著者

Eizo NAKAMURA Katsura KOBAYASHI Ryoji TANAKA Tak KUNIHIRO Hiroshi KITAGAWA Christian POTISZIL Tsutomu OTA Chie SAKAGUCHI Masahiro YAMANAKA Dilan M. RATNAYAKE Havishk TRIPATHI Rahul KUMAR Maya-Liliana AVRAMESCU Hidehisa TSUCHIDA Yusuke YACHI Hitoshi MIURA Masanao ABE Ryota FUKAI Shizuho FURUYA Kentaro HATAKEDA Tasuku HAYASHI Yuya HITOMI Kazuya KUMAGAI Akiko MIYAZAKI Aiko NAKATO Masahiro NISHIMURA Tatsuaki OKADA Hiromichi SOEJIMA Seiji SUGITA Ayako SUZUKI Tomohiro USUI Toru YADA Daiki YAMAMOTO Kasumi YOGATA Miwa YOSHITAKE Masahiko ARAKAWA Atsushi FUJII Masahiko HAYAKAWA Naoyuki HIRATA Naru HIRATA Rie HONDA Chikatoshi HONDA Satoshi HOSODA Yu-ichi IIJIMA Hitoshi IKEDA Masateru ISHIGURO Yoshiaki ISHIHARA Takahiro IWATA Kosuke KAWAHARA Shota KIKUCHI Kohei KITAZATO Koji MATSUMOTO Moe MATSUOKA Tatsuhiro MICHIKAMI Yuya MIMASU Akira MIURA Tomokatsu MOROTA Satoru NAKAZAWA Noriyuki NAMIKI Hirotomo NODA Rina NOGUCHI Naoko OGAWA Kazunori OGAWA Chisato OKAMOTO Go ONO Masanobu OZAKI Takanao SAIKI Naoya SAKATANI Hirotaka SAWADA Hiroki SENSHU Yuri SHIMAKI Kei SHIRAI Yuto TAKEI Hiroshi TAKEUCHI Satoshi TANAKA Eri TATSUMI Fuyuto TERUI Ryudo TSUKIZAKI Koji WADA Manabu YAMADA Tetsuya YAMADA Yukio YAMAMOTO Hajime YANO Yasuhiro YOKOTA Keisuke YOSHIHARA Makoto YOSHIKAWA Kent YOSHIKAWA Masaki FUJIMOTO Sei-ichiro WATANABE Yuichi TSUDA

出版者

The Japan Academy

雑誌

Proceedings of the Japan Academy, Series B (ISSN:03862208)

巻号頁・発行日

vol.98, no.6, pp.227-282, 2022-06-10 (Released:2022-06-10)

参考文献数

245

被引用文献数

90

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Presented here are the observations and interpretations from a comprehensive analysis of 16 representative particles returned from the C-type asteroid Ryugu by the Hayabusa2 mission. On average Ryugu particles consist of 50% phyllosilicate matrix, 41% porosity and 9% minor phases, including organic matter. The abundances of 70 elements from the particles are in close agreement with those of CI chondrites. Bulk Ryugu particles show higher δ18O, Δ17O, and ε54Cr values than CI chondrites. As such, Ryugu sampled the most primitive and least-thermally processed protosolar nebula reservoirs. Such a finding is consistent with multi-scale H-C-N isotopic compositions that are compatible with an origin for Ryugu organic matter within both the protosolar nebula and the interstellar medium. The analytical data obtained here, suggests that complex soluble organic matter formed during aqueous alteration on the Ryugu progenitor planetesimal (several 10’s of km), <2.6 Myr after CAI formation. Subsequently, the Ryugu progenitor planetesimal was fragmented and evolved into the current asteroid Ryugu through sublimation.

著者

Miyako Kishimoto Hisako Endo Shotaro Hagiwara Akiyoshi Miwa Mitsuhiko Noda

出版者

The University of Tokushima Faculty of Medicine

雑誌

The Journal of Medical Investigation (ISSN:13431420)

巻号頁・発行日

vol.57, no.3,4, pp.345-349, 2010 (Released:2010-09-14)

参考文献数

11

被引用文献数

10 17

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Excessive iron storage sometimes causes diabetes in patients with hemochromatosis, a disease caused by iron overloading. We performed an immunohistochemical analysis to study an autopsy case of aplastic anemia and diabetic hemochromatosis caused by frequent blood transfusions, and extensive hemosiderin deposition was observed in the liver and pancreas. The pancreatic islets of the patient and a control subject were stained to detect glucagon, insulin, and proinsulin. Significantly lower levels of immunoreactivity with both insulin antibodies and proinsulin antibodies, but not with glucagon antibodies, was observed in the islet cells in the patient’s tissue than in the islet cells of the control. Hemosiderin deposition in the islets is known to be exclusively distributed in the β-cells, thus, selective iron-induced damage to the β-cells may have affected insulin synthesis and secretion and led to glucose intolerance in the patient. J. Med. Invest. 57: 345-349, August, 2010

著者

Kunihisa Miwa

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

pp.6082-20, (Released:2021-04-26)

参考文献数

47

被引用文献数

5

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Objective Central nervous system dysfunction associated with myalgic encephalomyelitis (ME) has been suggested to be the main cause of chronic fatigue syndrome. In animal models of chronic fatigue, minocycline was reported to act as a suppressor of neural inflammation. Minocycline may thus exert favorable therapeutic effects in patients with ME. Methods Oral minocycline (100 mg ×2 on the first day, followed by 100 mg/day for 41 days) was administered to 100 patients with ME. The performance status score (0-9), orthostatic intolerance during the 10-min standing test, neurologic disequilibrium, and neuropathic pain were compared before and after treatment. Results After therapy completion, favorable effects were observed with a decrease in the performance status score of ≥2 points in 27 patients (27%). Before treatment, 6 of the 27 patients had orthostatic intolerance with an inability to complete the 10-min standing test; after treatment, this symptom resolved in 4 and improved in 2 patients. In addition, after treatment, postural orthostatic tachycardia resolved in five of eight patients, disequilibrium resolved in five of eight patients, and fibromyalgia or neuropathic pain was attenuated in four of five patients. The favorable effects appeared dependent on a shorter disease duration, primarily for a duration of less than three years and most frequently within six months of the disease onset. However, acute adverse effects with nausea and/or dizziness caused 38 patients (38%) to discontinue treatment in the first few days. Conclusion Oral minocycline therapy may be an effective treatment option for patients with ME, especially in the initial stage of the disease.

著者

小川 眞里子 横山 美和 河野 銀子 財部 香枝 大坪 久子 OGAWA Mariko YOKOYAMA Miwa KAWANO Ginko TAKARABE Kae OHTSUBO Hisako

出版者

人文論叢 : 三重大学人文学部文化学科研究紀要

雑誌

人文論叢 : 三重大学人文学部文化学科研究紀要 (ISSN:02897253)

巻号頁・発行日

vol.32, pp.15-28, 2015-03-30

著者

佐藤 美和 SATO Miwa

出版者

お茶の水女子大学大学院人間文化創成科学研究科

雑誌

人間文化創成科学論叢 (ISSN:13448013)

巻号頁・発行日

vol.12, pp.287-295, 2009

著者

Kunihisa Miwa

出版者

The Japanese Circulation Society

雑誌

Circulation Reports (ISSN:24340790)

巻号頁・発行日

pp.CR-22-0114, (Released:2023-01-25)

参考文献数

36

被引用文献数

3

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Background: Orthostatic intolerance markedly affects the day-to-day activities of patients with myalgic encephalomyelitis (ME) or chronic fatigue syndrome. Chronotropic incompetence (CI), defined as an impaired chronotropic response or reduced increases in heart rate during exercise and resulting in lower exercise capacity, may also be observed during orthostasis in patients with ME.Methods and Results: In this study, the recordings of 101 adult patients with ME (36 men, 65 women; mean [±SD] age 37±12 years) who underwent conventional active 10-min standing tests at least 3 times to determine the presence of CI were analyzed. Recordings were selected for 13 patients who experienced tests both with and without exhibiting postural orthostatic tachycardia syndrome (POTS; an increase in heart rate of ≥30 beats/min or an actual heart rate of ≥120 beats/min) while also both successfully completing and failing to complete 10-min standing on different occasions. Subjects in whom failure without POTS was observed in any test(s) while success was associated with POTS on other occasions were considered positive for CI during orthostasis. Of the 13 patients, 12 (92%) were CI positive, 5 (38%) of whom exclusively failed the tests without experiencing POTS.Conclusions: Some patients with ME were CI positive during standing tests, suggesting impaired sympathetic activation. The presence of POTS appears to be essential for maintaining orthostasis in these patients.

著者

Kunihisa Miwa

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.60, no.16, pp.2577-2584, 2021-08-15 (Released:2021-08-15)

参考文献数

47

被引用文献数

5

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Objective Central nervous system dysfunction associated with myalgic encephalomyelitis (ME) has been suggested to be the main cause of chronic fatigue syndrome. In animal models of chronic fatigue, minocycline was reported to act as a suppressor of neural inflammation. Minocycline may thus exert favorable therapeutic effects in patients with ME. Methods Oral minocycline (100 mg×2 on the first day, followed by 100 mg/day for 41 days) was administered to 100 patients with ME. The performance status score (0-9), orthostatic intolerance during the 10-min standing test, neurologic disequilibrium, and neuropathic pain were compared before and after treatment. Results After therapy completion, favorable effects were observed with a decrease in the performance status score of ≥2 points in 27 patients (27%). Before treatment, 6 of the 27 patients had orthostatic intolerance with an inability to complete the 10-min standing test; after treatment, this symptom resolved in 4 and improved in 2 patients. In addition, after treatment, postural orthostatic tachycardia resolved in five of eight patients, disequilibrium resolved in five of eight patients, and fibromyalgia or neuropathic pain was attenuated in four of five patients. The favorable effects appeared dependent on a shorter disease duration, primarily for a duration of less than three years and most frequently within six months of the disease onset. However, acute adverse effects with nausea and/or dizziness caused 38 patients (38%) to discontinue treatment in the first few days. Conclusion Oral minocycline therapy may be an effective treatment option for patients with ME, especially in the initial stage of the disease.

著者

Y Nishiguchi T Miwa S Kubota M Taru M Okada

出版者

THE JAPANESE SOCIETY FOR EXTREMOPHILES

雑誌

極限環境微生物学会誌 (ISSN:13485474)

巻号頁・発行日

vol.8, no.1, pp.20-23, 2009 (Released:2011-04-25)

参考文献数

13

被引用文献数

2 1

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A new zoarcid fish, Andriashevia natsushimae (Japanese name: Natsushimachojyagenge), is described on the basis of 2 specimens collected in Sagami Bay, Japan, at the depth of 850 m. This species has no pectoral fins and no pelvic fins, indicating it to be Andriashevia. It has a round body and a moderate-sized mouth in contrast to Andriashevia aptera which has a flat body and a large mouth. Phylogenic tree based on 16S ribosomal RNA (16S rRNA) sequence indicates the species had diverted at the early stage in the evolution of eelpouts.

著者

Miro SMRIGA Toshihiko ANDO Masahisa AKUTSU Yasushi FURUKAWA Kiyoshi MIWA Yasushi MORINAGA

出版者

Biomedical Research Press

雑誌

Biomedical Research (ISSN:03886107)

巻号頁・発行日

vol.28, no.2, pp.85-90, 2007 (Released:2007-05-16)

参考文献数

43

被引用文献数

18 45 26

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Dietary supplementation with an essential amino acid L-lysine has been shown to reduce chronic anxiety in humans with low dietary intake of L-lysine. A combination of L-lysine and L-arginine has been documented to normalize hormonal stress responses in humans with high trait anxiety. The present study was carried out in one hundred eight healthy Japanese adults. The aim of study was to find out whether a week-long oral treatment with L-lysine (2.64 g per day) and L-arginine (2.64 g per day) reduces trait and stress-induced state anxiety and basal levels of stress hormones. We confirmed that, without regard to gender, the amino acid treatment significantly reduced both trait anxiety and state anxiety induced by cognitive stress battery. In addition, we found that the treatment with L-lysine and L-arginine decreased the basal levels of salivary cortisol and chromogranin-A (a salivary marker of the sympatho-adrenal system) in male subjects. These results of this double-blind, placebo controlled and randomized study confirm the previous findings in humans and animals and point to a combination of L-lysine and L-arginine as a potentially useful dietary intervention in otherwise healthy humans with high subjective levels of mental stress and anxiety.

著者

Yasutaka Mochizuka Masato Kono Mineo Katsumata Ryutaro Hirama Masayuki Watanuki Yuiko Oshima Kenichiro Takeda Akari Tsutsumi Hideki Miwa Yoshihiro Miki Dai Hashimoto Noriyuki Enomoto Yutaro Nakamura Takafumi Suda Hidenori Nakamura

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

pp.7533-21, (Released:2021-07-30)

参考文献数

18

被引用文献数

3

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A 67-year-old man was admitted to our hospital with cough and fatigue. He had had long-term exposure to silica due to cement processing. Chest computed tomography showed bilateral centrilobular nodules, and hilar and mediastinal lymphadenopathy with calcification, suggesting chronic silicosis. Within a few months, these nodules enlarged, and bilateral patchy consolidations appeared. A lung biopsy revealed sarcoid-like granulomas with birefringent particles under polarized light without malignancy or infection. He was diagnosed with silicosis-associated sarcoid-like granulomatous lung disease, rather than sarcoidosis, according to the clinicopathological findings. His pulmonary manifestations improved after the discontinuation of silica exposure and combination therapy of corticosteroid and azathioprine.

著者

三輪 辰郎 Miwa Tatsuro

出版者

筑波大学数学教育研究室

雑誌

筑波数学教育研究 = Tsukuba journal of educational study in mathematics (ISSN:09193928)

巻号頁・発行日

vol.2, pp.117-125, 1983-03-25

著者

UEDA Hiroaki MIWA Kana KAMAE Youichi

出版者

Meteorological Society of Japan

雑誌

気象集誌. 第2輯 (ISSN:00261165)

巻号頁・発行日

pp.2018-044, (Released:2018-05-14)

被引用文献数

13

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The response of tropical cyclone (TC) activity to the El Niño-Southern Oscillation (ENSO) and coherent sea surface temperate (SST) anomaly in the Indian Ocean (IO) is investigated with a particular focus on the decaying phase of El Niño. The TC anomalies are obtained from the database for Policy Decision making for Future climate change (d4PDF). This dataset is based on 100-member ensemble simulations for the period of 1951-2010 by use of the state-of-the-art atmospheric general circulation model (AGCM) forced with observed SST as well as the historical radiative forcing. AGCM utilized in the d4PDF is the Meteorological Research Institute Atmospheric General Circulation Model with about 60km horizontal resolution. Our analysis reveals a prolonged decrease in TC frequency over the tropical western Pacific during the post El Niño years until the boreal fall. Dominance of anomalous anticyclone (AAC) over the western Pacific induced by the delayed warming in the tropical Indian Ocean is the main factor for the suppressed TC activity rather than the local SST change. In contrast, the TC number over the South China Sea tends to increase during the post-El Niño fall (September to November). The physical reason can be ascribed to the weakening of AAC associated with the termination of IO warming. Thus we demonstrate that the effect of the IO warming should be taken into account when the ENSO is considered as an environmental factor for predicting TC activity.

著者

Kunihisa Miwa Masatoshi Fujita

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.48, no.21, pp.1849-1854, 2009 (Released:2009-11-02)

参考文献数

18

被引用文献数

18 22

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Objective Little attention has been paid to possible cardiovascular involvement in patients with chronic fatigue syndrome (CFS), although many of their symptoms and signs suggest cardiovascular dysfunction. Possible cardiovascular symptoms and cardiac function were investigated in CFS patients. Methods Cardiovascular symptoms were intensively investigated and cardiac function was evaluated echocardiographically. Patients Fifty-three patients (23 men and 30 women, mean age: 31±7 years) with CFS under 50 years were studied. Results Slender build (body mass index <20 kg/m2) was common (47%). Possible cardiovascular symptoms including shortness of breath (32%), dyspnea on effort (28%), rapid heartbeat (38%), chest pain (43%), fainting (43%), orthostatic dizziness (45%) and coldness of feet (42%), were all frequent complaints. Hypotension (28%) was occasionally noted. Electrocardiograms frequently revealed right axis deviation (21%) and severe sinus arrhythmia (34%) suggesting accentuated parasympathetic nervous activity. Small heart shadow (cardiothoracic ratio ≤42%) was noted on the chest roentgenogram in 32 patients (60%). Echocardiographic examination demonstrated low cardiac indexes (<2 L/min/m2) with low stroke volume indexes (<30 mL/m2) due to a small left ventricular chamber in 19 (36%, p<0.05 vs. 8% in 36 controls). None had reduced left ventricular ejection fraction. Conclusion Cardiovascular symptoms are common in CFS patients. Cardiac dysfunction with low cardiac output due to small left ventricular chamber may contribute to the development of chronic fatigue as a constitutional factor in a considerable number of CFS patients.

著者

Hidenobu Takami Mariko Nakamoto Hirokazu Uemura Sakurako Katsuura Miwa Yamaguchi Mineyoshi Hiyoshi Fusakazu Sawachika Tomoya Juta Kokichi Arisawa

出版者

Japan Epidemiological Association

雑誌

Journal of Epidemiology (ISSN:09175040)

巻号頁・発行日

vol.23, no.1, pp.12-20, 2013-01-05 (Released:2013-01-05)

参考文献数

44

被引用文献数

58 82

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Background: It is unclear whether consumption of coffee and green tea is associated with metabolic syndrome.Methods: This cross-sectional study enrolled 554 adults who had participated in the baseline survey of the Japan Multi-Institutional Collaborative Cohort (J-MICC) Study in Tokushima Prefecture, Japan. Consumption of coffee and green tea was assessed using a questionnaire. Metabolic syndrome was diagnosed using the criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) and the Japan Society for the Study of Obesity (JASSO). Logistic regression analysis was used to examine the association between consumption of coffee and green tea and prevalence of metabolic syndrome and its components.Results: After adjustment for sex, age, and other potential confounders, greater coffee consumption was associated with a significantly lower prevalence of metabolic syndrome, as defined by NCEP ATP III criteria (P for trend = 0.03). Participants who drank more coffee had a lower odds ratio (OR) for high serum triglycerides (P for trend = 0.02), but not for increased waist circumference or high blood pressure. Using JASSO criteria, moderate coffee consumption (1.5 to <3 cups/day) was associated with a significantly lower OR for high plasma glucose (OR = 0.51, 95% CI 0.28–0.93). Green tea consumption was not associated with the prevalence of metabolic syndrome or any of its components.Conclusions: Coffee consumption was inversely correlated with metabolic syndrome diagnosed using NCEP ATP III criteria, mainly because it was associated with lower serum triglyceride levels. This association highlights the need for further prospective studies of the causality of these relationships.

著者

Hidenobu Takami Mariko Nakamoto Hirokazu Uemura Sakurako Katsuura Miwa Yamaguchi Mineyoshi Hiyoshi Fusakazu Sawachika Tomoya Juta Kokichi Arisawa

出版者

日本疫学会

雑誌

Journal of Epidemiology (ISSN:09175040)

巻号頁・発行日

pp.JE20120053, (Released:2012-10-06)

参考文献数

44

被引用文献数

23 82 13

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Background: It is unclear whether consumption of coffee and green tea is associated with metabolic syndrome.Methods: This cross-sectional study enrolled 554 adults who had participated in the baseline survey of the Japan Multi-Institutional Collaborative Cohort (J-MICC) Study in Tokushima Prefecture, Japan. Consumption of coffee and green tea was assessed using a questionnaire. Metabolic syndrome was diagnosed using the criteria of the National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III) and the Japan Society for the Study of Obesity (JASSO). Logistic regression analysis was used to examine the association between consumption of coffee and green tea and prevalence of metabolic syndrome and its components.Results: After adjustment for sex, age, and other potential confounders, greater coffee consumption was associated with a significantly lower prevalence of metabolic syndrome, as defined by NCEP ATP III criteria (P for trend = 0.03). Participants who drank more coffee had a lower odds ratio (OR) for high serum triglycerides (P for trend = 0.02), but not for increased waist circumference or high blood pressure. Using JASSO criteria, moderate coffee consumption (1.5 to <3 cups/day) was associated with a significantly lower OR for high plasma glucose (OR = 0.51, 95% CI 0.28–0.93). Green tea consumption was not associated with the prevalence of metabolic syndrome or any of its components.Conclusions: Coffee consumption was inversely correlated with metabolic syndrome diagnosed using NCEP ATP III criteria, mainly because it was associated with lower serum triglyceride levels. This association highlights the need for further prospective studies of the causality of these relationships.

著者

Naoko Morita Miwa Miura Toshiro Usa Takashi Kudo Naoki Matsuda

出版者

日本放射線安全管理学会

雑誌

Radiation Safety Management (ISSN:13471511)

巻号頁・発行日

vol.12, no.2, pp.48-55, 2013 (Released:2013-12-19)

参考文献数

20

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The internal doses of 372 persons who were dispatched to the Fukushima prefecture at any time from April 2011 to March 2012 were examined using a whole body counter within 2 months after they left Fukushima. 131I was only detected in April while 134Cs and 137Cs were found up to November 2011. The maximum committed effective dose and thyroid equivalent dose were 22.4 μSv and 0.4 mSv, respectively, which were observed in April 2011 by the scenario of acute inhalation. The internal radioactivity was found in persons staying in almost all of the interior and the coastal regions regardless of the distance from the Fukushima-Daiichi nuclear power plant. Although there was no statistical significance, the detection rate of 134Cs and 137Cs appeared higher in subjects dispatched for relatively long-terms. Comparison of internal doses evaluated by the whole body counter and by prediction from environmental radioactivity indicates that the intake of radioactivity in March, April and possibly May 2011, would be mainly attributable to the inhalation of airborne radioactive particles, whereas in June and later months ingestion of contaminated food would be the major route of radioactive intake. These results suggest that the risk for internal exposure existed for approximately six months after the radiological accident in almost the entire area of Fukushima, however, adverse health consequences by the radiation dose due to internal exposure seem to be negligible. Furthermore, the present risk for internal exposure is quite low in the normal living situation.

著者

Hideyuki Katsura Yukio Suga Anna Kubo Hayato Sugimura Kaname Kumatani Kazunobu Haruki Miwa Yonezawa Ayaka Narita Rei Ishijima Hiroaki Ikesue Hitomi Toi Naoko Takata

出版者

The Pharmaceutical Society of Japan

雑誌

Biological and Pharmaceutical Bulletin (ISSN:09186158)

巻号頁・発行日

vol.47, no.1, pp.98-103, 2024-01-01 (Released:2024-01-01)

参考文献数

20

被引用文献数

1

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Hypomagnesemia commonly occurs as a side effect of panitumumab treatment. In severe cases, temporary discontinuation or dose reduction of panitumumab may be necessary. Proton pump inhibitors (PPIs) are reportedly potential risk factors for hypomagnesemia. We conducted a multicenter study to assess the impact of PPIs on the risk of grade 3–4 hypomagnesemia in patients with metastatic colorectal cancer (mCRC) receiving panitumumab. We adjusted for potential bias using a propensity score-matched analysis and retrospectively reviewed the medical records of patients. Hypomagnesemia severity was graded according to the Common Terminology Criteria for Adverse Events, version 5.0. A total of 165 patients were enrolled in this study. The incidence of grade 3–4 hypomagnesemia was significantly higher in the PPI group than in the non-PPI group, both before (20.0% [30/60] vs. 8.0% [8/105], p = 0.026) and after propensity score matching (16.2% [6/37] vs. 0% [0/37], p = 0.025). In the propensity score-matched cohort, the risk of grade 3–4 hypomagnesemia was significantly higher in the PPI group (odds ratio, 2.19; 95% confidence interval, 1.69–2.84; p = 0.025). These findings suggest that concomitant use of PPIs significantly increases the risk of grade 3–4 hypomagnesemia in patients with mCRC receiving panitumumab. Therefore, close monitoring of these patients is imperative.

著者

中川 美和 Miwa Nakagawa

出版者

金城学院大学日本語日本文化学会

雑誌

金城日本語日本文化 = Kinjo studies in Japanese language literature and culture

巻号頁・発行日

no.96, pp.15-29, 2020-03-01

著者

Shingo Tsujinaga Hiroyuki Iwano Yasuyuki Chiba Suguru Ishizaka Miwa Sarashina Michito Murayama Masahiro Nakabachi Hisao Nishino Shinobu Yokoyama Kazunori Okada Sanae Kaga Toshihisa Anzai

出版者

The Japanese Circulation Society

雑誌

Circulation Reports (ISSN:24340790)

巻号頁・発行日

vol.2, no.5, pp.271-279, 2020-05-08 (Released:2020-05-08)

参考文献数

27

被引用文献数

3

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Background:Ventilatory inefficiency during exercise assessed using the lowest minute ventilation/carbon dioxide production (V̇E/V̇CO2) ratio was recently proven to be a strong prognostic marker of heart failure (HF) regardless of left ventricular ejection fraction (LVEF). Its physiological background, however, has not been elucidated.Methods and Results:Fifty-seven HF patients underwent cardiopulmonary exercise testing and exercise-stress echocardiography. The lowest V̇E/V̇CO2ratio was assessed on respiratory gas analysis. Echocardiography was obtained at rest and at peak exercise. LVEF was measured using the method of disks. Cardiac output (CO) and the ratio of transmitral early filling velocity (E) to early diastolic tissue velocity (e’) were calculated using the Doppler method. HF patients were divided into preserved EF (HFpEF) and reduced EF (HFrEF) using the LVEF cut-off 40% at rest. Twenty-four patients were classified as HFpEF and 33 as HFrEF. In HFpEF, age (r=0.58), CO (r=−0.44), e’ (r=−0.48) and E/e’ (r=0.45) during exercise correlated with the lowest V̇E/V̇CO2ratio (P<0.05 for all). In contrast, in HFrEF, age (r=0.47) and CO (r=−0.54) during exercise, but not e’ and E/e’, correlated with the lowest V̇E/V̇CO2ratio.Conclusions:Loss of CO augmentation was associated with ventilatory inefficiency in HF regardless of LVEF, although lung congestion determined ventilatory efficiency only in HFpEF.

著者

Michito Murayama Hiroyuki Iwano Miwa Sarashina Toshihisa Anzai

出版者

The Japanese Circulation Society

雑誌

Circulation Journal (ISSN:13469843)

巻号頁・発行日

pp.CJ-20-0678, (Released:2020-09-24)

被引用文献数

2