Prevalence and Prognosis of Patients With Heart Failure in Tokyo : A Prospective Cohort of Shinken Database 2004-5
スポンサーリンク
概要
- 論文の詳細を見る
Prognosis of patients with heart failure (HF) remains unclear in Japan and should be determined in a prospective fashion. A prospective cohort of The Shinken Database comprised details on all of the new patients, including both inpatients and outpatients, who visited The Cardiovascular Institute Hospital in 2004-2005. HF patients were defined as those with symptomatic HF coexisting with structural heart diseases. Among 4,255 patients who visited our hospital, 597 patients (male/female 414/183, age 65.1 ± 12.9 years, LVEF 56.2 ± 18.0%) were diagnosed as presenting symptomatic HF. Ischemic heart disease was present in 305 (51.1%), valvular heart disease in 212 (35.5%), dilated cardiomyopathy in 59 (9.9%), hypertrophic cardiomyopathy in 24 (4.0%), hypertensive heart disease in 14 (2.3%), and others in 67 (11.2%). Hypertension, atrial fibrillation, and diabetes were observed in 35.3%, 27.4%, and 23.7%, respectively. During the mean follow-up period of 539 ± 257 days, 40 deaths (5.0% per year) occurred, including 34 cardiovascular deaths (4.5% per year, NYHA class II: 1.0%, III: 11.3%, IV: 36.6% per year, respectively). The present study showed that the prognosis of Japanese patients with HF among moderate to severe severity was found to be similar to that of Western countries. Multiple Cox hazard analysis identified the presence of chronic kidney disease and NYHA class as independent predictors for cardiovascular death. This prospective cohort study identified the prevalence, prognosis, and risk factors in HF patients to provide a basis for therapeutic management in Japan.
- インターナショナル・ハート・ジャーナル刊行会の論文
著者
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ISOBE Mitsuaki
Department of Cardiovascular Medicine, Tokyo Medical and Dental University
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AIZAWA Tadanori
The Cardiovascular Institute, Graduate School of Health Sciences Tokyo Medical and Dental University
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Sawada Hitoshi
The Cardiovascular Institute
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Ogasawara Ken
The Cardiovascular Institute
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YAMASHITA Takeshi
The Cardiovascular Institute
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SAGARA Koichi
The Cardiovascular Institute
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Ohtsuka Takayuki
The Cardiovascular Institute
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Uejima Tokuhisa
The Cardiovascular Institute
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Oikawa Yuji
The Cardiovascular Institute
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Yajima Junji
The Cardiovascular Institute
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Koike Akira
The Cardiovascular Institute
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Nagashima Kazuyuki
The Cardiovascular Institute
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Kirigaya Hajime
The Cardiovascular Institute
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Aizawa Tadanori
The Cardiovascular Institute
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Ohtsuka Takayuki
東京大学 医学系研究科臨床疫学システム講座
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Sawada Hitoshi
心臓血管研究所
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Goda Ayumi
The Cardiovascular Institute
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Suzuki Shinya
The Cardiovascular Institute
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Isobe Mitsuaki
Departement Of Cardiovascular Medicine Tokyo Medical And Dental University
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