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  1. C. 医薬保健学域; 医学類・薬学類・医薬科学類・保健学類
  2. c 10. 学術雑誌掲載論文(医・保健)
  3. 1. 査読済論文(医学・保健)

More intensive lipid lowering is associated with regression of coronary atherosclerosis in diabetic patients with acute coronary syndrome: sub-analysis of JAPAN-ACS study.

https://doi.org/10.24517/00014438
https://doi.org/10.24517/00014438
f2850e0f-d6f6-4c6e-8111-9518c7b64333
名前 / ファイル ライセンス アクション
ME-PR-YAMAGISHI-M-1096.pdf ME-PR-YAMAGISHI-M-1096.pdf (376.0 kB)
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アイテムタイプ 学術雑誌論文 / Journal Article(1)
公開日 2018-05-10
タイトル
タイトル More intensive lipid lowering is associated with regression of coronary atherosclerosis in diabetic patients with acute coronary syndrome: sub-analysis of JAPAN-ACS study.
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
ID登録
ID登録 10.24517/00014438
ID登録タイプ JaLC
著者 Arai, Hidenori

× Arai, Hidenori

WEKO 67097

Arai, Hidenori

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Hiro, Takafumi

× Hiro, Takafumi

WEKO 67098

Hiro, Takafumi

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Kimura, Takeshi

× Kimura, Takeshi

WEKO 67099

Kimura, Takeshi

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Morimoto, Takeshi

× Morimoto, Takeshi

WEKO 67100

Morimoto, Takeshi

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Miyauchi, Katsumi

× Miyauchi, Katsumi

WEKO 67101

Miyauchi, Katsumi

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Nakagawa, Yoshihisa

× Nakagawa, Yoshihisa

WEKO 67102

Nakagawa, Yoshihisa

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Yamagishi, Masakazu

× Yamagishi, Masakazu

WEKO 265
e-Rad 70393238
金沢大学研究者情報 70393238
研究者番号 70393238

Yamagishi, Masakazu

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Ozaki, Yukio

× Ozaki, Yukio

WEKO 67103

Ozaki, Yukio

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Kimura, Kazuo

× Kimura, Kazuo

WEKO 67104

Kimura, Kazuo

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Saito, Satoshi

× Saito, Satoshi

WEKO 67105

Saito, Satoshi

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Yamaguchi, Tetsu

× Yamaguchi, Tetsu

WEKO 67106

Yamaguchi, Tetsu

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Daida, Hiroyuki

× Daida, Hiroyuki

WEKO 67107

Daida, Hiroyuki

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Matsuzaki, Masunori

× Matsuzaki, Masunori

WEKO 67108

Matsuzaki, Masunori

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著者別表示 山岸, 正和

× 山岸, 正和

山岸, 正和

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書誌情報 Journal of Atherosclerosis and Thrombosis

巻 17, 号 10, p. 1096-1107, 発行日 2010-10-27
ISSN
収録物識別子タイプ ISSN
収録物識別子 1340-3478
NCID
収録物識別子タイプ NCID
収録物識別子 AA11018976
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 10.5551/jat.5660
出版者
出版者 Japan Atherosclerosis Society = 日本動脈硬化学会
抄録
内容記述タイプ Abstract
内容記述 Aim: We have shown that aggressive lipid lowering by pitavastatin and atorvastatin results in marked regression of atherosclerotic coronary lesions after acute coronary syndrome (ACS). The purpose of this study was to address the association of lipid levels after statin therapy with regression of atherosclerotic coronary lesions and major cardiovascular events in patients after ACS. Methods: JAPAN-ACS is a prospective, randomized open-label study performed at 33 centers in Japan. Patients with ACS undergoing intravascular ultrasound (IVUS)-guided percutaneous coronary intervention (PCI) were randomly assigned to receive either 4 mg/day pitavastatin or 20 mg/day atorvastatin within 72 hours after PCI. IVUS image was obtained in 251 patients, including 73 diabetic patients. Lipid profiles at the end of the study were divided into quartiles and the association with the percent change in non-culprit coronary plaque volume (PV) was assessed in total and diabetic patients. We also studied whether baseline and follow-up levels of HDL-cholesterol are associated with restenosis after PCI. Results: Decreasing LDL-cholesterol, non-HDL-cholesterol, LDL-C/HDL-C ratio, apolipoprotein B quartiles were associated with a progressively smaller plaque burden in total and diabetic patients. In diabetic patients, further reduction of these parameters was associated with a significantly greater reduction in PV. We also found that patients with lower HDL-cholesterol had a significantly higher incidence of target lesion revascularization. Conclusions: Early intensive statin therapy in patients after ACS results in remarkable regression of coronary PV. Diabetic patients can have a benefit with more intensive therapy to achieve a lower target level in Japanese.
内容記述
内容記述タイプ Other
内容記述 出版者照会後に全文公開
権利
権利情報 Copyright © Japan Atherosclerosis Society 日本動脈硬化学会 (CC-BY NC SA)
著者版フラグ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
関連URI
識別子タイプ URI
関連識別子 http://www.j-athero.org/en/index.html
関連URI
識別子タイプ URI
関連識別子 https://www.jstage.jst.go.jp/browse/jat
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