Item type |
文献 / Documents(1) |
公開日 |
2020-02-21 |
アクセス権 |
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アクセス権 |
open access |
資源タイプ |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
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資源タイプ |
journal article |
出版社版DOI |
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関連識別子 |
https://doi.org/10.1016/j.cardfail.2019.08.021 |
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関連名称 |
10.1016/j.cardfail.2019.08.021 |
出版タイプ |
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出版タイプ |
AM |
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出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
タイトル |
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タイトル |
Association Between Right Ventricular Contractile Function and Cardiac Events in Isolated Postcapillary and Combined Pre- and Postcapillary Pulmonary Hypertension |
タイトル別表記 |
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その他のタイトル |
Association between Right Ventricular Contractile Function and Cardiac Events in Isolated Post-capillary and Combined Pre- and Post-capillary Pulmonary Hypertension |
タイトル別表記 |
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その他のタイトル |
RV Strain in PH due to Left Heart Disease |
著者 |
楠瀬, 賢也
ヤマダ, ナオ
山田, 博胤
ニシオ, ススム
西條, 良仁
ヒラタ, ユキナ
トリイ, ユウタ
伊勢, 孝之
山口, 浩司
福田, 大受
八木, 秀介
添木, 武
若槻, 哲三
佐田, 政隆
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抄録 |
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内容記述 |
Background: Recent studies showed that the combined pre- and post-capillary pulmonary hypertension (CpcPH) had worse outcomes compared with isolated post-capillary (Ipc) PH. However, the prognostic factors including right ventricular (RV) function have not been well documented. The aim of this study was to assess the differentiation of PH phenotypes using echocardiography, and the association between RV longitudinal strain and cardiac events. Methods and Results: We prospectively recruited consecutive patients who had undergone right heart catheterization. The primary endpoint was cardiovascular death or readmission due to heart failure. One hundred thirty-seven patients with Group 2 PH were included. A RV longitudinal strain of 17% was sensitive (85%) and specific (70%) to determine the CpcPH. During a median period of 31 months, 43 patients had the primary endpoint during follow-up. In a multivariate analysis, RV longitudinal strain was associated with the primary endpoint in both CpcPH and IpcPH (hazard ratio: HR: 0.84, p =0.003 and HR: 0.86, p =0.001). Conclusions: Lower RV longitudinal strain was independently associated with worse outcomes in CpcPH and IpcPH. RV longitudinal strain may play a prognostic role among PH phenotypes. |
キーワード |
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主題 |
Pulmonary hypertension |
キーワード |
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主題 |
combined pre- and post-capillary |
キーワード |
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主題 |
isolated post-capillary |
キーワード |
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主題 |
pulmonary arterial hypertension |
キーワード |
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主題 |
right ventricular function |
キーワード |
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主題 |
combined pre- and postcapillary |
キーワード |
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主題 |
isolated postcapillary |
書誌情報 |
en : Journal of Cardiac Failure
巻 26,
号 1,
p. 43-51,
発行日 2019-09-02
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収録物ID |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
10719164 |
収録物ID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA11054062 |
収録物ID |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AA11542383 |
出版者 |
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出版者 |
Elsevier |
権利情報 |
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権利情報 |
© 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ |
EID |
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識別子 |
359365 |
言語 |
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言語 |
eng |