著者

Hiroki Ueno Masahiro Hoshino Eisuke Usui Tomoyo Sugiyama Yoshihisa Kanaji Masahiro Hada Toru Misawa Tatsuhiro Nagamine Yoshihiro Hanyu Kai Nogami Kodai Sayama Kazuki Matsuda Tatsuya Sakamoto Taishi Yonetsu Tetsuo Sasano Tsunekazu Kakuta

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

pp.CJ-23-0293, (Released:2023-10-19)

参考文献数

29

被引用文献数

1

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Background: Fractional flow reserve (FFR) after percutaneous coronary intervention (PCI) provides prognostic information, but limited data are available regarding prognostication using post-PCI coronary flow reserve (CFR). In this study we aimed to assess the prognostic value of post-procedural FFR and CFR for target vessel failure (TVF) after PCI.Methods and Results: This lesion-based post-hoc pooled analysis of previously published registry data involved 466 patients with chronic coronary syndrome with single-vessel disease who underwent pre- and post-PCI FFR and CFR measurements, and were followed-up to determine the predictors of TVF. The prognostic value of post-PCI CFR and FFR was compared with that of FFR or CFR alone. Post-PCI FFR/CFR discordant results were observed in 42.5%, and 10.3% of patients had documented TVF. Receiver-operating characteristic curve analysis revealed that the optimal cutoff values of post-PCI FFR and CFR to predict the occurrence of TVF were 0.85 and 2.26, respectively. Significant differences in TVF were detected according to post-PCI FFR (≤0.85 vs. >0.85, P=0.007) and post-PCI CFR (<2.26 vs. ≥2.26, P<0.001). Post-PCI FFR ≤0.85 and post-PCI CFR <2.26 were independent prognostic predictors.Conclusions: After PCI completion, discordant results between FFR and CFR were not uncommon. Post-PCI CFR categorization showed incremental prognostic value for predicting TVF independent of post-PCI FFR risk stratification.

著者

Masahiro Hoshino Taishi Yonetsu Tomoyo Sugiyama Yoshihisa Kanaji Rikuta Hamaya Yoshinori Kanno Masahiro Hada Masao Yamaguchi Yohei Sumino Eisuke Usui Hidenori Hirano Tomoki Horie Kai Nogami Hiroki Ueno Toru Misawa Tadashi Murai Tetsumin Lee Tsunekazu Kakuta

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

pp.CJ-19-1110, (Released:2020-06-04)

参考文献数

21

被引用文献数

11

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Background:Differences between resting full-cycle ratio (RFR) and diastolic pressure ratio (dPR) have not been sufficiently discussed. This study aimed to investigate if there is a difference in diagnostic performance between RFR and dPR for the functional lesion assessment and to assess if there are specific characteristics for discordant revascularization decision-makings between RFR and dPR.Methods and Results:A total of 936 intermediate lesions in 776 patients who underwent measurements of fractional flow reserve (FFR), coronary flow reserve (CFR), and the index of microcirculatory resistance (IMR) were retrospectively studied. Physiological indices were measured from anonymized pressure recordings at an independent core laboratory. Both RFR and dPR measures were highly correlated (r=0.997, P<0.001), with equivalent diagnostic performance relative to FFR-based decision-makings measured by using a dichotomous threshold of 0.80 (accuracy, 79.7% vs. 80.1%, respectively, P=0.960). The rate of diagnostic discordance was 4.7% (44/936), with no RFR−/dPR+ lesions observed. An overall significant difference in FFR and CFR values were detected among RFR/dPR-based classifications. The prevalence of positive studies was significantly higher for RFR than dPR (54.3% vs. 49.6%, respectively, P=0.047) when using the cut-off value of 0.89.Conclusions:Both RFR and dPR were highly correlated, but the prevalence of positive studies was significantly different. The revascularization rate may differ significantly according to the resting index used.

著者

Yuta Maetani Tomohisa Nezu Hiroki Ueno Shiro Aoki Naohisa Hosomi Hirofumi Maruyama

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

pp.3200-19, (Released:2019-08-28)

参考文献数

10

被引用文献数

1 5

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We herein report a 68-year-old man with neurologic immune-related adverse events (irAEs) who exhibited nivolumab-induced steroid-responsive progressive ataxia, tremor, and anti-thyroid antibodies. His symptoms matched abnormalities on N-isopropyl-p-(123I)-iodoamphetamine single-photon emission computed tomography (SPECT) and dopamine transporter SPECT. Based on these clinical findings, we diagnosed the patient with a condition similar to the cerebellar type of Hashimoto's encephalopathy with nivolumab-induced anti-thyroid antibodies. Neurologic irAEs can be difficult to diagnose due to their varied clinical courses and lack of specific examinations. Therefore, a comprehensive approach, including assessments of autoantibodies and functional imaging, might be important for the diagnosis of neurologic irAEs.

著者

Hiroki Ueno Takeshi Maeda Naoki Katsuyama Yu Katou Satoshi Matsuo Kanako Yano Akira Ando Kaori Nagasuga Mizuki Yamada Shunsuke Imanishi

出版者

一般社団法人 園芸学会

雑誌

The Horticulture Journal (ISSN:21890102)

巻号頁・発行日

pp.OKD-101, (Released:2017-10-11)

被引用文献数

11

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Several Japanese tomato cultivars develop a physiological disorder called leaf marginal necrosis, which occurs in relatively young compound leaves. Although the positions of the observed symptoms differ from those caused by inadequate potassium (K+) supplementation, previous studies have reported a relationship between the reduction of K+ content and the occurrence of this disorder. However, the mechanism of the relationship between K+ deficiency and leaf marginal necrosis remains unstudied. In the present study, the relationship between K+ deficiency in leaflets and leaf marginal necrosis was investigated by cation measurement and gene expression analysis to understand the possible mechanism responsible for the induction of leaf marginal necrosis. First, cation measurement of the two cultivars differing in their symptom intensities showed a trend of K+ reduction in the ‘CF Momotaro J’ cultivar developing leaf marginal necrosis at the tip leaflets positioned under the flowering fruit truss. Next, a comparison between the basal and tip region of the leaflet from four cultivars differing in their symptom intensities revealed that the K+ concentration in tip leaflets was significantly lower in the tip regions compared to the basal region, especially in the two cultivars ‘CF Momotaro J’ and ‘Momotaro grande’, leading to leaf marginal necrosis. The gene expression analysis of the basal and tip regions identified that the expression patterns of jasmonate-related genes were upregulated in the tomato leaflets with low K+ concentration. The gene expression of a leaf senescence marker gene, a homologue of the SAG12 gene of Arabidopsis thaliana, was detected only in the leaf tip region samples with the lowest K+ concentration. Furthermore, ‘CF Momotaro J’ plants cultivated with K+-supplemented medium showed an increase in the K+ concentration, a decrease in the occurrence of leaf marginal necrosis, and down-regulation of the expression of jasmonate-related genes in tip leaflets. These results indicate that tomato leaf marginal necrosis occurs because of K+ starvation in the tip region of leaflets, leading to the activation of jasmonate-induced signal for necrosis.