Characteristics and 1-Year Prognosis of Medically Treated Patients With Chronic Heart Failure in Japan : Chronic Heart Failure Analysis Registry in Tohoku District (CHART)
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概要
- 論文の詳細を見る
The study was designed to characterize patients with chronic heart failure (CHF) in Japan in terms of the etiologies and prognosis. CHF was defined by ejection fraction (EF[>!_]50%), left ventricular diastolic dimension (LVDD[>!_]55mm) or a past history of congestive heart failure. Among the 721 recruited patients, the most frequent etiology for CHF was dilated cardiomyopathy (DCM) in patients aged less than 59 years, and valvular heart disease (VHD) in those aged 70 years or more. The 1-year crude mortality was 8% overall and 12% in patients with myocardial infarction (MI). Sudden death accounted for 40% of the total deaths among all patients, and 60% in patients with MI. Multivariate logistic regression analysis showed that brain natriuretic peptide (BNP) was a consistent prognostic marker in CHF patients with a variety of etiologies. Total death and hospitalization because of heart failure were significantly less frequent in patients with BNP less than 100pg/ml. In conclusion, the etiologies of Japanese CHF appear to be more diverse than those of other Western countries, but BNP is an excellent prognostic marker despite the etiological diversity. Sudden, unexpected death in CHF patients is also a serious problem in Japan. A nation-wide epidemiologic study should be done to characterize Japanese CHF.
- 社団法人日本循環器学会の論文
- 2003-04-20
著者
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小岩 喜郎
Oizumi Memorial Hospital
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KARIBE Akihiko
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Shirato Kunio
Tohoku University
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Soma Masayoshi
日本大学 医学部内科学系腎臓高血圧内分泌内科
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Koiwa Yoshiro
東北大学 循環器内科
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Soma Masayoshi
Division Of General Medicine Department Of Medicine Nihon University School Of Medicine
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Komaru Tatsuya
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Miura Masahito
Tohoku University School Of Health Science
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Shinozaki Tsuyoshi
Tohoku University Graduate School of Medicine
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Watanabe Jun
Tohoku University Graduate School of Medicine
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Sakuma Masahito
Tohoku University Graduate School of Medicine
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Fukuchi Mitsumasa
Tohoku Kosai Hospital
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Kagaya Yutaka
Tohoku University Graduate School of Medicine
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Karibe Akihiko
Tohoku University Hospital Department Of Cardiovascular Medicine
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Karibe Akihiko
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Koseki Yoshito
Tohoku University Graduate School of Medicine,Department of Cardiovascular Medicine
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Komaru Tatsuya
Tohoku University Graduate School of Medicine,Department of Cardiovascular Medicine
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Kon-no Yuji
Tohoku University Graduate School of Medicine,Department of Cardiovascular Medicine
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Numaguchi Hirotaka
Tohoku University Graduate School of Medicine,Department of Cardiovascular Medicine
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Ninomiya Mototsugu
Tohoku University Graduate School of Medicine,Department of Cardiovascular Medicine
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Kon-no Yuji
Department of Cardiovascular Medicine, Tohoku 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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Koiwa Yoshiro
Graduate School Of Medicine Tohoku University
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Fukuchi Mitsumasa
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Kon-no Yuji
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Komaru Tatsuya
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Komaru Tatsuya
The First Department Of Internal Medicine Tohoku University School Of Medicine
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Miura Masaetsu
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Koiwa Yoshio
1st Dept. Of Intern. Med. Tohoku Univ.
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Kaomaru Tatsuya
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Ninomiya Mototsugu
Tohoku University Graduate School Of Medicine Department Of Cardiovascular Medicine
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Miura Masahito
Department Of Cardiology Tohoku University
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Numaguchi Hirotaka
Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine
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Numaguchi Hirotaka
Department Of Cardiovascular Medicine Tohoku University Graduate School Of Medicine
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Matsuzaki Masunori
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Miura Masaetsu
Department Of Internal Medicine Furukawa City Hospital
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Matsuzaki Masunori
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Miura Masanobu
Departments Of Cardiovascular Medicine And Evidence-based Cardiovascular Medicine Tohoku University
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Koseki Yoshito
Medical Information Center Tohoku University Hospital
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