Demographics and Changes in Medical/Interventional Treatment of Coronary Artery Disease Patients Over a 3.5-Year Period in Japan : The Japanese Coronary Artery Disease Study: Trend Examination
スポンサーリンク
概要
- 論文の詳細を見る
Background Cardiovascular medicine has undergone rapid changes in recent years, but there are insufficient reports using large cohorts regarding these changes for Japanese coronary artery disease (CAD) patients. Hence, a large-scale prospective observational study was needed. Methods and Results A total of 36,298 patients were registered over 6 periods. Patients with hypertension, hyperlipidemia, obesity, and impaired glucose tolerance increased in number, while those with old myocardial infarction (MI), smoking habit, and family history of CAD decreased. Regarding the trends in interventional procedures, stent use increased in both the whole cohort and the acute MI subgroup, while the use of only medical control decreased. Regarding prescription trends, angiotensin-receptor blockers increased while nitrates decreased. Conclusions In a period of 3.5 years, significant changes were observed for both interventional procedures and medication, which might be related to the well-timed compliance of physicians with published evidence. However, these changes were not related to changes in the event rates, at least over the short term. Although careful attention should be paid in interpreting the results, because this is an observational study and the background of patients in each cohort might have been heterogeneous, such investigations should be constantly conducted for evidence-based practice.
- 社団法人日本循環器学会の論文
- 2008-08-20
著者
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NAGAI Ryozo
Department of Cardiovascular Medicine, University of Tokyo
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Yamazaki Tsutoinu
Department Of Clinical Epidemiology And Systems University Of Tokyo
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Yamazaki Tsutomu
Department of Clinical Epidemiology & Systems, The University of Tokyo
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Kohro Takahide
Department of Translational Research for Healthcare and Clinical Science, The University of Tokyo
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Kadowaki T
Department Of Translational Research For Healthcare And Clinical Science University Of Tokyo
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Kohro Takahide
獨協医科大学 循環器内科
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Kohro Takahide
Department Of Cardiology Tokyo University School Of Medicine
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Hayashi Doubun
Department Of Translational Research For Health Care And Clinical Science Graduate School Of Medicin
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Hayashi Dobun
Department Of Cardiovascular Medicine University Of Tokyo Graduate School Of Medicine
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OKADA Yoshihiro
Department of Translational Research for Healthcare and Clinical Science
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Hayashi Dobun
Department Of Cardiovascular Medicine The University Of Tokyo
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Kadowaki Takashi
Department Of Translational Research For Healthcare And Clinical Science University Of Tokyo
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Kadowaki Takashi
東京大学 医学系研究科代謝栄養病態学
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Nagai Ryozo
Department Of Cardiovascular Medicine University Of Tokyo Graduate School Of Medicine
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Kadowaki Takashi
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
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Kohro Takahide
Department Of Translational Research For Healthcare And Clinical Science University Of Tokyo
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Kadowaki Takashi
Department Of Metabolic Diseases The University Of Tokyo
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Kohro Takahide
Department Of Translational Research For Healthcare And Clinical Science
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Kohro Takahide
Department Of Translational Research For Health Care And Clinical Science Graduate School Of Medicin
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Nagai Ryouzou
Department Of Cardiovascular Medicine The University Of Tokyo Graduate School Of Medicine
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Yamazaki Tsutomu
Department Of Applied Chemistry Tokyo University Of Agriculture And Technology
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Hayashi Doubun
Department Of Cardiovascular Medicine The University Of Tokyo
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Kadowaki Takashi
Department Of Human Genetics Graduate School Of Medicine University Of Tokyo
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Nagai Ryozo
Department Of Cardiology Kitano Hospital Medical Research Institute
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Yamazaki Tsutomu
Department Of Clinical Epidemiology And Systems University Of Tokyo
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Yamazaki Tsutomu
Department Of Clinical Epidemiology & Systems The University Of Tokyo
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Nagai Riozo
Second Department Of Internal Medicine Gunma Univercity School Of Medicine
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Okada Yoshihiro
Department Of Electronics Himeji Institute Of Technology
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Yamazaki Tsutomu
Department Of Applied Chemistry Graduate School Of Engineering Tokyo University Of Agriculture And T
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Nagai Ryozo
Department Cardiovascular Medicine The University Of Tokyo Hospital
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Yamazaki Tsutomu
Department Of Clinical Epidemiology And Systems University Of Tokyo Graduate School Of Medicine
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Hayashi Doubun
Department Of Cardiovascular Medicine Graduate School Of Medicine University Of Tokyo
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Hayashi Dobun
Healthcare Center Nippon Yusen Kaisya
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The JCAD
Department of Translational Research for Healthcare and Clinical Science, Graduate School of Medicine, The University of Tokyo
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