A Community Based Epidemiological and Clinical Study of Hospitalization of Patients With Congestive Heart Failure in Northern Iwate, Japan
スポンサーリンク
概要
- 論文の詳細を見る
Background Community based studies of congestive heart failure (HF) are lacking in the Japanese population. Methods and Results To delineate the epidemiological and clinical features of advanced HF in the general Japanese population, hospitalized adult cases of HF in all hospitals within the Ninohe district were registered for 3 years. During the survey period, 190 new onset cases (males n=93; females n=97) and a total of 391 hospitalizations (including repeat admissions) were registered. The prevalence of atrial fibrillation in new HF cases was 56% in males and 45% in females. On the basis of the population of the district, the incidence of hospitalized HF was 96 in males and 92 in females per 100,000 person-years. The percentage of HF patients who were ≥65 years of age was 82% in males and 94% in females. In cases undergoing echocardiography, preserved left ventricular systolic function (left ventricular ejection fraction ≥50%) was observed in 29% of males and 41% of females. There was a significant seasonal variation in HF admissions (Spring 32%; Summer 20%; Autumn 20%; Winter 28%; p<0.01). Conclusions In comparison with published results of USA and European community based studies of HF, the present HF cohort showed that: (1) mean age, prevalence of preserved ejection fraction, and trends in seasonal variation were comparable; however (2) the incidence of HF was obviously lower. These epidemiological and clinical characteristics should be taken into consideration when establishing a therapeutic and preventive approach for HF.
- 社団法人日本循環器学会の論文
- 2007-03-20
著者
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Nakamura M
Department Of Internal Medicine Division Of Cardiology And Memorial Heart Center Iwate Medical Unive
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OHSAWA Masaki
Department of Hygiene and Preventive Medicine, Iwate Medical University
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Nakamura Motoyuki
Division Of Cardiology Department Of Internal Medicine And Memorial Heart Center Iwate Medical Unive
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Fujioka Tomoaki
Department Of Urology Iwate Medical University
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NAKAMURA Motoyuki
Second Department of Internal Medicine, School of Medicine, Iwate Medical University
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Nakamura Motoyuki
岩手医科大学 内科学講座循環器内科
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Ohsawa Masaki
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Segawa Toshie
Divison Of Cardiology Department Of Medicine Iwate Medical Universiy
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Tanaka Fumitaka
Second Department of Internal Medicine, Iwate Medical University
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Okayama Akira
National Cardiovascular Center
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Ojima T
Department Of Public Health Jichi Medical University School Of Medicine
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Okayama A
The First Institute Of Health Service Japan Anti-tuberculosis Association
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Okayama Akira
Department Of Orthopedic Surgery Hyogo College Of Medicine
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Itai Kazuyoshi
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Ojima Toshiyuki
Hamamatsu Univ. School Of Medicine
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Shizuka Takehito
Iwate Prefectural Ofunato Hospital
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Ojima Toshiyuki
Department Of Hygiene And Preventive Medicine Iwate Medical University
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Ogawa Muneyoshi
Second Department of Internal Medicine, Iwate Medical University
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Onoda Toshiyuki
Hygiene and Preventive Medicine, Iwate Medical University
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Ohsawa Masaki
Hygiene and Preventive Medicine, Iwate Medical University
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Itai Kazuyoshi
Hygiene and Preventive Medicine, Iwate Medical University
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Sakai Toshiaki
Iwate Prefecture Ninohe Hospital
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Tanaka Fumitaka
Department Of Internal Medicine (cardiology Division) Iwate Medical University
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Nakamura Motoyuki
Secon Department Of Internal Medicine Memorial Heart Center
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Segawa Toshie
Department Of Internal Medchine Ii Iwate Medical University And Memorial Heart Center
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Nakamura Motoyuki
Second Department Of Internal Medicine Iwate Medical University School Of Medicine
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Ogawa Muneyoshi
Second Department Of Internal Medicine Iwate Medical University
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