent determinants of CEs. The cutoff values of MMSE score (<26), sHMR (<1.80) and eGFR (<47.0 mL/min/1.73 m2) determined by receiver operating characteristic (ROC) analysis successfully differentiated HF patients at more increased risk for CEs from other HF patients.Conclusions: Impairment of cognitive function is not only independently related to but also synergistically increases cardiac mortality risk in association with cardiac sympathetic function and renal function in patients with HF.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141555914","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

Circadian Rhythms in Urology: Bridging Benign Prostatic Hyperplasia and Cardiovascular Disease Risk. 泌尿外科的昼夜节律：连接良性前列腺增生症与心血管疾病风险。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-08-23 Epub Date: 2024-07-31 DOI: 10.1253/circj.CJ-24-0303

Yu-Hsiang Lin, Po Ting Lin, Kuo Jen Lin

引用次数: 0

Right Ventricular Strain With 4-Dimensional Computed Tomography Identifies Pulmonary Hypertension in Adults With Repaired Tetralogy of Fallot. 用四维计算机断层扫描识别法洛氏四联症修复成人的肺动脉高压右心室应变

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-08-22 DOI: 10.1253/circj.CJ-24-0386

Yamato Shimomiya, Michinobu Nagao, Tomohito Kogure, Seiji Asagai, Akihiro Inoue, Atsushi Yamamoto, Shuji Sakai, Kei Inai, Takashi Shirasaka, Tsukasa Kojima, Hidetake Yabuuchi

{"title":"Right Ventricular Strain With 4-Dimensional Computed Tomography Identifies Pulmonary Hypertension in Adults With Repaired Tetralogy of Fallot.","authors":"Yamato Shimomiya, Michinobu Nagao, Tomohito Kogure, Seiji Asagai, Akihiro Inoue, Atsushi Yamamoto, Shuji Sakai, Kei Inai, Takashi Shirasaka, Tsukasa Kojima, Hidetake Yabuuchi","doi":"10.1253/circj.CJ-24-0386","DOIUrl":"https://doi.org/10.1253/circj.CJ-24-0386","url":null,"abstract":"Background: This study evaluated right ventricular (RV) volume, strain, and morphology using cardiac 4-dimensional computed tomography (4D-CT) to detect pulmonary hypertension (PH) in adults with repaired tetralogy of Fallot (TOF) scheduled for transcatheter pulmonary valve implantation (TPVI).Methods and results: Using cardiac 4D-CT data, we calculated RV strain in 3 different geometries and RV outflow tract (RVOT) mass in 42 patients with repaired TOF. We compared RV strain and RVOT mass between patients with and without PH. Receiver operating characteristic (ROC) analysis was conducted to evaluate the diagnostic performance of these measurements for identifying PH. Four-chamber (4ch) strain was significantly smaller for patients with (n=10) than without (n=32) PH (8.8±1.7% vs. 11.1±2.4%, respectively; P<0.01), whereas RVOT mass was significantly larger in the PH group (12.5±3.5 vs. 9.2±3.2 cm2; P<0.01). ROC analysis of the diagnostic performance revealed that the respective sensitivity and specificity was 70% and 84% (area under the curve [AUC]=0.784) for 4ch strain of 8.8%; 80% and 69% (AUC=0.766) for RVOT mass of 10.7 cm2; and 80% and 81% (AUC=0.844) for a 4ch strain/RVOT mass ratio of 0.97.Conclusions: RVOT mass and 4ch strain obtained from cardiac 4D-CT may be helpful for identifying PH in patients with repaired TOF.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019469","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 : 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":"https://doi.org/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":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-22","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

Long-Term Effects of Proton Pump Inhibitors in Patients Undergoing Percutaneous Coronary Intervention in High-Risk Subgroups. 质子泵抑制剂对接受经皮冠状动脉介入治疗的高风险亚组患者的长期影响。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-08-06 DOI: 10.1253/circj.CJ-24-0371

Ko Yamamoto, Erika Yamamoto, Takeshi Morimoto, Hiroki Shiomi, Takenori Domei, Ryoji Taniguchi, Hiroshi Sakai, Mamoru Toyofuku, Shuichiro Kaji, Ryuzo Nawada, Takafumi Yokomatsu, Satoru Suwa, Yutaka Furukawa, Kazushige Kadota, Kenji Ando, Takeshi Kimura

{"title":"Long-Term Effects of Proton Pump Inhibitors in Patients Undergoing Percutaneous Coronary Intervention in High-Risk Subgroups.","authors":"Ko Yamamoto, Erika Yamamoto, Takeshi Morimoto, Hiroki Shiomi, Takenori Domei, Ryoji Taniguchi, Hiroshi Sakai, Mamoru Toyofuku, Shuichiro Kaji, Ryuzo Nawada, Takafumi Yokomatsu, Satoru Suwa, Yutaka Furukawa, Kazushige Kadota, Kenji Ando, Takeshi Kimura","doi":"10.1253/circj.CJ-24-0371","DOIUrl":"https://doi.org/10.1253/circj.CJ-24-0371","url":null,"abstract":"Background: Proton pump inhibitors (PPIs) reportedly reduce upper gastrointestinal bleeding (UGIB) in patients undergoing percutaneous coronary intervention (PCI). However, whether the benefits of PPIs differ in high-risk subgroups is unknown.Methods and results: Among 24,563 patients undergoing first PCI in the CREDO-Kyoto registry Cohort-2 and -3, we evaluated long-term effects of PPI for UGIB, defined as GUSTO moderate/severe bleeding, in several potential high-risk subgroups. In the study population, 45.6% of patients were prescribed PPIs. Over a median 5.6-year follow-up, PPIs were associated with lower adjusted risk of UGIB (hazard ratio [HR] 0.64; 95% confidence interval [CI] 0.50-0.80; P<0.001) and a non-significant but numerically lower risk of any gastrointestinal bleeding (HR 0.84; 95% CI 0.71-1.01; P=0.06). PPIs were not associated with a lower risk of GUSTO moderate/severe bleeding (HR 1.04; 95% CI 0.94-1.15; P=0.40) or a higher adjusted risk of myocardial infarction or ischemic stroke (HR 1.00; 95% CI 0.90-1.12; P=0.97), but were associated with higher adjusted mortality risk (HR 1.18; 95% CI 1.09-1.27; P<0.001). The effects of PPIs for UGIB, myocardial infarction or ischemic stroke, and all-cause death were consistent regardless of age, sex, acute coronary syndrome, high bleeding risk, oral anticoagulant use, and type of P2Y12inhibitor.Conclusions: PPIs were associated with a lower risk of UGIB and a neutral risk of ischemic events regardless of high-risk subgroup.","PeriodicalId":50691,"journal":{"name":"Circulation Journal","volume":null,"pages":null},"PeriodicalIF":3.1,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903490","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 : 2024-07-31 DOI: 10.1253/circj.CJ-24-0476

Hidehira Fukaya, Keiko Ryo-Koriyama

引用次数: 0

Vulnerable and Disrupted Plaques Detected by Angioscopy as Yellow Plaque With or Without Thrombus. 血管造影检查发现的易损斑块和受损斑块为黄色斑块，伴有或不伴有血栓。

IF 3.1 3区医学

Circulation Journal Pub Date : 2024-07-31 DOI: 10.1253/circj.CJ-24-0548

Yasunori Ueda

引用次数: 0