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We evaluated the impact of metabolic syndrome (MetS) and its components on coronary plaque regression in the JAPAN-ACS patients. Methods and Results: Serial intravascular ultrasound measurements over 8-12 months were performed in 242 ACS patients receiving pitavastatin or atorvastatin. Patients were divided into groups according to the presence of MetS or the number of MetS components. Although the percent change in plaque volume (%PV) was not significantly different between the MetS (n=119) and non-MetS (n=123) groups (P=0.50), it was significantly associated with an increasing number of MetS components (component 0: -24.0%, n=7; components 1: -20.8%, n=31; components 2: -16.1%, n=69; components 3: -18.7%, n=83; components 4: -13.5%, n=52; P=0.037 for trend). The percent change in body mass index (%BMI) significantly correlated with %PV (r=0.15, P=0.021), especially in the MetS components 4 group (r=0.35, P=0.017). In addition, %BMI was an independent predictor of plaque regression after adjustment for the changes of low- and high-density lipoprotein cholesterol, triglycerides and HbA1c. Conclusions: The clustering of MetS components, but not the presence of MetS itself, could attenuate coronary plaque regression during intensive statin therapy in ACS patients. Therefore, to achieve a greater degree of plaque regression, it is necessary to treat to each MetS component and use lifestyle modification.", "subitem_description_type": "Abstract"}]}, "item_4_description_22": {"attribute_name": "内容記述", "attribute_value_mlt": [{"subitem_description": "出版者照会後に全文公開", "subitem_description_type": "Other"}]}, "item_4_description_5": {"attribute_name": "提供者所属", "attribute_value_mlt": [{"subitem_description": "金沢大学医薬保健研究域医学系", "subitem_description_type": "Other"}]}, "item_4_identifier_registration": {"attribute_name": "ID登録", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.24517/00050642", "subitem_identifier_reg_type": "JaLC"}]}, "item_4_publisher_17": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "Japanese Circulation Society = 日本循環器学会"}]}, "item_4_relation_11": {"attribute_name": "NCID", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "BA81861067", "subitem_relation_type_select": 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{"attribute_name": "ISSN", "attribute_value_mlt": [{"subitem_source_identifier": "1346-9843", "subitem_source_identifier_type": "ISSN"}]}, "item_4_version_type_25": {"attribute_name": "著者版フラグ", "attribute_value_mlt": [{"subitem_version_resource": "http://purl.org/coar/version/c_970fb48d4fbd8a85", "subitem_version_type": "VoR"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "Takashima, Hiroaki"}], "nameIdentifiers": [{"nameIdentifier": "74821", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Ozaki, Yukio"}], "nameIdentifiers": [{"nameIdentifier": "24911", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Morimoto, Takeshi"}], "nameIdentifiers": [{"nameIdentifier": "74823", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kimura, Takeshi"}], "nameIdentifiers": [{"nameIdentifier": "74824", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Hiro, Takafumi"}], "nameIdentifiers": [{"nameIdentifier": "74825", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Miyauchi, Katsumi"}], "nameIdentifiers": [{"nameIdentifier": "74826", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Nakagawa, Yoshihisa"}], "nameIdentifiers": [{"nameIdentifier": "74827", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Yamagishi, Masakazu"}], "nameIdentifiers": [{"nameIdentifier": "69602", "nameIdentifierScheme": "WEKO"}, {"nameIdentifier": "70393238", "nameIdentifierScheme": "e-Rad", "nameIdentifierURI": "https://kaken.nii.ac.jp/ja/search/?qm=70393238"}]}, {"creatorNames": [{"creatorName": "Daida, Hiroyuki"}], "nameIdentifiers": [{"nameIdentifier": "74829", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Mizuno, Tomofumi"}], "nameIdentifiers": [{"nameIdentifier": "74830", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Asai, Kenji"}], "nameIdentifiers": [{"nameIdentifier": "74831", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kuroda, Yasuo"}], "nameIdentifiers": [{"nameIdentifier": "74832", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kosaka, Takashi"}], "nameIdentifiers": [{"nameIdentifier": "74833", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kuhara, Yasushi"}], "nameIdentifiers": [{"nameIdentifier": "74834", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Kurita, Akiyoshi"}], "nameIdentifiers": [{"nameIdentifier": "74835", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Maeda, Kazuyuki"}], "nameIdentifiers": [{"nameIdentifier": "74836", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Amano, Tetsuya"}], "nameIdentifiers": [{"nameIdentifier": "74837", "nameIdentifierScheme": "WEKO"}]}, {"creatorNames": [{"creatorName": "Matsuzaki, Masunori"}], "nameIdentifiers": 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{"subitem_subject": "Metabolic syndrome components", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Plaque", "subitem_subject_scheme": "Other"}, {"subitem_subject": "Statins", "subitem_subject_scheme": "Other"}]}, "item_language": {"attribute_name": "言語", "attribute_value_mlt": [{"subitem_language": "eng"}]}, "item_resource_type": {"attribute_name": "資源タイプ", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_title": "Clustering of metabolic syndrome components attenuates coronary plaque regression during intensive statin therapy in patients with acute coronary syndrome: The JAPAN-ACS subanalysis study", "item_titles": {"attribute_name": "タイトル", "attribute_value_mlt": [{"subitem_title": "Clustering of metabolic syndrome components attenuates coronary plaque regression during intensive statin therapy in patients with acute coronary syndrome: The JAPAN-ACS subanalysis study"}]}, "item_type_id": "4", 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  1. D. 医薬保健学域; 医学類・薬学類・医薬科学類・保健学類
  2. d 10. 学術雑誌掲載論文(医・保健)
  3. 1. 査読済論文(医学・保健)

Clustering of metabolic syndrome components attenuates coronary plaque regression during intensive statin therapy in patients with acute coronary syndrome: The JAPAN-ACS subanalysis study

https://doi.org/10.24517/00050642
https://doi.org/10.24517/00050642
e6ba18c3-9bca-4a18-ac67-2b3e1792fcfb
名前 / ファイル ライセンス アクション
ME-PR-YAMAGISHI-M-2840.pdf ME-PR-YAMAGISHI-M-2840.pdf (1.5 MB)
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Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-03-23
タイトル
タイトル Clustering of metabolic syndrome components attenuates coronary plaque regression during intensive statin therapy in patients with acute coronary syndrome: The JAPAN-ACS subanalysis study
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