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Incidence and Predictors of Appropriate Implantable Cardioverter Defibrillator Therapy in Japanese Ischemic Heart Disease Patients
http://hdl.handle.net/10129/0002001980
http://hdl.handle.net/10129/0002001980d6304040-07a4-4835-9029-ec4bedce5a43
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
89_CJ-24-0436.pdf (1.6 MB)
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| アイテムタイプ | リポジトリ登録用アイテムタイプ（シンプル）(1) | |||||||||||||
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| 公開日 | 2026-03-23 | |||||||||||||
| タイトル | ||||||||||||||
| タイトル | Incidence and Predictors of Appropriate Implantable Cardioverter Defibrillator Therapy in Japanese Ischemic Heart Disease Patients | |||||||||||||
| 言語 | en | |||||||||||||
| 言語 | ||||||||||||||
| 言語 | eng | |||||||||||||
| 資源タイプ | ||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||
| 資源タイプ | journal article | |||||||||||||
| アクセス権 | ||||||||||||||
| アクセス権 | open access | |||||||||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||||||||
| 著者 |
Hanada, Kenji
× Hanada, Kenji
× Sasaki, Shingo
× Kinjo, Takahiko
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| 著者所属 | ||||||||||||||
| 言語 | en | |||||||||||||
| 値 | Department of Cardiology and Nephrology, Hirosaki University Graduate School of Medicine | |||||||||||||
| 抄録 | ||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||
| 内容記述 | Background: Although the efficacy of an implantable cardioverter defibrillator (ICD) in preventing sudden cardiac death is well established, the incidence and predictors of appropriate ICD therapy in Japanese ischemic heart disease (IHD) patients remain unclear. Methods and Results: We retrospectively studied Japanese 141 IHD patients undergoing transvenous ICD or cardiac resynchronization therapy with a defibrillator (CRT-D) implantation for primary or secondary prevention at Hirosaki University Hospital. Over a mean (±SD) follow-up period of 5.5±2.8 years, the incidence of appropriate ICD therapy was similar in the primary and secondary prevention groups, although it was relatively more frequent in the first 2 years in the secondary prevention group. Four patients died due to sustained ventricular tachycardia (VT) or ventricular fibrillation (VF), mainly due to post-shock pulseless electrical activity. Once patients had received their first appropriate ICD therapy, 49.2% received second appropriate ICD therapy within 6 months. Cox proportional hazard analysis revealed that sustained VT as an index life-threatening ventricular tachyarrhythmia before ICD/CRT-D implantation was an independent predictor of appropriate ICD therapy, but VF was not. Conclusions: The incidence of appropriate ICD therapy was comparable in primary and secondary prevention among Japanese IHD patients. We need to recognize the high-risk period for second appropriate ICD therapy after the first therapy and sustained VT as index life-threatening ventricular tachyarrhythmia as a risk factor for appropriate ICD therapy. |
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| 言語 | en | |||||||||||||
| 内容記述 | ||||||||||||||
| 内容記述タイプ | Other | |||||||||||||
| 内容記述 | Author(s)：Hanada, Kenji ; Sasaki, Shingo ; Kinjo, Takahiko ; Shikanai, Shun ; Yamazaki, Ken ; Kato, Tomo ; Tsushima, Michiko ; Senoo, Maiko; Narita, Noritomo ; Ichikawa, Hiroaki ; Shibutani, Shuji ; Yokoyama, Hiroaki ; Yokota, Takashi ; Okumura, Ken ; Tomita, Hirofumi | |||||||||||||
| 言語 | en | |||||||||||||
| 書誌情報 |
en : CIRCULATION JOURNAL 巻 89, 号 3, p. 354-363 |
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| ISSN | ||||||||||||||
| 収録物識別子タイプ | PISSN | |||||||||||||
| 収録物識別子 | 1346-9843 | |||||||||||||
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| 収録物識別子タイプ | EISSN | |||||||||||||
| 収録物識別子 | 1347-4820 | |||||||||||||
| DOI | ||||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||||
| 識別子タイプ | DOI | |||||||||||||
| 関連識別子 | https://doi.org/10.1253/circj.CJ-24-0436 | |||||||||||||
| 権利情報 | ||||||||||||||
| 権利情報 | © 2025, THE JAPANESE CIRCULATION SOCIETY | |||||||||||||
| 言語 | en | |||||||||||||
| 権利情報 | ||||||||||||||
| 権利情報 | This article is licensed under a Creative Commons [Attribution-NonCommercial-NoDerivatives 4.0 International] license. https://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||||||||||
| 言語 | en | |||||||||||||
| 出版タイプ | ||||||||||||||
| 出版タイプ | VoR | |||||||||||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||||||||||
| 出版者 | ||||||||||||||
| 出版者 | The Japanese Circulation Society | |||||||||||||
| 言語 | en | |||||||||||||
