Intermediate Fixed Coronary Artery Stenosis at the Site of Ergonovine-Provoked Spasm as a Predictor of Long-Term Major Adverse Cardiac Events of Patients With Coronary Spastic Angina
スポンサーリンク
概要
- 論文の詳細を見る
Background: Organic coronary artery stenosis is a significant prognostic factor in patients with coronary spastic angina (CSA), so the present study was focused on assessing the impact of intermediate fixed stenosis at sites of provoked spasm on the long-term outcomes of CSA patients. Methods and Results: CSA patients diagnosed on the basis of ergonovine-provoked spasm were enrolled and the clinical background and long-term prognosis of CSA patients with intermediate fixed stenosis at the site of provoked spasm (with-fixed-stenosis group, n=37) and those without fixed stenosis (without-fixed-stenosis group, n=126) were retrospectively compared. During the follow-up period (average 4.01 years for with-fixed-stenosis, 4.47 years for without-fixed-stenosis), the with-fixed-stenosis group had a significantly lower event-free survival rate, as well as a higher frequency of admission for unstable angina and percutaneous coronary intervention than the without-fixed-stenosis group, whereas the survival rate did not differ significantly between the 2 groups. In the multivariate analysis, intermediate fixed stenosis at the site of provoked spasm was a predictor of long-term major adverse cardiac events (MACE). Conclusions: Intermediate fixed stenosis at the site of ergonovine-provoked spasm is an independent risk factor for MACE during the long-term period in CSA patients.
- 社団法人 日本循環器学会の論文
- 2009-03-20
著者
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Hadase Mitsuyoshi
Department of Cardiology, Saiseikai Shigaken Hospital
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Matsubara Hiroaki
Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine
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NISHIKAWA Susumu
Department of Cardiovascular Medicine, Nantan General Hospital
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Nishizawa Shinya
Department of Cardiolgy, Kyoto Prefectural University of Medicine
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Shiraishi Jun
Department of Cardiology, Kyoto First Red Cross Hospital
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Kohno Yoshio
Department of Cardiology, Kyoto First Red Cross Hospital
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Shima Takatomo
Department of Cardiology, Kyoto First Red Cross Hospital
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Nishikawa Susumu
Department Of Cardiovascular Medicine Nantan General Hospital
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Makino H
Department Of Medicine And Clinical Science Okayama University Graduate School Of Medicine And Denti
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Matsuoka Hiroaki
大阪大学 医学系研究科老年・腎臓内科学
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Masaki Hiroya
The Cardiovascular Center Kansai Medical University
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Matsubara Hiroaki
公立南丹病院 循環器内科
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Matsubara Hiroaki
京都府立医科大学 循環器内科学
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Hyogo Masayuki
Department of Cardiology, Kyoto Second Red Cross Hospital
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Matsuo H
Department Of Internal Medicine Circulatory And Body Fluid Regulation Faculty Of Medicine University
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Tanaka Shiro
大阪市立総合医療センター
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Tanaka Shiro
Department Of Internal Medicine Osaka City General Hospital
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ARIHARA Masayasu
Department of Emergency Medicine, Kyoto First Red Cross Hospital
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Takai Shinji
Department Of Cardiology Kouseikai Takeda Hospital
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Shiraishi Jun
Department Of Cardiology Kyoto First Red Cross Hospital
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Hyogo Masayuki
Kyoto First Red Cross Hospital
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Yagi Takakazu
Kyoto First Red Cross Hospital
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Hyogo Masayuki
Department Of Cardiology Kyoto Prefectural University School Of Medicine
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Hyogo Masayuki
Department Of Cardiology Kyoto First Red Cross Hospital
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Matsubara Hiroaki
Department Of Cardiology Kyoto Prefectural University Of Medicine
-
Muratani Hiromi
琉球大学 第3内科
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Metoki Hirohito
東北大学 臨床薬学
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Matsuo Akiko
Department Of Cardiology Kyoto First Red Cross Hospital
-
Kato Tomoko
国立循環器病研究センター 心臓血管内科部門
-
Sawada Takahisa
京都第一赤十字病院 循環器科
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Maeba Hirofumi
Cardiovascular Center Kansai Medical University
-
Horio M
Department Of Clinical Pharmacology And Therapeutics Tohoku University Graduate School Of Pharmaceut
-
Hadase Mitsuyoshi
Departments Of Cardiology Kyoto First Red Cross Hospital
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Hadase Mitsuyoshi
Department Of Cardiology Saiseikai Shigaken Hospital
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Hadase Mitsuyoshi
Department Of Cardiology Kyoto First Red Cross Hospital
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Takai Shinji
Department Of Pharmacology Osaka Medical College
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Takai S
Department Of Cardiology Kyoto First Red Cross Hospital
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Shirayama Takeshi
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Matsui Akihiro
Departments Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
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Arihara Masayasu
Department Of Emergency Medicine Kyoto First Red Cross Hospital
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TORII Sayuki
Department of Cardiology, Kyoto First Red Cross Hospital
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MIYAGAWA Kotaro
Department of Cardiology, Kyoto First Red Cross Hospital
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YAGI Takakazu
Department of Cardiology, Kyoto First Red Cross Hospital
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Mani Hiroki
Cardiovascular Division Department Of Medicine Ii Kansai Medical University
-
Torii Sayuki
Department Of Cardiology Kyoto First Red Cross Hospital
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Miyagawa Koutarou
Department Of Cardiology Kyoto First Red Cross Hospital
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Mani Hiroki
Department Of Clinical Molecular Genetics And Laboratory Medicine Kyoto Prefectural University Of Me
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Kohno Yoshio
Department Of Cardiology Kyoto First Red Cross Hospital
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Kohno Yoshio
Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Yagi Takakazu
Department Of Cardiology Kyoto First Red Cross Hospital
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Matsuoka H
Kyoto Univ. Kyoto
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Kohno Yoshio
Second Department Of Medicine Kyoto Prefectual University Of Medicine
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Takai Shinji
The First Department Of Internal Medicine Osaka Medical College
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Matsuoka Hiroaki
Division Of Hypertension And Cardiorenal Disease Department Of Medicine Dokkyo University School Of
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Sawada Takahisa
Department Of Pharmacology Osaka Medical College
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Matsuda Hikaru
Department Of Cardiology Osaka University Graduate School Of Medicine
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Hori Masatsugu
Department Of Nephrology Osaka University Graduate School Of Medicine
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Shirayama Takeshi
The Second Department Of Medicine Kyoto Prefectural University Of Medicine
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Matsubara Hiroaki
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Horio Masaru
Department Of Internal Medicine And Therapeutics Osaka University Graduate School Of Medicine (a8)
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Matsuo Akiko
Department Of Cardiology Kyoto Second Red Cross Hospital
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Matsui Hiroshi
Research Institute National Center Of Cardiovascular Medicine
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Tamaki Shunichi
Department Of Cardiology Kouseikai Takeda Hospital
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Nishizawa Shinya
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Arihara Masayasu
Department Of Cardiology Kyoto First Red Cross Hospital
-
Mani Hiroki
Department Of Cardiovascular Medicine Kyoto Prefectural University School Of Medicine
-
Shima Takatomo
Department Of Cardiology Kyoto First Red Cross Hospital
-
Matsuo Hisayuki
Research Institute National Center Of Cardiovascular Medicine
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Nishikawa Susumu
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
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Tanda Syuji
Division Of Hypertension And Nephrology Department Of Internal Medicine Kyoto Prefectural University
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Shirayama Takeshi
Kyoto Prefectural University Of Medicine Department Of Cardiology
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Makino Hirofumi
International Medical Center Of Japan
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Higuchi Masayoshi
Department Of Geriatric Medicine Osaka University Graduate School Of Medicine
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Tanda Syuji
Department Of Cardiology Kouseikai Takeda Hospital
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Matsui Akihiro
Department Of Cardiovascular Medicine Kyoto Prefectural University Of Medicine
-
Hattori Motoshi
Department Of Pediatric Nephrology Tokyo Women's Medical University School Of Medicine
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Matsubara Hiroaki
Department Of Bioscience National Cardiovascular Center Research Institute
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Tanaka Shiro
The Department Of Internal Medicine Osaka City General Hospital
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- Erythropoietin Prevention Trial of Coronary Restenosis and Cardiac Remodeling After ST-Elevated Acute Myocardial Infarction (EPOC-AMI) : A Pilot, Randomized, Placebo-Controlled Study