Prevalence and Clinical Implication of Metabolic Syndrome in Chronic Heart Failure : Report From MetS-CHF Study
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概要
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Background: Metabolic syndrome (MetS) is a pathological condition with a clustering of metabolic components and is a well-known risk and prognostic factor for ischemic heart disease (IHD). However, the prevalence and clinical significance of MetS remain to be fully elucidated in chronic heart failure (CHF), an important clinical syndrome caused by various cardiac abnormalities. Methods and Results: The present nationwide, large-scale clinical study enrolled 3,603 patients with stage C/D CHF from 6 institutes in Japan. First, the prevalence of MetS in CHF patients was demonstrated to be 45% in males and 19% in females, which is more than double compared with the general population in Japan. The CHF patients with MetS were characterized by younger age, higher prevalence of current smoking and drinking, IHD, and hypertensive heart disease, whereas the prevalence of HF with preserved ejection fraction and MetS was higher in elderly female patients. Next, the contribution of the metabolic components (waist circumference, hypertension, glucose intolerance/diabetes mellitus and dyslipidemia) was found to be comparable between the ischemic and the non-ischemic CHF patients. Conclusions: The prevalence of MetS in CHF patients is more than double compared with the general population in Japan and suggest that the metabolic components may have a substantial effect on the development of both ischemic and non-ischemic CHF. (Circ J 2010; 74: 2612-2621)
- 2010-11-25
著者
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MATSUZAKI Masunori
Division of Cardiology, Department of Medicine and Clinical Science, Yamaguchi University Graduate S
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DAIDA Hiroyuki
Department of Cardiology, Juntendo University School of Medicine
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Fukumoto Yoshihiro
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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下川 宏明
東北大学大学院医学系研究科循環器病態学
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Tsutsui Hiroyuki
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Hokkaido University
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下川 宏明
東北大学循環器内科学
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下川 宏明
九州大学 院工
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下川 宏明
東北大学医学系研究科循環器病態学
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Shimokawa Hiroaki
Department of Cardiology, Tohoku University School of Medicine
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SHIBA Nobuyuki
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Shimada Kazunori
Department of Cardiovascular Medicine, Juntendo University School of medicine
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Tsutsui Hiroyuki
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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KINUGAWA Shintaro
Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine
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Sato Hitoshi
Sports Clinic Juntendo University Hospital
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Kinugawa Shintaro
Department Of Cardiovascular Medicine Hokkaido University Graduate School Of Medicine
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Kinugawa Shintaro
Department Of Cardiovascular Medicine Hokkaido University
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Shimokawa Hiroaki
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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YAMADA Akira
Division of Cardiology, Department of Internal Medicine, Fujita Health University, School of Medicin
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Miura Toshiro
Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch
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IWAMA Yoshitaka
Department of Cardiovascular Medicine, Juntendo University
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ASAKURA Masanori
Cardiovascular Division of the Department of Medicine, National Cardiovascular Center
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TOMOIKE Hitonobu
Cardiovascular Division of Medicine, National Cardiovascular Center
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Asakura Masanori
Cardiovascular Division Of Internal Medicine National Cardiovascular Center
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TAKAGI Atsutoshi
Department of Cardiology, Juntendo University, School of Medicine
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Doi Hiroshi
Department Of Medicine And Biological Science Gunma University Graduate School Of Medicine
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Daida Hiroyuki
Department Of Cardiology Juntendo University School Of Medicine
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Daida Hiroyuki
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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Miura Yutaka
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Iwama Yoshitaka
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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Iwama Yoshitaka
Department Of Cardiology
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Iwama Yoshitaka
Department Of Cardiology Juntendo University
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Yamada Akira
九州大学 医学研究院循環器内科学
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Yamada Akira
Department Of Cardiology Aso-iizuka Hospital
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Aoki Tatsuo
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Shimokawa Hiroaki
Juntendo Sports Clinic Juntendo University Hospital
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下川 宏明
東北大学 大学院医学系研究科循環器病態学分野
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Shimokawa H
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Shimokawa Hiroaki
Research Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Universit
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下川 弘晃
東海農政局
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Okamatsu Shuuichi
Division of Cardiovascular Medicine, Aso-Iizuka Hospital
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Miura Masahito
Tohoku University School Of Health Science
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Tsutsui Hiroyuki
Department Of Cardiovascular Medicine
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Shimokawa Hiroaki
Research Institute Of Angiocardiology And Cardiovascular Clinic Kyushu University School Of Medicine
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Matsuki Mika
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Miura Yutaka
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Miura Yutaka
Department Of Agricultural Chemistry Faculty Of Agriculture The University Of Tokyo
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Takagi Atsutoshi
Department Of Cardiology Juntendo University School Of Medicine
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OKAMATSU SHUICHI
Division of Cardiovascular Medicine, Aso-Iizuka Hospital
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Daida Hiroyuki
Department Of Cardiology
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Daida Hiroyuki
Department Of Cardiology Juntendo University
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Tsutsumi Takaki
Division of Cardiovascular Medicine, Aso-lizuka Hospital
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Shimokawa Hiroaki
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medicine
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Miura Masahito
The First Department Of Internal Medicine Tohoku University School Of Medicine
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Takagi Atsutoshi
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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Tsutsumi Takaki
Division Of Cardiovascular Medicine Aso-lizuka Hospital
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Shiba Nobuyuki
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Shimada Kazunori
Department Of Cardiovascular Medicine Juntendo University School Of Medicine
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Okamatsu Shuichi
九州大学 医学研究院循環器内科学
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Tsutsui Hiroyuki
Department Of Cardiovasucular Medicine Graduate School Of Medical Sciences Kyushu University
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Ito Yoshitaka
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Matsusaka Hidenori
Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University
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Tomoike Hitonobu
Cardiology And Emergency Medicine National Cardiovascular Center
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Shimokawa Hiroaki
Department Of Cardiology Tohoku University School Of Medicine
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Shimokawa Hiroaki
Kyushu University Graduate School Of Medical Sciences
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Miura Masaetsu
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Matsuzaki Masunori
Division Of Cardiology Department Of Medicine And Clinical Science Graduate School Of Medicine Yamag
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Yamada Akira
Division Of Cardiology Department Of Internal Medicine Fujita Health University School Of Medicine
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Tsutsui Hiroyuki
Department Of Cardiovascular Medicine Hokkaido University Hospital
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Tomoike Hitonobu
Cardiovascular Division Of Internal Medicine National Cerebral And Cardiovascular Center
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Matsusaka Hidenori
Division Of Cardiovascular Medicine Aso-iizuka Hospital
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Shimokawa Hiroaki
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Science
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Fukumoto Yoshihiro
Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Sciences
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Suzuka Hiroshi
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Shimokawa Hiroaki
The Department Of Cardiovascular Medicine Kyushu University Graduate School Of Medical Science
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Shiba Nobuyuki
Department Of Evidence-based Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Shiba Nobuyuki
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Shimokawa Hiroaki
From Reseach Institute Of Angiocardiology And Cardiovascular Clinic Faculty Of Medicine Kyushu Unive
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Shimokawa Hiroaki
Department Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University
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Shimokawa Hiroaki
The Research Institute Of Angiocardiology And Cardiovascular Clinic Kyushu University School Of Medi
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Shimokawa Hiroaki
The Research Institute Of Angiocardiology And Cardiovascular Clinic Kyusyu Univarsity School Of Medi
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Miura Masaetsu
Department Of Internal Medicine Furukawa City Hospital
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Shiba Nobuyuki
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Matsuzaki Masunori
Division Of Cardiology Department Of Medicine And Clinical Science Yamaguchi University Graduate Sch
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Matsuzaki Masunori
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Tsutsumi Takaki
Division Of Cardiovascular Medicine Aso-iizuka Hospital
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Miura Masanobu
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Shiba Nobuyuki
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Matsusaka Hidenori
Division Of Cardiology Matsuyama Red Cross Hospital
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Yamada Atsushi
Department Of Cardiology Juntendo University School Of Medicine
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Miura Masanobu
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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下川 宏明
東北大学大学院 医学系研究科 循環器内科学
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Tsutsui Hiroyuki
Departments Of Cardiovascular Medicine Graduate School Of Medical Sciences Kyushu University:japanese Coronary Intervention Study (jcis) Group
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Shimada Kazunori
Department Of Cardiology Juntendo University Graduate School Of Medicine
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SHIMADA Kazunori
Department of Biochemistry, Kumamoto University School of Medicine
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Fukumoto Yoshihiro
Department of Cardiovascular Medicine and Department of Evidence-based Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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SHIMADA Kazunori
Department of Biochemistry, Kumamoto University Medical School
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TSUTSUI Hiroyuki
Department of Cardiology, Iizuka Hospital
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Shiba Nobuyuki
Department of Cardiology, International University of Health and Welfare Hospital
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