研究者業績

尾崎 行男

オザキ ユキオ  (YUKIO OZAKI)

基本情報

所属
藤田医科大学 医学部 医学科 循環器内科学Ⅰ 教授
学位
博士(医学)(Erasmus University)

J-GLOBAL ID
201501019151234916
researchmap会員ID
7000012704

BRIEF BIOGRAPHY:
While Prof. Dr. Yukio Ozaki is an interventional cardiologist having specialty in the field of acute myocardial infarction (Ozaki Y. et al; CVIT expert consensus document on primary PCI for AMI in 2018. Cardiovasc Interv Ther. 2018;33:178-203), coronary imaging such as OCT, IVUS, NIRS, angioscopy, CT angiography as well as structural heart disease (SHD). While Dr. Yukio Ozaki is the first Japanese fellow under the supervision of Prof. Patrick W. Serruys in the Thoraxcenter Erasmus University Rotterdam, he defended his thesis entitled “Clinical Application of IVUS and QCA to Assess PCI and Atherosclerosis” at Erasmus University Rotterdam. Based on his Rotterdam experience, Prof. Dr. Yukio Ozaki proposed for the first time that intact fibrous cap ACS (IFC-ACS) by OCT and angioscopy would be plaque erosion (EHJ 2011), reported firstly integrated backscatter IVUS defined thin cap fibroatheroma (TCFA) in comparison with OCT (Circ J 2015), initially examine the fate of incomplete stent apposition (ISA) in DES by OCT (EHJ 2010). While Yukio Ozaki, Sadako Motoyama and Jagat Narula initially reported that positive remodeling (PR) and low attenuation plaque (LAP) are crucial factors in ACS lesions by CT angiography, they published these features could predict the occurrence of future ACS and play a role in the long-term prognosis for the first time (JACC 2007, JACC 2009 & JACC 2015). Subsequently, Dr. Ozaki’s CITATION INDEX has reached 7,214 by Pure System in Elsevier in December 2019.

学歴

 1

論文

 237
  • Hiroyuki Naruse, Junichi Ishii, Tousei Hashimoto, Kousuke Hattori, Makoto Ishikawa, Masanori Okumura, Shino Kan, Shigeru Matsui, Hideo Izawa, Masanori Nomura, Yukio Ozaki
    CIRCULATION 122(21) 2010年11月  査読有り
  • Shigeru Matsui, Junnichi Ishii, Kousuke Hattori, Tomoko Kawai, Tousei Hashimoto, Kenji Miyagishima, Hiroyuki Naruse, Hideo Izawa, Masanori Nomura, Shingo Yamada, Ryuichi Morishita, Yukio Ozaki
    CIRCULATION 122(21) 2010年11月  査読有り
  • Sadako Motoyama, Masayoshi Sarai, Kaori Inoue, Hiroto Harigaya, Hideki Kawai, Hiroyuki Naruse, Junnichi Ishii, Jagat Narula, Yukio Ozaki
    CIRCULATION 122(21) 2010年11月  査読有り
  • Sadako Motoyama, Masayoshi Sarai, Hideki Kawai, Hiroto Harigaya, Hiroyuki Naruse, Junnichi Ishii, Yukio Ozaki, Jagat Narula
    CIRCULATION 122(21) 2010年11月  査読有り
  • Jun-ichiro Masuda, Yukio Ozaki, Ikuo Miyajima, Hiroshi Okubo
    JOURNAL OF THE FACULTY OF AGRICULTURE KYUSHU UNIVERSITY 55(2) 231-232 2010年10月  査読有り
    We examined the effects of exogenous ethylene on rhizome transition to storage organ in lotus (Nelumbo nucifera) by using seed derived plants. The rhizomes elongated in long days and enlarged in short days with ethephon treatments as well as those in the control. It is suggested that ethylene is not involved in rhizome swelling in lotus plants.
  • Kenji Miyagishima, Shinya Hiramitsu, Hisashi Kimura, Kazumasa Mori, Ryuji Yoda, Shigeru Kato, Yasuchika Kato, Shin-Ichiro Morimoto, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 16(9) S135-S135 2010年9月  査読有り
  • Kenji Miyagishima, Shinya Hiramitsu, Hisashi Kimura, Kazumasa Mori, Ryuji Yoda, Shigeru Kato, Yasuchika Kato, Shin-ichiro Morimoto, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 16(9) S174-S174 2010年9月  査読有り
  • Kenji Miyagishima, Shinya Hiramitsu, Hisashi Kimura, Kazumasa Mori, Ryuji Yoda, Shigeru Kato, Yasuchika Kato, Shin-ichiro Morimoto, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 16(9) S173-S174 2010年9月  査読有り
  • Katsue Suzuki-Inoue, Osamu Inoue, Guo Ding, Satoshi Nishimura, Kazuya Hokamura, Koji Eto, Hirokazu Kashiwagi, Yoshiaki Tomiyama, Yutaka Yatomi, Kazuo Umemura, Yonchol Shin, Masanori Hirashima, Yukio Ozaki
    JOURNAL OF BIOLOGICAL CHEMISTRY 285(32) 24494-24507 2010年8月  査読有り
    CLEC-2 has been described recently as playing crucial roles in thrombosis/hemostasis, tumor metastasis, and lymphangiogenesis. The snake venom rhodocytin is known as a strong platelet activator, and we have shown that this effect is mediated by CLEC-2 (Suzuki-Inoue, K., Fuller, G. L., Garc a, A., Eble, J. A., Pohlmann, S., Inoue, O., Gartner, T. K., Hughan, S. C., Pearce, A. C., Laing, G. D., Theakston, R. D., Schweighoffer, E., Zitzmann, N., Morita, T., Tybulewicz, V. L., Ozaki, Y., and Watson, S. P. (2006) Blood 107, 542-549). Podoplanin, which is expressed on the surface of tumor cells, is an endogenous ligand for CLEC-2 and facilitates tumor metastasis by inducing platelet aggregation. Mice deficient in podoplanin, which is also expressed on the surface of lymphatic endothelial cells, show abnormal patterns of lymphatic vessel formation. In this study, we report on the generation and phenotype of CLEC-2-deficient mice. These mice are lethal at the embryonic/neonatal stages associated with disorganized and blood-filled lymphatic vessels and severe edema. Moreover, by transplantation of fetal liver cells from Clec-2(-/-) or Clec-2(+/+) embryos, we were able to demonstrate that CLEC-2 is involved in thrombus stabilization in vitro and in vivo, possibly through homophilic interactions without apparent increase in bleeding tendency. We propose that CLEC-2 could be an ideal novel target protein for an anti-platelet drug, which inhibits pathological thrombus formation but not physiological hemostasis.
  • Tomoko Kawai, Hisashi Umeda, Masaya Ota, Kousuke Hattori, Makoto Ishikawa, Masanori Okumura, Shino Kan, Tadashi Nakano, Hiroyuki Naruse, Shigeru Matsui, Junichi Ishii, Hitoshi Hishida, Yukio Ozaki
    CORONARY ARTERY DISEASE 21(5) 298-303 2010年8月  査読有り
    Objectives Stent fracture (SF) of sirolimus-eluting stents (SES) has emerged recently in the literature and shown to be associated with an increased risk of restenosis; however, little is known regarding SF after bare-metal stent implantation. We sought to assess whether the use of SES was associated with an increased risk of SF compared with its bare-metal platform, the Bx-velocity stent (BX-BMS). Methods A total of 478 lesions in 416 patients undergoing SES implantation and subsequent angiography 6-9 months after the index procedure were compared with 152 lesions in 142 consecutive patients treated with BX-BMS. Stented lesions with total stent-length greater than 40 mm were excluded. Results There were no significant differences in overall baseline clinical and anatomic features between the SES and BX-BMS groups, or in SF frequencies at 6-9 month follow-up (4.4% for SES and 1.3% for BX-BMS, P = 0.078). In-stent restenosis was observed more often in SF lesions versus non-SF lesions (34.8 vs. 7.7%, P < 0.001) in association with a higher 3-year adverse events rate (27.3 vs. 13.6%, P = 0.076). The risk of SF at 6-9 months was independently associated with total stent length [odds ratio (OR), 2.13; 95% confidence interval (CI), 1.18-3.83; P = 0.012], angulated lesions (OR, 4.25; 95% CI, 1.80-10.00; P = 0.001), and right coronary artery lesions (OR, 3.55; 95% CI, 1.46-8.62; P = 0.005) but not with SES use. Conclusion Stent implantation in right coronary artery lesions, tortuous lesions, and/or longer lesions covered with longer stents, and not SES versus BX-BMS use, may be associated with increased likelihood of SF. Coron Artery Dis 21: 298-303 (C) 2010 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.
  • Tomonari Koike, Ying Yu, Jifeng Zhang, Jianglin Fan, Yukio Ozaki, Shuji Kitajima, Kazutoshi Nishijima, Masatoshi Morimoto, Teruo Watanabe, Sucharit Bhakdi, Yujiro Asada, Y. Eugene Chen
    CIRCULATION 122(4) E407-E407 2010年7月  査読有り
  • Takafumi Hiro, Takeshi Kimura, Takeshi Morimoto, Katsumi Miyauchi, Yoshihisa Nakagawa, Masakazu Yamagishi, Yukio Ozaki, Kazuo Kimura, Satoshi Saito, Tetsu Yamaguchi, Hiroyuki Daida, Masunori Matsuzaki
    CIRCULATION JOURNAL 74(6) 1165-1174 2010年6月  査読有り
    Background: The Japan Assessment of Pitavastatin and Atorvastatin in Acute Coronary Syndrome (JAPAN-ACS) trial has found that early aggressive statin therapy in patients with acute coronary syndrome (ACS) significantly reduces the plaque volume (PV) of non-culprit coronary lesions. The purpose of the present study was to evaluate clinical factors that have an impact on plaque regression using statin therapy. Methods and Results: Serial intravascular ultrasound observations over 8-12 months were performed in 252 ACS patients receiving pitavastatin or atorvastatin. Linear regression analysis identified the presence of diabetes mellitus (DM) and PV at baseline as inhibiting factors, and serum remnant-like particle-cholesterol level at baseline as a significant factor significantly affecting the degree of plaque regression. Significant correlation between % change of PV and low-density lipoprotein cholesterol (LDL-C) level was found in patients with DM (n=73, P<0.05, r=0.4), whereas there was no significant correlation between the 2 parameters in patients without DM (n=178). Conclusions: The regression of coronary plaque induced by statin therapy after ACS was weaker in diabetic patients than their counterparts. Moreover, vigorous reduction of the LDL-C levels might induce a greater degree of plaque regression in ACS patients with DM. (Circ J 2010; 74: 1165-1174)
  • Biswas Shankar, Sarai Masayoshi, Toyama Hiroshi, Kawai Hideki, Iwase Masatsugu, Ozaki Yukio
    JOURNAL OF NUCLEAR MEDICINE 51 2010年5月  査読有り
  • Nobumine Tateishi, Yukio Ozaki, Hiroshi Okubo
    JOURNAL OF THE JAPANESE SOCIETY FOR HORTICULTURAL SCIENCE 79(2) 207-214 2010年4月  査読有り
    Pigment and molecular analyses were carried out to elucidate how the white marginal picotee in the petals of Camellia japonica 'Tamanoura' is expressed. HPLC analyses showed that two major anthocyanins (cyanidin 3-glucoside and cyanidin 3-galactoside) were accumulated in the red part of the petals of 'Tamanoura', as found in those of wild type C. japonica, whereas no anthocyanins were detected in the white picotee part, indicating that the anthocyanin biosynthetic pathway might be blocked at some steps in the white part. Transcriptional levels of the genes involved in anthocyanin biosynthesis were investigated by RT-PCR. Most genes were equally expressed in both red and white parts of 'Tamanoura' petals, but the expression of chalcone synthase (CHS) was strongly suppressed only in the white picotee part. Full-length cDNA sequence of CjCHS was determined using the 5' and 3' RACE approach. The deduced amino acid sequence of CjCHS shared high homology with those of several woody plants. cDNA RT-PCR and genomic DNA PCR revealed no length differences in PCR products between red and white picotee parts in the petals of 'Tamanoura', suggesting that no insertion of transposable elements and DNA rearrangement occurred in CjCHS in the white part.
  • Nobumine Tateishi, Yukio Ozaki, Hiroshi Okubo
    JOURNAL OF THE FACULTY OF AGRICULTURE KYUSHU UNIVERSITY 55(1) 21-28 2010年2月  査読有り
    Partial cDNA sequences of three anthocyamin biosynthetic genes (FSH, flavanone 3-hydroxylase, DFR, dihydroflavonol 4-reductase, ANS, anthocyanidin synthase) were isolated from the petals of Camellia japonica. Then deduced partial amino acid sequences shared high homologies with those of woody plant species (CjF3Ha, 98.0%, CjF3Hb, 91.2% and CjDFR, 99.0% with Camellia sinensus, CjANS, 90.3% with Rhododendron x pulchrum). Some important amino acid residues for enzymatic activities were also conserved in the isolated clones, suggesting that the genes we identified in this study were the homologues of C. japonica. Gene-specific primer pairs were designed basect on each partial cDNA sequence. The application of these primer pairs to RT-PCR analyses tested.
  • Shosaku Nomura, Akira Shouzu, Katsushi Taomoto, Yuko Togane, Shinya Goto, Yukio Ozaki, Shinichiro Uchiyama, Yasuo Ikeda
    JOURNAL OF ATHEROSCLEROSIS AND THROMBOSIS 16(6) 878-887 2009年12月  査読有り
    Aim: Platelet-derived microparticles (PDMPs) play roles in normal hemostatic responses to vascular injury because they possess prothrombinase activity. Although the most widely used method for studying PDMP is flow cytometry, we previously developed an enzyme-linked immunosorbent assay (ELISA) method as an easier and more reproducible PDMP assay. The purpose of this study was to use various clinical settings to verify whether this ELISA method can produce equivalent results to flow cytometry for PDMP. Methods: We performed a large-scale clinical study for various thrombotic and subatherothrombotic diseases using an ELISA kit. The study group included 692 patients with cerebral infarction, heart failure, acute coronary syndrome or diabetes mellitus. Results: When baseline PDMP values in the various diseases were compared with those in healthy controls, significant differences were noted in all cases. There were significantly elevated levels of PDMPs in diabetic patients with complications but no thrombosis. When baseline PDM[P values in cerebral infarction were compared within the subclassifications, atheroma and other types of infarction exhibited significantly elevated PDMP levels compared with lacunar infarction. Cerebral infarction exhibited a significant change in PDMPs after therapy compared with the baseline (before therapy), but not in acute coronary syndrome and heart failure. The ELISA method exhibited results almost identical to flow cytometry for PDMP in various atherothrombotic diseases. Conclusion: Although further examinations to evaluate the therapeutic usefulness of these diseases are necessary, ELISA kits possibly represent a new tool for PDMP related to atherothrombosis.
  • Hideo Izawa, Akihiro Hirashiki, Hidehito Funahashi, Xian X. Cheng, Masakazu Kobayashi, Ken Harada, Yosuke Murase, Kazumasa Unno, Satoshi Shintani, Yukio Ozaki, Mitsuhiro Yokota, Masanori Nomura, Toyoaki Muorhara
    CIRCULATION 120(18) S831-S831 2009年11月  査読有り
  • Katsumi Miyauchi, Hiroyuki Daida, Takeshi Kimura, Takafumi Hiro, Takeshi Morimoto, Yoshihisa Nakagawa, Masakazu Yamagishi, Yukio Ozaki, Masunori Matsuzaki
    CIRCULATION 120(18) S937-S937 2009年11月  査読有り
  • Tomonari Koike, Shuji Kitajima, Ying Yu, Kazutoshi Nishijima, Jifeng Zhang, Yukio Ozaki, Masatoshi Morimoto, Teruo Watanabe, Sucharit Bhakdi, Yujiro Asada, Y. Eugene Chen, Jianglin Fan
    CIRCULATION 120(21) 2088-U53 2009年11月  査読有り
    Background-Although there is a statistically significant association between modestly raised baseline plasma C-reactive protein (CRP) values and future cardiovascular events, the debate is still unsettled in regard to whether CRP plays a causal role in the pathogenesis of atherosclerosis. Methods and Results-We generated 2 lines of transgenic (Tg) rabbits expressing human CRP (hCRP). The plasma levels of hCRP in hCRP-Tg-1 and hCRP-Tg-2 rabbits were 0.4 +/- 0.13 (n=14) and 57.8 +/- 20.6 mg/L (n=12), respectively. In addition, hCRP isolated from Tg rabbit plasma exhibited the ability to activate the rabbit complement. To define the role of hCRP in atherosclerosis, we compared the susceptibility of hCRP-Tg rabbits to cholesterol-rich diet-induced aortic and coronary atherosclerosis with that of non-Tg rabbits. After being fed with a cholesterol-rich diet for 16 weeks, Tg and non-Tg rabbits developed similar hypercholesterolemia and lesion sizes in both aortic and coronary arteries. Immunohistochemical staining and Western blotting revealed that hCRP was indeed present in the lesions but did not affect macrophage accumulation and smooth muscle cell proliferation of the lesions. Conclusions-Neither high nor low plasma concentrations of hCRP affected aortic or coronary atherosclerosis lesion formation in hCRP-Tg rabbits. (Circulation. 2009;120:2088-2094.)
  • Hiroyuki Naruse, Junnichi Ishii, Tousei Hashimoto, Makoto Ishikawa, Masanori Okumura, Shigeru Matrui, Shinnichirou Morimoto, Masanori Nomura, Hitoshi Hishida, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 15(7) S155-S155 2009年9月  査読有り
  • Shigeru Matsui, Junnichi Ishii, Tousei Hashimoto, Masanori Okumura, Tadashi Nakano, Yoshihisa Mori, Hiroyuki Naruse, Shinnichirou Morimoto, Masanori Nomura, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 15(7) S161-S161 2009年9月  査読有り
  • Kenji Miyagishima, Shinya Hiramitsu, Hisashi Kimura, Kazumasa Mori, Ryuji Yoda, Shigeru Kato, Yasuchika Kato, Shin-Ichiro Morimoto, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 15(7) S162-S162 2009年9月  査読有り
  • Tousei Hashimoto, Junntichi Ishii, Shigeru Matsui, Hiroyuki Naruse, Tadashi Nakano, Shinnichirou Morimoto, Masanori Nomura, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 15(7) S163-S164 2009年9月  査読有り
  • Kenji Miyagishima, Shinya Hiramitsu, Hisashi Kimura, Kazumasa Mori, Ryuji Yoda, Shigeru Kato, Yasuchika Kato, Shin-Ichiro Morimoto, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 15(7) S161-S161 2009年9月  査読有り
  • Kenji Miyagishima, Shinya Hiramitsu, Hisashi Kimura, Kazumasa Mori, Ryuji Yoda, Shigeru Kato, Yasuchika Kato, Shin-Ichiro Morimoto, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 15(7) S181-S181 2009年9月  査読有り
  • Keizo Yamaguchi, Akira Ohno, Yoshikazu Ishii, Kazuhiro Tateda, Morihiro Iwata, Makoto Kanda, Kouji Akizawa, Chikara Shimizu, Shinichirou Kon, Kastushi Nakamura, Keiko Matsuda, Makoto Tominaga, Takuo Nakagawa, Akihiro Sugita, Tatsumi Ito, Jun Kato, Akira Suwabe, Kumiko Yamahata, Chizuko Kawamura, Hiromi Tashiro, Hiroko Horiuchi, Yosei Katayama, Shigemi Kondou, Shigeki Misawa, Misturu Murata, Yoshio Kobayashi, Hideyuki Okamoto, Kenichiro Yamazaki, Motoi Okada, Kosuke Haruki, Harushige Kanno, Masanori Aihara, Shigefumi Maesaki, Giichi Hashikita, Eiji Miyajima, Midori Sumitomo, Takefumi Saito, Nobuo Yamane, Chieko Kawashima, Takahisa Akiyama, Tamio Ieiri, Yoshitaka Yamamoto, Yuki Okamoto, Hidetoshi Okabe, Kunihiko Moro, Masayo Shigeta, Haruyoshi Yoshida, Masanobu Yamashita, Yukio Hida, Takayuki Takubo, Tadashi Kusakabe, Hiroya Masaki, Hitoshi Heijyou, Hideo Nakaya, Kunimitsu Kawahara, Reiko Sano, Syuji Matsuo, Hisashi Kono, Yosuke Yuzuki, Norio Ikeda, Masayo Idomuki, Masayuki Soma, Go Yamamoto, Syohiro Kinoshita, Seiji Kawano, Mikio Oka, Nobuchika Kusano, Dongchon Kang, Junko Ono, Minoru Yasujima, Makoto Miki, Masato Hayashi, Syunji Okubo, Syunkou Toyoshima, Mitsuo Kaku, Imao Sekine, Joji Shiotani, Hajime Horiuchi, Yoko Tazawa, Akiko Yoneyama, Kazunari Kumasaka, Kazuhiko Koike, Nobuyuki Taniguchi, Yukio Ozaki, Takashi Uchida, Masami Murakami, Kazuhisa Inuzuka, Hideo Gonda, Ikuo Yamaguchi, Yoshinori fujimoto, Junji Iriyama, Yuko Asano, Hitoshi Genma, Masato Maekawa, Hitoshi Yoshimura, Kaname Nakatani, Hisashi Baba, Satoshi Ichiyama, Shinichi Fujita, Masao Kuwabara, Toshiro Okazaki, Hiromitsu Fujiwara, Hiromi Ota, Astushi Nagai, Jun Fujita, Kiyoshi Negayama, Tetsuro Sugiura, Mikio Kamioka, Mitsuharu Murase, Nobuhisa Yamane, Isamu Nakasone, Akihiko Okayama, Yosuke Aoki, Koji Kusaba, Yukari Nakashima, Hiroaki Miyanohara, Kazufumi Hiramatsu, Tetsunori Saikawa, Katsunori Yanagihara, Junichi Matsuda, Shigeru Kohno, Koichi Mashiba
    The Japanese journal of antibiotics 62(4) 346-70 2009年8月  査読有り
    We have reported in this journal in vitro susceptibilities of clinical isolates to antibiotics every year since 1992. In this paper, we report the results of an analysis of in vitro susceptibilities of 12,919 clinical isolates from 72 centers in Japan to selected antibiotics in 2007 compared with the results from previous years. The common respiratory pathogens, Streptococcus pyogenes, Streptococcus pneumoniae, Moraxella catarrhalis and Haemophilus influenzae maintained a high susceptibility to fluoroquinolones (FQs). The resistance of S. pyogenes to macrolides has been increasing every year and this was especially clear this year. Most strains of Enterobacteriaceae except for Escherichia coli showed a high susceptibility to FQs. Almost 30% of E. coli strains were resistant to FQs and the resistance increased further this year. FQs resistance of methicillin-resistant Staphylococcus aureus (MRSA) was approximately 95% with the exception of 45% for sitafloxacin (STFX). FQs resistance of methicillin-susceptible S. aureus (MSSA) was low at about 10%. FQs resistance of methicillin-resistant coagulase negative Staphylococci (MRCNS) was higher than that of methicillin-susceptible coagulase negative Staphylococci (MSCNS), but it was lower than that of MRSA. However, FQs resistance of MSCNS was higher than that of MSSA. FQs resistance of Enterococcus faecalis was 22.5% to 29.6%, while that of Enterococcusfaecium was more than 85% except for STFX (58.3%). In clinical isolates of Pseudomonas aeruginosa derived from urinary tract infections, FQs resistance was 21-27%, which was higher than that of P. aeruginosa from respiratory tract infections at 13-21%, which was the same trend as in past years. Multidrug resistant strains accounted for 5.6% in the urinary tract and 1.8% in the respiratory tract. Acinetobacter spp. showed high susceptibility to FQs. The carbapenem resistant strains, which present a problem at present, accounted for 2.7%. Neisseria gonorrhoeae showed high resistance of 86-88% to FQs. The results of the present survey indicated that although methicillin-resistant Staphylococci, Enterococci, E. coli, P. aeruginosa, and N. gonorrhoeae showed resistance tendencies, and other species maintained high susceptibility rates more than 90% against FQs, which have been used clinically for over 15 years.
  • Kunimasa Yagi, Yukiko Kojima Koba, Atsushi Nohara, Masakazu Yamagishi, Takeshi Morimoto, Takafumi Hiro, Katsumi Miyauchi, Yoshihisa Nakagawa, Yukio Ozaki, Takeshi Kimura, Hiroyuki Daida, Masunori Matsuzaki
    DIABETES 58 A193-A193 2009年6月  査読有り
  • Yukio Ozaki, Takashi Ukai, Masayuki Yamaguchi, Miho Yokoyama, Esperanza R. Ayon Haro, Mayumi Yoshimoto, Takashi Kaneko, Miho Yoshinaga, Hirotaka Nakamura, Chiaki Shiraishi, Yoshitaka Hara
    BONE 44(6) 1169-1176 2009年6月  査読有り
    T cells play important roles in bone destruction and osteoclastogenesis and are found in chronic destructive bone lesions. Lipopolysaccharide (LPS) is one of several pathological factors involved in inflammatory bone destruction. We previously described the importance of T cells in the inflammatory bone resorption that occurs after repeated LPS administration. However, whether local or systemic T cells are important for inflammatory bone resorption and whether immunization of host animals influences bone resorption remain unclear. The present study examines the effects of local extant T cells from LPS-immunized mice on LPS-induced bone resorption. T cells from LPS-immunized or non-immunized mice were injected together with LPS into the gingival tissues of mice with severe combined immunodeficiency disease that lack both T and B cells. We histomorphometrically evaluated bone resorption at sites of T cell injections and examined the influence of T cells from LPS-immunized mice on osteoclastogenesis in vitro. We found that locally administered T cells from LPS-immunized but not non-immunized mice accelerated LPS-induced bone resorption in vivo. Moreover, T cells from LPS-immunized mice increased osteoclastogenesis in vitro induced by receptor activator of NF-kappa B ligand and LPS and anti-tumor necrosis factor (TNF)-alpha antibody inhibited this increase. These results demonstrated that local extant T cells accelerate inflammatory bone resorption. Furthermore. T cells from LPS-immunized mice appear to elevate LPS-induced bone resorption using TNF-alpha. (C) 2009 Elsevier Inc. All rights reserved.
  • Sarai Masayoshi, Biswas Shankar, Toyama Hiroshi, Yamada Akira, Motoyama Sadako, Iwase Masatsugu, Hishida Hitoshi, Ozaki Yukio
    JOURNAL OF NUCLEAR MEDICINE 50 2009年5月  査読有り
  • Akira Mende, Jyun-ei Obata, Keita Sano, Mitsumasa Hirano, Yoshinobu Kitta, Yasushi Kodama, Takamitsu Nakamura, Ken-ichi Kawabata, Yukio Saitoh, Daisuke Fujioka, Tsuyoshi Kobayashi, Kaneo Satoh, Yukio Ozaki, Toshiaki Yano, Kiyotaka Kugiyama
    THROMBOSIS RESEARCH 123(6) 856-861 2009年4月  査読有り
    Introduction: A simple, validated method to measure platelet function is unavailable for bedside use. Measurement of platelet retention rate using a column of collagen-coated beads and whole blood is a new, simple assay that reflects platelet aggregation. This study was aimed to examine the utility of this assay to assess efficacy of antiplatelet drug therapy. Methods: Citrated whole blood (1.5 ml) in a syringe was passed through a polyvinyl tube packed with collagen-coated beads for 40 seconds using a syringe pump. Platelet retention rate in the column was calculated from platelet counts in blood before and after passage. An increase in the retention rate reflects an increase in platelet activity. This new platelet retention assay and the traditional optical aggregometry assay were performed in 331 patients with stable coronary artery disease (CAD). Results: The retention rate was significantly reduced in patients taking dual antiplatelet therapy (aspirin plus clopidogrel or ticlopidine) compared with aspirin alone. There was a significant linear correlation between the platelet retention rate and platelet aggregability measured by the traditional method (r=0.44, p<0.001). In multivariate Cox proportional hazards analysis, higher platelet retention rate was an independent predictor of future cardiovascular events in patients on dual antiplatelet therapy (hazard ratio 3.9, 95% CI 1.6 to 9.5, p = 0.003). Conclusions: Measurement of the platelet retention rate in a column of collagen-coated beads may be useful for monitoring the efficacy of antiplatelet drug therapy in patients with CAD. (C) 2008 Elsevier Ltd. All rights reserved.
  • Yoshihisa Nakagawa, Takeshi Kimura, Takeshi Morimoto, Takafumi Hiro, Katsumi Miyauchi, Yukio Ozaki, Masakazu Yamagishi, Tetsu Yamaguchi, Satoshi Saito, Kazuo Kimura, Hiroyuki Daida, Masunori Matsuzaki
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 53(10) A45-A45 2009年3月  査読有り
  • Takafumi Hiro, Takeshi Kimura, Takeshi Morimoto, Katsumi Miyauchi, Yoshihisa Nakagawa, Masakazu Yamagishi, Yukio Ozaki, Kazuo Kimura, Satoshi Saito, Tetsu Yamaguchi, Hiroyuki Daida, Masunori Matsuzaki
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 53(10) A204-A204 2009年3月  査読有り
  • Nobuaki Kokubu, Mitusru Abe, Yoritaka Otsuka, Yoichiro Kasahara, Yu Kataoka, Hiroshi Nonogi, Katsumi Miyauchi, Takeshi Kimura, Takeshi Morimoto, Yoshihisa Nakagawa, Masakazu Yamagishi, Yukio Ozaki, Takafumi Hiro, Tetsu Yamaguchi, Satoshi Saito, Kazuo Kimura, Hiroyuki Daida, Masanori Matsuzaki
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 53(10) A203-A203 2009年3月  査読有り
  • Hidenori Arai, Takeshi Kimura, Takeshi Morimoto, Takafumi Hiro, Katsumi Miyauchi, Hiroyuki Daida, Yoshihisa Nagkagawa, Yukio Ozaki, Tetsu Tamaguchi, Satoshi Saito, Kazuo Kimura, Masunori Matsuzaki
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 53(10) A330-A330 2009年3月  査読有り
  • Yukio Ozaki, Shino C. Kan, Hirouki Naruse, Masanori Okumura, Kousuke Hattori, Makoto Ishikawa, Tomoko Kawai, Hiroto Harigaya, Shigeru Matsui, Sadako Motoyama, Masayoshi Sarai, Junichi Ishii, Hitoshi Hishida, Masunori Matsuzaki
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 53(10) A338-A338 2009年3月  査読有り
  • Kiyoshi Hibi, Takeshi Kimura, Kazuo Kimura, Takeshi Morimoto, Izumi Miki, Saeko Minematsu, Takafumi Hiro, Katsumi Miyauchi, Yoshihisa Nakagawa, Masakazu Yamagishi, Yukio Ozaki, Satoshi Saito, Tetsu Yamaguchi, Hiroyuki Daida, Masunori Matsuzaki
    JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 53(10) A422-A422 2009年3月  査読有り
  • Yumiko Satoh, Xin Li, Hiromitsu Yokota, Makoto Osada, Yukio Ozaki, Ryohei Katoh, Yutaka Yatomi
    JOURNAL OF BIOCHEMISTRY 145(1) 31-36 2009年1月  査読有り
    Sphingolipids, including ceramide (Cer), sphingosine (Sph), and sphingosine 1-phosphate (Sph-1-P) have recently emerged as signal-transducing molecules. Functionally, a distinguishing characteristic of these lipids is their apparent participation in pro- or anti-proliferative cell regulation pathways. In this study, we examined the involvement of sphingolipids in the fate of FRTL-5 thyroid follicular cells. We first examined the effects of sphingolipids on FRTL-5 cell viability. Sph and Cer induced apoptosis, as revealed by fluorescence microscopy of TUNEL-positive fragmented nuclei and 180300 bp DNA fragmentation on agarose gel electrophoresis while Sph-1-P was confirmed to prevent FRTL-5 cell apoptosis induced by deprivation of serum and TSH, possibly via cell surface receptors. We then analysed the metabolism of radiolabelled Sph and C(6)-Cer (a synthetic cell-permeable Cer) in FRTL-5 cells by thin layer chromatography, followed by autoradiography. Sph was mainly metabolized to Cer, and then to sphingomyelin, while Sph conversion into Sph-1-P was hardly detected. These changes were not affected by stimulation of the cells with TSH. Our results indicate the involvement of sphingolipid mediators in the fate of FRTL-5 thyroid cells.
  • Miyagishima K, Hiramitsu S, Kimura H, Mori K, Ueda T, Kato S, Kato Y, Ishikawa S, Iwase M, Morimoto S, Hishida H, Ozaki Y
    Circulation journal : official journal of the Japanese Circulation Society 73(1) 92-99 2009年1月  査読有り
  • Osamu Inoue, Katsue Suzuki-Inoue, Daisuke Shinoda, Yasuto Umeda, Masazumi Uchino, Sin-ichi Takasaki, Yukio Ozaki
    FEBS LETTERS 583(1) 81-87 2009年1月  査読有り
    Novel synthetic collagen fibers, poly(PHG) made by polycondensation of Pro-Hyp-Gly, spontaneously assume polymeric structure with molecular weights greater than 10(5). Its application for biomaterials has been explored, but that for a platelet agonist has not been investigated. Poly(PHG)-induced platelet aggregation independently of thromboxane A(2) and integrin alpha 2 beta 1. Poly(PHG)-induced tyrosine phosphorylation of glycoprotein VI (GPVI)-related molecules and failed to activate GPVI/FcR gamma-deficient platelets. Binding of GPVI to poly(PHG) was confirmed by a surface plasmon resonance spectroscopy, suggesting that poly(PHG) activates platelets through GPVI. Poly(PHG) is an useful research tool to investigate GPVI-mediated signals and a substitute for collagen in platelet functional assays. (c) 2008 Federation of European Biochemical Societies. Published by Elsevier B.V. All rights reserved.
  • Shinya Hiramitsu, Kenji Miyagishima, Hisashi Kimura, Kazumasa Mori, Kenji Shiino, Akira Yamada, Shigeru Kato, Yasuchika Kato, Shin-Ichiro Morimoto, Hitoshi Hishida, Yukio Ozaki
    Circulation Journal 73 A36-A41 2009年  査読有り
    Patients admitted to the hospital with heart failure (HF) include those with new-onset of acute HF and those with acute exacerbation of chronic HF (CHF). In therapy for new-onset acute HF associated with acute myocardial infarction, therapy to inhibit left ventricular (LV) remodeling in the convalescent phase is required in addition to that needed to overcome the acute phase. Hitherto, CHF therapy was aimed at improving LV contractability, whereas more recently the aim has shifted to resting the heart. Most patients with HF should be routinely managed with a combination of 3 types of drugs: a diuretic an angiotensin converting enzyme inhibitor and/or an angiotensin II receptor blocker and a β-blocker. The administration of β-blockers is of particular importance. For HF unresponsive to medical therapy, non-pharmacological therapies are considered. When a HF patient fails to respond to all available therapies, heart transplantation becomes necessary. Of the 1,000 HF patients admitted to our hospital, two cases received heart transplants. 11 cases were indicated for heart transplantation but died before registration. It should be remembered that although in Japan the possibility of receiving a heart transplant is very low, it is by no means entirely impossible.
  • Yamazaki M, Asakura H, Ozaki Y
    Nihon Naika Gakkai zasshi. The Journal of the Japanese Society of Internal Medicine 97(12) 2974-2982 2008年12月  査読有り
  • Hiroyuki Naruse, Junnichi Ishii, Shino Kan, Masanori Okumura, Tadashi Nakano, Yoshihisa Mori, Shigeru Matsui, Masanori Nomura, Hitoshi Hishida, Yukio Ozaki
    CIRCULATION 118(18) S614-S614 2008年10月  査読有り
  • Sadako Motoyama, Masayoshi Sarai, Hiroto Harigaya, Tomonori Hara, Kaori Inoue, Hiroyuki Naruse, Junnichi Ishi, Nathan D. Wong, Hitoshi Hishida, Yukio Ozaki, Jagat Narula
    CIRCULATION 118(18) S846-S846 2008年10月  査読有り
  • Junnichi Ishii, Toru Aoyama, Hiroki Kasuga, Takanobu Toriyama, Tadashi Nakano, Hiroyuki Naruse, Yoshihisa Mori, Shigeru Matsui, Masanori Nomura, Hitoshi Hishida, Yukio Ozaki
    CIRCULATION 118(18) S1102-S1103 2008年10月  査読有り
  • Hideo Izawa, Masanori Nomura, Akihiro Hirashiki, Toyoaki Murohara, Yukio Ozaki, Mitsuhiro Yokota
    JOURNAL OF CARDIAC FAILURE 14(7) S142-S143 2008年9月  査読有り
  • Hiroyuki Naruse, Junnichi Ishii, Kousuke Hattori, Makoto Ishikawa, Masanori Okumura, Shino Kan, Shigeru Matsui, Shinnichiro Morimoto, Hitoshi Hishida, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 14(7) S151-S151 2008年9月  査読有り
  • Shigeru Matsui, Junichi Ishi, Masanori Okumura, Tadashi Nakano, Yoshihisa Mori, Hiroyuki Naruse, Shinichirou Morimoto, Masanori Nomura, Hitoshi Hishida, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 14(7) S155-S155 2008年9月  査読有り
  • Kenji Miyagishima, Shinya Hiramitsu, Hisashi Kimura, Kazumasa Mori, Yasuchika Kato, Shigeru Kato, Shin-Ichiro Morimoto, Hitoshi Hishida, Yukio Ozaki
    JOURNAL OF CARDIAC FAILURE 14(7) S176-S176 2008年9月  査読有り
  • Hiroki Saruwatari, Yuka Shuto-Nakano, Kanehiro Nakano, Michikazu Hiramatsu, Yukio Ozaki, Hiroshi Okubo
    JOURNAL OF THE JAPANESE SOCIETY FOR HORTICULTURAL SCIENCE 77(3) 312-317 2008年7月  査読有り
    Lilium formosanum Wallace has remarkable traits such as 'precocious flowering' ability, i.e., it reaches anthesis within 12 months from seed germination, with multiple shooting of flower stalks. To verify the possibility of the usefulness of these traits in lily breeding, nine combinations of interspecific crosses (L. formosanum as the seed parent; L. auratum, L. speciosum, L. regale,'Lollypop','Pink Tiger','Zaza','Le Reve','Marco Polo', and 'African Queen' as pollen parents) were carried out with cut-style pollination and ovary-slice culture. Germination was observed in all nine interspecific crosses and 53 hybrids were obtained. Thirty (56.6%) of the 53 hybrids and two self-pollinated progenies of L. formosanum reached anthesis within 24 months from germination through ovary-slice culture. Multiple shooting of flower stalks was recognized in 11 (36.7%) of those flowered hybrids. Four hybrids, the pollen parents of which were Asiatic hybrid lilies with colored flowers, expressed 'precocious flowering' ability., multiple shooting of flower stalks, and entirely colored flowers simultaneously. These results suggest the possibility of breeding new types of cultivars with triple favorable traits from the cross between L. formosanum and Asiatic hybrid lilies with colored flowers.

MISC

 231
  • Masato Ishikawa, Takashi Muramatsu, Mamoru Nanasato, Ryo Nagasaka, Hidemaro Takatsu, Yu Yoshiki, Yosuke Hashimoto, Masaya Ohota, Masanori Okumura, Hiroyuki Naruse, Junichi Ishii, Katsuyoshi Ito, Hiroshi Takahashi, Hiroki Kamiya, Yukihiko Yoshida, Yukio Ozaki
    Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions 94(7) 947-955 2019年12月1日  
    OBJECTIVES: We sought to examine associations between plaque characteristics by intravascular ultrasound (IVUS) and detectability of external elastic lamina (EEL) by optical frequency domain imaging (OFDI) in human coronary arteries. BACKGROUND: It is often challenging to detect EEL which represents vessel size by light-based imaging modalities due to light intensity attenuation through atherosclerotic plaque. METHODS: IVUS and OFDI prior to stent implantation were sequentially investigated per protocol. We identified corresponding cross-sections by minimum lumen area (MLA) or just distally to side branches as anatomical landmarks. Plaque characterization was determined by integrated backscatter IVUS analysis. We categorized detectable EEL arc by OFDI into four groups: 0≤ and <1 quadrant (group 1), 1≤ and <2 quadrants (group 2), 2≤ and <3 quadrants (group 3), or 3≤ and <4 quadrants (group 4). RESULTS: We prospectively studied 103 vessels in 93 patients with stable coronary artery disease. Corresponding 711 cross-sections were analyzed. Cross-sections with detectable EEL arc <2 quadrants (group 1 or 2) were observed in 86.1% of MLA sites but only in 29.3% of non-MLA sites (p < .05). Percentage plaque area (%PA) appeared to be the strongest predictor to detect EEL arc <2 quadrants with the cut-off of 60.3% (AUC 0.90; sensitivity 79.8%, specificity 85.5%). Lipid pool and calcification remained statistically significant in predicting detectable EEL arc <2 quadrants after adjustment with %PA. CONCLUSIONS: Presence of large plaque burden, lipid pool, and calcification significantly predicts the detectability of EEL by OFDI assessment. Locations with detectable EEL arc <2 quadrants should thus be avoided for optimal stent landing zone.
  • Taishi Okuno, Jiro Aoki, Kengo Tanabe, Koichi Nakao, Yukio Ozaki, Kazuo Kimura, Junya Ako, Teruo Noguchi, Satoshi Yasuda, Satoru Suwa, Kazuteru Fujimoto, Yasuharu Nakama, Takashi Morita, Wataru Shimizu, Yoshihiko Saito, Atsushi Hirohata, Yasuhiro Morita, Teruo Inoue, Atsunori Okamura, Toshiaki Mano, Kazuhito Hirata, Yoshisato Shibata, Mafumi Owa, Kenichi Tsujita, Hiroshi Funayama, Nobuaki Kokubu, Ken Kozuma, Shiro Uemura, Tetsuya Tobaru, Keijiro Saku, Shigeru Ohshima, Kunihiro Nishimura, Yoshihiro Miyamoto, Hisao Ogawa, Masaharu Ishihara
    Circulation journal : official journal of the Japanese Circulation Society 83(5) 1054-1063 2019年4月25日  
    BACKGROUND: Beta-blockers are standard therapy for acute myocardial infarction (AMI). However, despite current advances in the management of AMI, it remains unclear whether all AMI patients benefit from β-blockers. We investigated whether admission heart rate (HR) is a determinant of the effectiveness of β-blockers for AMI patients. Methods and Results: We enrolled 3,283 consecutive AMI patients who were admitted to 28 participating institutions in the Japanese Registry of Acute Myocardial Infarction Diagnosed by Universal Definition (J-MINUET) study. According to admission HR, we divided patients into 3 groups: bradycardia (HR <60 beats/min, n=444), normocardia (HR 60 to ≤100 beats/min, n=2,013), and tachycardia (HR >100 beats/min, n=342). The primary endpoint was major adverse cardiac events (MACE), including all-cause death, non-fatal MI, non-fatal stroke, heart failure (HF), and urgent revascularization for unstable angina, at 3-year follow-up. Beta-blocker at discharge was significantly associated with a lower risk of MACE in the tachycardia group (23.6% vs. 33.0%; P=0.033), but it did not affect rates of MACE in the normocardia group (17.8% vs. 18.4%; P=0.681). In the bradycardia group, β-blocker use at discharge was significantly associated with a higher risk of MACE (21.6% vs. 12.7%; P=0.026). Results were consistent for multivariable regression and stepwise multivariable regression. CONCLUSIONS: Admission HR might determine the efficacy of β-blockers for current AMI patients.
  • Hiroyuki Okura, Yoshihiko Saito, Tsunenari Soeda, Koichi Nakao, Yukio Ozaki, Kazuo Kimura, Junya Ako, Teruo Noguchi, Satoshi Yasuda, Satoru Suwa, Kazuteru Fujimoto, Yasuharu Nakama, Takashi Morita, Wataru Shimizu, Atsushi Hirohata, Yasuhiro Morita, Teruo Inoue, Atsunori Okamura, Masaaki Uematsu, Kazuhito Hirata, Kengo Tanabe, Yoshisato Shibata, Mafumi Owa, Kenichi Tsujita, Kunihiro Nishimura, Yoshihiro Miyamoto, Masaharu Ishihara
    Heart and vessels 34(4) 564-571 2019年4月  
    Previous studies have demonstrated that use of intravascular ultrasound (IVUS) during percutaneous coronary intervention (PCI) was associated with lower incidence of death, myocardial infarction, and target vessel revascularization. Recently, optical coherence tomography (OCT) has emerged as an alternative intravascular imaging device with better resolution. The aim of this study was to investigate frequency and prognostic impact of IVUS or OCT-guided PCI during urgent revascularization for acute myocardial infarction diagnosed by the universal definition. A total of 2788 patients who underwent urgent PCI were selected from a multicenter, Japanese registry of acute myocardial infarction diagnosed by universal definition (J-MINUET). Frequency, clinical characteristics and prognostic impact of the IVUS-, or OCT- guided PCI were investigated. Clinical endpoint was in-hospital death. Angiography-, IVUS-, and OCT-guided urgent PCI were performed in 689 (24.7%), 1947 (69.8%), and 152 (5.5%) patients. In-hospital death in each group was 10.4%, 5.1%, and 3.3%, respectively (P < 0.01). By univariate and multivariate logistic regression analysis, IVUS-guided PCI (vs. angiography-guided PCI, OR 0.49, 95% CI 0.30-0.81, P = 0.006) was a significant independent predictor of in-hospital death. Intravascular imaging guided-PCI was frequently adopted during urgent PCI for acute myocardial infarction diagnosed by universal definition and was associated with better in-hospital survival.
  • Masaru Yamamoto, Katsunori Okajima, Akira Shimane, Tomoya Ozawa, Itsuro Morishima, Toru Asai, Masahiko Takagi, Atsunobu Kasai, Eitaro Fujii, Ken Kiyono, Eiichi Watanabe, Yukio Ozaki
    International heart journal 60(2) 318-326 2019年3月20日  
    Implantable cardioverter-defibrillators (ICDs) improve survival in patients who are at risk of sudden death. However, inappropriate therapy is commonly given to ICD recipients, and this situation may be associated with an increased risk of death. This study aimed to construct a risk stratification scheme by using decision tree analysis in patients who received inappropriate ICD therapy.Mortality was calculated from a retrospective data analysis of a multicenter cohort involving 417 ICD recipients. Inappropriate therapy was defined as therapy for nonventricular arrhythmias, including sinus tachycardia, supraventricular tachycardia, atrial fibrillation/flutter, oversensing, and lead failure. Inappropriate therapy included antitachycardia pacing, cardioversion, and defibrillation. The prognostic factors were identified by a Cox proportional hazards regression analysis, and we constructed a decision tree.During an average follow-up of 5.2 years, 48 patients (12%) had all-cause death. A multivariate Cox hazard model revealed that the age (hazard ratio [HR] 1.06, P < 0.001), ln B-type natriuretic peptide (BNP) (HR 1.47, P = 0.02), nonsinus rhythm at implantation (HR 2.70, P < 0.05), and inappropriate therapy occurring during sedentary/awake conditions (HR 3.51, P = 0.001) correlated with an increased risk of mortality. An inappropriate therapy due to abnormal sensing (HR 0.16, P = 0.04) decreased the risk of mortality. Furthermore, a decision tree analysis stratified the patients well by using 4 covariates: BNP, activity at the time of inappropriate therapy, mechanism of inappropriate therapy, and baseline rhythm at ICD implantation (log-rank test, P < 0.0001).We identified the predictors of mortality in inappropriate ICD therapy recipients and constructed a risk stratification scheme by using decision tree analysis.
  • Yohei Numasawa, Taku Inohara, Hideki Ishii, Kyohei Yamaji, Shun Kohsaka, Mitsuaki Sawano, Masaki Kodaira, Shiro Uemura, Kazushige Kadota, Tetsuya Amano, Masato Nakamura, Kazushige Kadota, Nobuo Shiode, Nobuhiro Tanaka, Tetsuya Amano, Shiro Uemura, Takashi Akasaka, Yoshihiro Morino, Kenshi Fujii, Hiroshi Hikichi, Shun Kohsaka, Hideki Ishii, Kengo Tanabe, Yukio Ozaki, Satoru Sumitsuji, Osamu Iida, Hidehiko Hara, Hiroaki Takashima, Shinichi Shirai, Mamoru Nanasato, Taku Inohara, Yasunori Ueda, Yohei Numasawa, Shigetaka Noma
    Journal of the American Heart Association 8(5) e011183 2019年3月5日  
    © 2019 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley. Background: Scarce data exist about the outcomes after percutaneous coronary intervention (PCI) in old patients. This study sought to provide an overview of PCI in elderly patients, especially nonagenarians, in a Japanese large prospective nationwide registry. Methods and Results: We analyzed 562 640 patients undergoing PCI (≥60 years of age) from 1018 Japanese hospitals between 2014 and 2016 in the J-PCI (Japanese percutaneous coronary intervention) registry. Among them, 10 628 patients (1.9%), including 6780 (1.2%) with acute coronary syndrome (ACS) and 3848 (0.7%) with stable coronary artery disease, were ≥90 years of age. We investigated differences in characteristics and in-hospital outcomes among sexagenarians, septuagenarians, octogenarians, and nonagenarians. Older patients were more frequently women and had a greater frequency of heart failure and chronic kidney disease than younger patients. In addition, older patients had a higher rate of in-hospital mortality, cardiac tamponade, cardiogenic shock after PCI, and bleeding complications requiring blood transfusion. Nonagenarians had the highest risk of in-hospital mortality (odds ratio, 3.60; 95% CI, 3.10–4.18 in ACS; odds ratio, 6.24; 95% CI, 3.82–10.20 in non-ACS) and bleeding complications (odds ratio, 1.79; 95% CI, 1.35–2.36 in ACS; odds ratio, 2.70; 95% CI, 1.68–4.35 in non-ACS) when referenced to sexagenarians. More important, transradial intervention was an inverse independent predictor of both in-hospital mortality and bleeding complications. Conclusions: Older patients, especially nonagenarians, carried a greater risk of in-hospital death and bleeding compared with younger patients after PCI. Transradial intervention might contribute to risk reduction for periprocedural complications in elderly patients undergoing PCI.

書籍等出版物

 9

講演・口頭発表等

 354

共同研究・競争的資金等の研究課題

 9