Circulation reports最新文献

CORRIGENDUM: Impact of Controlling Serum Low-Density Lipoprotein Cholesterol and Triglycerides on Long-Term Clinical Outcomes in Diabetic Patients Who Have Undergone Percutaneous Coronary Intervention. 正文：控制血清低密度脂蛋白胆固醇和甘油三酯对接受经皮冠状动脉介入治疗的糖尿病患者长期临床结果的影响。

Circulation reports Pub Date : 2025-01-10 DOI: 10.1253/circrep.CR-66-0020

Takashi Maruo, Amane Ike, Yosuke Takamiya, Yuta Matsuoka, Eiji Shigemoto, Yuta Kato, Takashi Kuwano, Makoto Sugihara, Akira Kawamura, Shin-Ichiro Miura

引用次数: 0

Verification of the Impact of Changes in the Severity Classification of Proteinuria on the Prognosis of Hypertensive Patients Following the Initiation of Esaxerenone. 验证开始使用依沙格列酮后蛋白尿严重程度分类的变化对高血压患者预后的影响

Circulation reports Pub Date : 2024-12-14 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0142

Takashi Kitao, Eriko Konishi, Noriaki Itoh, Ayumu Hirata

{"title":"Verification of the Impact of Changes in the Severity Classification of Proteinuria on the Prognosis of Hypertensive Patients Following the Initiation of Esaxerenone.","authors":"Takashi Kitao, Eriko Konishi, Noriaki Itoh, Ayumu Hirata","doi":"10.1253/circrep.CR-24-0142","DOIUrl":"10.1253/circrep.CR-24-0142","url":null,"abstract":"Background: The urinary albumin-to-creatinine ratio (UACR) or urinary protein-to-creatinine ratio (UPCR) has been reported as predictors of cardiovascular and renal events. We aimed to evaluate the impact of changes in proteinuria severity on the prognosis of hypertensive patients post-esaxerenone initiation.Methods and results: Hypertensive patients who commenced esaxerenone (n=164) were classified into 3 groups according to baseline UACR or UPCR, based on the modified proteinuria severity classification: A1 (normal; n=35); A2 (microalbuminuria/mild proteinuria; n=49); and A3 (macroalbuminuria/severe proteinuria; n=80). At 6 months post-esaxerenone initiation, these patients were then reclassified into 3 groups: Á1 (n=48); Á2 (n=66); and Á3 (n=50). Á2 was further subdivided into 2 groups: Á2a (n=34); and Á2b (n=32), the latter representing patients who improved from A3. The primary endpoint was defined as the composite of cardiovascular and renal death, heart failure hospitalization, non-fatal myocardial infarction, initiation of dialysis, and estimated glomerular filtration rate decline exceeding 40%. Severity of proteinuria improved significantly after 6 months (P=0.003). The incidence of the primary endpoint was significantly higher in Á3 compared with Á1 (log-rank P<0.001); however, no significant difference was observed between Á1 and Á2b (log-rank P=0.12).Conclusions: Esaxerenone may ameliorate proteinuria severity and improve the prognosis of patients with macroalbuminuria or severe proteinuria.","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"7 1","pages":"37-46"},"PeriodicalIF":0.0,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974286","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of In-Hospital Cardiac Rehabilitation on Hospital-Associated Disability for Octogenarian Patients With Acute Myocardial Infarction　- An Insight From the JROAD-DPC Database. 院内心脏康复对八旬急性心肌梗死患者住院相关残疾的影响--来自 JROAD-DPC 数据库的启示。

Circulation reports Pub Date : 2024-12-14 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0130

Yuji Kono, Satoshi Katano, Yohei Otaka, Koshiro Kanaoka, Akinori Sawamura, Tetsufumi Motokawa, Yoshihiro Miyamoto, Yusuke Ohya, Shin-Ichiro Miura, Nagaharu Fukuma, Shigeru Makita, Hideo Izawa

{"title":"Association of In-Hospital Cardiac Rehabilitation on Hospital-Associated Disability for Octogenarian Patients With Acute Myocardial Infarction　- An Insight From the JROAD-DPC Database.","authors":"Yuji Kono, Satoshi Katano, Yohei Otaka, Koshiro Kanaoka, Akinori Sawamura, Tetsufumi Motokawa, Yoshihiro Miyamoto, Yusuke Ohya, Shin-Ichiro Miura, Nagaharu Fukuma, Shigeru Makita, Hideo Izawa","doi":"10.1253/circrep.CR-24-0130","DOIUrl":"10.1253/circrep.CR-24-0130","url":null,"abstract":"Background: This study aimed to determine the status of in-hospital cardiac rehabilitation (CR) and hospital-associated disability (HAD) for patients with acute myocardial infarction (AMI) aged >80 years.Methods and results: This study involved the Japanese Registry of All Cardiac and Vascular Diseases and the Diagnosis Procedure Combination databases, and included patients who were hospitalized with AMI from April 2014 to March 2021. Patients were categorized by the daily amount of CR: NA, not applicable; Low, 20-30 min; Moderate, 30-40 min; and High, >40 min. Activities of daily living were assessed using the Barthel index (BI) score, and evaluated at both admission and discharge. This study defined HAD as a ≥5-point decrease in BI score at discharge compared with admission. A total of 12,061 eligible patients were selected (age 83.0 years; 36.4% female), of which 2.7% had HAD (NA, 2.0%; Low, 4.7%; Moderate, 2.6%; High, 2.6%). The Low group was more likely to develop HAD. Chronological trends in hospital stay and incidence rate of HAD gradually decreased with the increased in-hospital CR participation rate. The multivariable logistic regression analysis revealed that the daily amount of CR was selected as an independent associated factor for preventing HAD (odds ratio 0.737; 95% confidence interval 0.567-0.960; P=0.023).Conclusions: Our results revealed that higher amounts of in-hospital CR for patients with AMI should be performed, especially in octogenarians.","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"7 1","pages":"25-30"},"PeriodicalIF":0.0,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Real-World Long-Term Effectiveness of Implantable Cardioverter-Defibrillators in Elderly Patients. 植入式心律转复除颤器在老年患者中的长期实际效果。

Circulation reports Pub Date : 2024-12-11 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0131

Hikaru Hagiwara, Noritsugu Nagai, Kotomi Otsubo, Sou Sasaki, Hiroyuki Aoyagi, Yasuyuki Chiba, Hirokazu Komoriyama, Yoshiya Kato, Masayuki Takahashi, Yusuke Tokuda, Toshihiro Shimizu, Minoru Sato, Toshiyuki Nagai, Toshihisa Anzai

{"title":"Real-World Long-Term Effectiveness of Implantable Cardioverter-Defibrillators in Elderly Patients.","authors":"Hikaru Hagiwara, Noritsugu Nagai, Kotomi Otsubo, Sou Sasaki, Hiroyuki Aoyagi, Yasuyuki Chiba, Hirokazu Komoriyama, Yoshiya Kato, Masayuki Takahashi, Yusuke Tokuda, Toshihiro Shimizu, Minoru Sato, Toshiyuki Nagai, Toshihisa Anzai","doi":"10.1253/circrep.CR-24-0131","DOIUrl":"10.1253/circrep.CR-24-0131","url":null,"abstract":"Background: Because it is unclear whether implantable cardioverter-defibrillators (ICDs) are equally effective in patients of all ages, we investigated the association of age with long-term clinical outcomes of patients who underwent ICD implantation.Methods and results: A total of 416 consecutive patients (mean age: 69 years) from 4 tertiary hospitals who underwent ICD implantation or were upgraded from an existing permanent pacemaker between January 2011 and November 2022 were enrolled and divided into 3 groups based on age: <65 years (n=158), 65-74 years (n=138), and ≥75 years (n=120). We compared the incidence of all-cause death and adverse cardiovascular events, including cardiac death, appropriate ICD therapy, and heart failure hospitalization. During a median follow-up period of 3.2 years (interquartile range: 1.1-5.6 years), 120 patients died. Older patients had a higher cumulative incidence of all-cause death and composite adverse cardiovascular events. The cumulative incidence of cardiac death and appropriate ICD therapies did not differ significantly; however, the incidence of hospitalization for heart failure increased with age. In multivariate analysis, age was independently associated with all-cause death but not composite adverse outcomes.Conclusions: Age had a significant effect on subsequent all-cause death, but not on adverse cardiovascular events in patients with ICDs, suggesting that age should not be the only indication considered for ICD implantation.","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"7 1","pages":"15-24"},"PeriodicalIF":0.0,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost-Effectiveness of the Self-Care Management System for Heart Failure. 心力衰竭自我护理管理系统的成本效益。

Circulation reports Pub Date : 2024-12-07 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0088

Eisaku Nakane, Takao Kato, Nozomi Tanaka, Makoto Idouji, Yuki Yamamoto, Wataru Saitou, Toka Hamaguchi, Mariko Yano, Takeshi Harita, Yuhei Yamaji, Hiroki Fukuda, Tetsuya Haruna, Moriaki Inoko

{"title":"Cost-Effectiveness of the Self-Care Management System for Heart Failure.","authors":"Eisaku Nakane, Takao Kato, Nozomi Tanaka, Makoto Idouji, Yuki Yamamoto, Wataru Saitou, Toka Hamaguchi, Mariko Yano, Takeshi Harita, Yuhei Yamaji, Hiroki Fukuda, Tetsuya Haruna, Moriaki Inoko","doi":"10.1253/circrep.CR-24-0088","DOIUrl":"10.1253/circrep.CR-24-0088","url":null,"abstract":"Background: We recently reported that the self-care management system for heart failure (HF) decreased re-hospitalization for HF. In the present study we estimate the cost-effectiveness of this system.Methods and results: We retrospectively enrolled 569 consecutive patients who were admitted for HF treatment at Kitano Hospital. In the present analysis, we sought to compare cardiovascular healthcare costs and the incremental cost-effective ratio (ICER), expressed as the cost per quality-adjusted life-years (QALY) gained, between patients using the self-care management system (n=153) and those not using the system (n=153) after propensity-score matching. To calculate the QALY, we used the New York Heart Association class and the corresponding scores of quality of life in every 3 months. The healthcare costs of cardiovascular disease were ¥129,747,016 in the user group and ¥156,427,032 in the non-user group, where 24 and 43 patients were hospitalized, respectively. The cost of this new system was ¥50,000 in the user group. The total costs were ¥129,797,016 in the user group and ¥156,427,032 in the non-user group. By using the system, the QALY increased from 0.653 to 0.686. The ICER was below 0 and the system was interpreted as cost-effective.Conclusions: Use of the self-care management system is likely to be a cost-effective treatment for HF with the increase in QALY and the decrease in healthcare costs.","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"7 1","pages":"31-36"},"PeriodicalIF":0.0,"publicationDate":"2024-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974279","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Importance of Protein Intake in Hospitalized Elderly Patients With Heart Failure. 住院老年心力衰竭患者蛋白质摄入量的临床重要性。

Circulation reports Pub Date : 2024-11-30 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0067

Hiroyo Miyata, Koichiro Matsumura, Toru Takase, Keishiro Sugimoto, Yohei Funauchi, Eijiro Yagi, Ayano Yoshida, Katsumi Kajihara, Takashi Iwanaga, Teruyoshi Amagai, Gaku Nakazawa

{"title":"Clinical Importance of Protein Intake in Hospitalized Elderly Patients With Heart Failure.","authors":"Hiroyo Miyata, Koichiro Matsumura, Toru Takase, Keishiro Sugimoto, Yohei Funauchi, Eijiro Yagi, Ayano Yoshida, Katsumi Kajihara, Takashi Iwanaga, Teruyoshi Amagai, Gaku Nakazawa","doi":"10.1253/circrep.CR-24-0067","DOIUrl":"10.1253/circrep.CR-24-0067","url":null,"abstract":"Background: The relationship between protein intake and the long-term prognosis of elderly patients with heart failure remains poorly understood. We investigated the association between predischarge protein intake and long-term prognosis in hospitalized elderly patients with heart failure.Methods and results: A single-center, retrospective analysis of hospitalized patients aged ≥65 years with heart failure and reduced ejection fraction was conducted. Protein intake was evaluated by nutritionists based on visual measurements of the percentage of dietary intake obtained for 7 days before discharge by a nurse. A cutoff of 1.2 g/kg/day protein intake was used to compare the incidence of a composite endpoint, including all-cause mortality and heart failure rehospitalization within 1 year. Among the 100 patients (median age 79 years; 47% male), 56% had low protein intake (<1.2 g/kg/day). Patients with low protein intake had a significantly higher rate of composite endpoints than those with high protein intake (50% vs. 20%; log-rank test P=0.03). Multivariable Cox proportional hazards model revealed that low protein intake was independently associated with long-term prognosis with a hazard ratio of 2.73 and a 95% confidence interval of 1.10-6.80 (P=0.03).Conclusions: Low protein intake in the predischarge phase was associated with long-term prognosis in hospitalized elderly patients with heart failure and reduced ejection fraction.","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"7 1","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Review of Cardiogenic Shock After Acute Myocardial Infarction　- Revascularization, Mechanical Circulatory Support, and Beyond. 急性心肌梗死后心源性休克的临床回顾--血管重建、机械循环支持及其他。

Circulation reports Pub Date : 2024-11-29 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0141

Yuichi Saito, Kazuya Tateishi, Yoshio Kobayashi

引用次数: 0

Significant Stent Protrusion and Deformation Detected Using Transthoracic Echocardiography Following Percutaneous Coronary Intervention of the Left Main Coronary Artery. 经皮冠状动脉左主干介入治疗后经胸超声心动图检测支架明显突出和变形。

Circulation reports Pub Date : 2024-11-20 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0129

Takumi Osawa, Akinori Sugano, Hidetaka Nishina, Tomoko Ishizu

引用次数: 0

Evidence of Cardiac Rehabilitation for Heart Failure With Reduced Ejection Fraction in Recovery to Maintenance Phase. 心脏康复治疗射血分数降低型心力衰竭从恢复到维持阶段的证据。

Circulation reports Pub Date : 2024-11-20 eCollection Date: 2025-01-10 DOI: 10.1253/circrep.CR-24-0134

Naoto Miyawaki, Akira Takashima

{"title":"Evidence of Cardiac Rehabilitation for Heart Failure With Reduced Ejection Fraction in Recovery to Maintenance Phase.","authors":"Naoto Miyawaki, Akira Takashima","doi":"10.1253/circrep.CR-24-0134","DOIUrl":"10.1253/circrep.CR-24-0134","url":null,"abstract":"Heart failure (HF) with reduced left ventricular ejection fraction (HFrEF) is typically coupled with progressive left ventricular enlargement and detrimental cardiac remodeling. The management of HFrEF is comprehensive and primarily involves pharmacologic treatment using cardioprotective agents. Cardiac rehabilitation (CR) is also strongly recommended as a treatment for HFrEF. The evidence on CR for HFrEF is accumulating. CR improves exercise tolerance, subjective symptoms caused by HF, quality of life, and rehospitalization rates. Furthermore, CR may improve all-cause mortality, although the improvement might not be evident in the short term (<1 year) but could potentially become more apparent over a longer period. In the upcoming era of super-aging and advancements in information and communications technology, CR for HFrEF will also require updating. Further research on exercise therapy will require a comprehensive evaluation of the quality and nature of exercise and whether CR would be conducted in a home-based or remote setting; these studies should include older adults, and the findings have the potential to revolutionize the field of CR.","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"7 1","pages":"4-5"},"PeriodicalIF":0.0,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11711785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142974281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Serial Extracellular Volume by Coronary Computed Tomography After Acute Myocardial Infarction With Left-Main Vasospasm. 急性心肌梗死伴左主干血管痉挛后冠状动脉ct序列细胞外容积测定。

Circulation reports Pub Date : 2024-11-20 eCollection Date: 2024-12-10 DOI: 10.1253/circrep.CR-24-0094

Tomohiro Tahara, Masahiro Hada, Yoshihisa Kanaji, Eisuke Usui, Tatsuhiro Nagamine, Hiroki Ueno, Mirei Setoguchi, Takashi Mineo, Tsunekazu Kakuta

引用次数: 0