{"title":"Online Intensive Cardiac Rehabilitation Program for Japanese Patients With Coronary Artery Disease - A Pilot Study Protocol.","authors":"Neiko Ozasa, Kazuhisa Kaneda, Koichi Washida, Yoko Umeda Shiozaki, Saeko Imai, Kaoru Kitta, Yuki Higuchi, Sawako Yoshiuchi, Toshiko Yoshida, Kenji Nakatsuma, Takeshi Kimura, Koh Ono","doi":"10.1253/circrep.CR-24-0054","DOIUrl":"https://doi.org/10.1253/circrep.CR-24-0054","url":null,"abstract":"<p><strong>Background: </strong>A comprehensive cardiac rehabilitation (CR) program is recommended for coronary artery disease (CAD). However, many facilities do not have established programs for dietary guidance and patient education, resulting in an exercise-based CR program and limited efficacy for secondary prevention.</p><p><strong>Methods and results: </strong>A pilot study will be conducted to develop an online Japanese-style intensive cardiac rehabilitation (J-ICR) program for Japanese patients with CAD and will examine adherence, safety, and efficacy. Twenty-four patients diagnosed with stable CAD will be randomly assigned in a 1 : 1 ratio to either an early or late-phase group. The program will comprise the following four parts: exercise sessions; dietary education centered on \"the Japan diet\"; mindfulness; and group support, with a frequency of 3 h per session, once a week for 12 weeks (a total of 36 h). The primary endpoint will be program feasibility, determined by examining its adherence. Physical examination and function, stress-coping skills, risk of classic CAD (e.g., lipid profile, glucose tolerance, and blood pressure), and dietary changes will be assessed as secondary endpoints.</p><p><strong>Conclusions: </strong>The online J-ICR program is designed as a comprehensive CR program for Japanese patients with CAD. If this program shows high adherence and an improvement in CAD risk factors, its secondary prevention effect should be verified with appropriately powered randomized trials at multiple centers.</p>","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"6 9","pages":"401-405"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11383542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305461","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}
{"title":"Impact of Cardio-Ankle Vascular Index on Future Cancer in Patients With Coronary Artery Disease.","authors":"Takeshi Shimizu, Yuya Sakuma, Yuuki Muto, Fumiya Anzai, Yusuke Kimishima, Yu Sato, Akihiko Sato, Tetsuro Yokokawa, Tomofumi Misaka, Masayoshi Oikawa, Akiomi Yoshihisa, Takayoshi Yamaki, Kazuhiko Nakazato, Takafumi Ishida, Yasuchika Takeishi","doi":"10.1253/circrep.CR-24-0070","DOIUrl":"https://doi.org/10.1253/circrep.CR-24-0070","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular risk factors are associated with increased risk of future cancer. However, the relationship between quantitative parameters of atherosclerosis and future cancer risk is unclear.</p><p><strong>Methods and results: </strong>A total of 1,057 consecutive patients with coronary artery disease was divided into 2 groups according to the cutoff value of the cardio-ankle vascular index (CAVI) derived by receiver operating characteristic curve analysis: low CAVI group (CAVI <8.82; n=487), and high CAVI group (CAVI ≥8.82; n=570). Patients in the high CAVI group were older and had a higher prevalence of diabetes, chronic kidney disease, anemia and history of stroke compared with patients in the low CAVI group. There were 141 new cancers during the follow-up period. The cumulative incidence of new cancer was significantly higher in the high CAVI group than in the low CAVI group (P=0.001). In a multivariate Cox proportional hazard analysis, high CAVI was found to be an independent predictor of new cancer diagnosis (hazard ratio 1.62; 95% confidence interval 1.11-2.36; P=0.012). In the analysis of individual cancer types, high CAVI was associated with lung cancer (hazard ratio 2.85; 95% confidence interval 1.01-8.07; P=0.049).</p><p><strong>Conclusions: </strong>High CAVI was associated with the risk of future cancer in patients with coronary artery disease.</p>","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"6 9","pages":"372-380"},"PeriodicalIF":0.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11383543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305444","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}
{"title":"Impact of Cognitive Impairment on Long-Term Outcomes After Transcatheter Aortic Valve Implantation.","authors":"Norihisa Miyawaki, Kenichi Ishizu, Shinichi Shirai, Katsunori Miyahara, Ko Yamamoto, Tomohiro Suenaga, Akira Otani, Kenji Nakano, Tadatomo Fukushima, Euihong Ko, Yasuo Tsuru, Miho Nakamura, Toru Morofuji, Takashi Morinaga, Masaomi Hayashi, Akihiro Isotani, Nobuhisa Ohno, Shinichi Kakumoto, Kenji Ando","doi":"10.1253/circrep.CR-24-0078","DOIUrl":"https://doi.org/10.1253/circrep.CR-24-0078","url":null,"abstract":"<p><strong>Background: </strong>Cognitive impairment assessed using the Mini-Mental Status Examination (MMSE) is associated with short-term mortality after transcatheter aortic valve implantation (TAVI). We assessed the long-term prognostic impact of cognitive impairment in patients with severe aortic stenosis post-TAVI.</p><p><strong>Methods and results: </strong>We enrolled 1,057 consecutive patients who underwent TAVI at the Kokura Memorial Hospital and prospectively assessed them using the MMSE. Results showed that 319 (30%) patients had cognitive impairment. Compared with normal cognition, cognitive impairment was associated with an increased risk for 5-year all-cause mortality (55% vs. 39%; P<0.001), cardiovascular mortality (23% vs. 14%; P=0.007), and non-cardiovascular mortality (42% vs. 29%; P<0.001). Multivariable analysis showed that cognitive impairment was independently associated with all-cause mortality (adjusted hazard ratio [aHR] 1.37; 95% confidence interval [CI] 1.10-1.70; P=0.005), and this result was consistent regardless of stratification based on age, sex, body mass index, left ventricular ejection fraction and clinical frailty scale without significant interaction. Patients with MMSE scores <16 had a significantly higher mortality rate compared with patients with MMSE scores >25, 21-25, and 16-20, respectively.</p><p><strong>Conclusions: </strong>Cognitive impairment assessed using MMSE scores is independently associated with an increased risk for 5-year all-cause mortality in patients undergoing TAVI.</p>","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"6 9","pages":"357-365"},"PeriodicalIF":0.0,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11383540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305445","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}
Circulation reportsPub Date : 2024-08-01eCollection Date: 2024-09-10DOI: 10.1253/circrep.CR-24-0074
Atsushi Mizuno, Daisuke Yoneoka, Takuya Kishi, Kenya Kusunose, Chisa Matsumoto, Yuki Sahashi, Mari Ishida, Shoji Sanada, Memori Fukuda, Tadafumi Sugimoto, Miki Hirano, Masataka Sata, Toshihisa Anzai, Koichi Node
{"title":"From Optional to Default - Enhancing Article Viewership Through X (Formerly Twitter) Posting.","authors":"Atsushi Mizuno, Daisuke Yoneoka, Takuya Kishi, Kenya Kusunose, Chisa Matsumoto, Yuki Sahashi, Mari Ishida, Shoji Sanada, Memori Fukuda, Tadafumi Sugimoto, Miki Hirano, Masataka Sata, Toshihisa Anzai, Koichi Node","doi":"10.1253/circrep.CR-24-0074","DOIUrl":"https://doi.org/10.1253/circrep.CR-24-0074","url":null,"abstract":"<p><strong>Background: </strong>The influence of a change to a default X summary posting strategy on article viewership has not been investigated.</p><p><strong>Methods and results: </strong>We conducted a retrospective analysis of X-posting rates and journal viewership data for both the <i>Circulation Journal</i> and <i>Circulation Reports</i> from April 2022 to September 2023. Following protocol modifications in March 2023, there was a notable increase in the X-posting rate from 12.4% to 61.7%, along with an uptick in median access counts to article pages within 30 days, from 175 to 231.5.</p><p><strong>Conclusions: </strong>Trend analysis of journal viewership after a default X-posting strategy revealed an increase in viewer access.</p>","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"6 9","pages":"389-394"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11383539/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305443","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}
Circulation reportsPub Date : 2024-08-01eCollection Date: 2024-09-10DOI: 10.1253/circrep.CR-24-0045
Ryuki Chatani, Kota Morikawa, Mitsuru Yoshino, Hiroshi Tasaka, Kazushige Kadota
{"title":"Preliminary Insights Into Early Ambulation and Hemostasis After Atrial Fibrillation Ablation Using the Perclose Vascular Closure Device.","authors":"Ryuki Chatani, Kota Morikawa, Mitsuru Yoshino, Hiroshi Tasaka, Kazushige Kadota","doi":"10.1253/circrep.CR-24-0045","DOIUrl":"https://doi.org/10.1253/circrep.CR-24-0045","url":null,"abstract":"<p><strong>Background: </strong>The introduction of the Perclose vascular closure device (VCD) for atrial fibrillation (AF) ablation procedures in Japan is expected to facilitate early ambulation.</p><p><strong>Methods and results: </strong>The study population comprised 554 patients undergoing AF ablation, of whom 377 successfully underwent Perclose VCD deployment at the end of the procedure. At 4 h after the procedure, 94% (353/377 patients) achieved early hemostasis and 57% (213/377 patients) achieved early ambulation. Notably, 0.5% (2/377 patients) developed acute deep vein thrombosis.</p><p><strong>Conclusions: </strong>The Perclose VCD demonstrated promising efficacy in achieving early hemostasis, potentially facilitating early ambulation and discharge in appropriate patients.</p>","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"6 9","pages":"395-400"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11383538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142305462","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}
K. Okada, D. Mizuguchi, Yasuhiro Omiya, Koji Endo, Yusuke Kobayashi, N. Iwahashi, M. Kosuge, T. Ebina, K. Tamura, T. Sugano, T. Ishigami, Kazuo Kimura, K. Hibi
{"title":"Clinical Utility of Machine Learning-Derived Vocal Biomarkers in the Management of Heart Failure","authors":"K. Okada, D. Mizuguchi, Yasuhiro Omiya, Koji Endo, Yusuke Kobayashi, N. Iwahashi, M. Kosuge, T. Ebina, K. Tamura, T. Sugano, T. Ishigami, Kazuo Kimura, K. Hibi","doi":"10.1253/circrep.cr-24-0064","DOIUrl":"https://doi.org/10.1253/circrep.cr-24-0064","url":null,"abstract":"","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"80 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141819108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T. Kurita, S. Kuramitsu, M. Ishii, A. Takasaki, T. Domei, H. Matsuo, Kazunori Horie, H. Ando, H. Terai, Y. Kikuta, Takayuki Ishihara, Tatsuya Saigusa, Tomohiro Sakamoto, N. Suematsu, Y. Shiono, Taku Asano, Kenichi Tsujita, K. Masamura, T. Doijiri, F. Toyota, M. Ogita, Jun Shiraishi, K. Harada, H. Isogai, R. Anai, Shinjo Sonoda, Hiroyoshi Yokoi, Nobuhiro Tanaka, Kaoru Dohi
{"title":"Impact of Antiplatelet Therapy on 5-Year Outcomes After Fractional Flow Reserve-Guided Deferral of Revascularization in Nonsignificant Obstructive Coronary Artery Disease","authors":"T. Kurita, S. Kuramitsu, M. Ishii, A. Takasaki, T. Domei, H. Matsuo, Kazunori Horie, H. Ando, H. Terai, Y. Kikuta, Takayuki Ishihara, Tatsuya Saigusa, Tomohiro Sakamoto, N. Suematsu, Y. Shiono, Taku Asano, Kenichi Tsujita, K. Masamura, T. Doijiri, F. Toyota, M. Ogita, Jun Shiraishi, K. Harada, H. Isogai, R. Anai, Shinjo Sonoda, Hiroyoshi Yokoi, Nobuhiro Tanaka, Kaoru Dohi","doi":"10.1253/circrep.cr-24-0069","DOIUrl":"https://doi.org/10.1253/circrep.cr-24-0069","url":null,"abstract":"","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":"110 48","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141820442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yusuke Hirao, A. Masumoto, Hiroyuki Yamamoto, Tomofumi Takaya
{"title":"Refractory Heart Failure With Reversible Left Ventricular Dysfunction and Mitral Regurgitation in Takayasu Arteritis","authors":"Yusuke Hirao, A. Masumoto, Hiroyuki Yamamoto, Tomofumi Takaya","doi":"10.1253/circrep.cr-24-0039","DOIUrl":"https://doi.org/10.1253/circrep.cr-24-0039","url":null,"abstract":"","PeriodicalId":94305,"journal":{"name":"Circulation reports","volume":" 54","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141825218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}