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Cholesterol metabolism as a prognostic marker in patients with mildly symptomatic nonischemic dilated cardiomyopathy
http://hdl.handle.net/2237/26961
http://hdl.handle.net/2237/26961356c3071-1107-448a-ab87-1e812393af7c
名前 / ファイル | ライセンス | アクション |
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-09-05 | |||||
タイトル | ||||||
タイトル | Cholesterol metabolism as a prognostic marker in patients with mildly symptomatic nonischemic dilated cardiomyopathy | |||||
言語 | en | |||||
著者 |
Akinori, Sawamura
× Akinori, Sawamura× Takahiro, Okumura× Hiroaki, Hiraiwa× Soichiro, Aoki× Toru, Kondo× Takeo, Ichii× Kenji, Furusawa× Naoki, Watanabe× Naoaki, Kano× Kenji, Fukaya× Ryota, Morimoto× Yasuko, K. Bando× Toyoaki, Murohara |
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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 | |||||
権利 | ||||||
言語 | en | |||||
権利情報 | © 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Cholesterol | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Metabolism | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Prognosis | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Dilated cardiomyopathy | |||||
抄録 | ||||||
内容記述 | Background: Little is known about whether the alteration of cholesterol metabolism reflects abdominal organ impairments due to heart failure. Therefore, we investigated the prognostic value of cholesterol metabolism by evaluating serum campesterol and lathosterol levels in patients with early-stage nonischemic dilated cardiomyopathy (NIDCM). Methods: We enrolled 64 patients with NIDCM (median age 57.5 years, 31% female) with New York Heart Association functional class I/II. Serum campesterol and lathosterol levels were measured in all patients. The patients were then divided into four subsets based on the median non-cholesterol sterol levels (campesterol 3.6 mg/mL, lathosterol 1.4 mg/mL): reference (R-subset), high-campesterol/high- lathosterol; absorption-reduced (A-subset), low-campesterol/high-lathosterol; synthesis-reduced (Ssubset), high-campesterol/low-lathosterol; double-reduced (D-subset), low-campesterol/low-lathos- terol. Endpoint was a composite of cardiac events, including cardiac-related death, hospitalization for worsening heart failure, and lethal arrhythmia. Results: Median brain natriuretic peptide (BNP) level was 114 pg/mL. Mean left ventricular ejection fraction was 31.4%. D-subset had the lowest total cholesterol level and cardiac index and the highest BNP level and pulmonary capillary wedge pressure. D-subset also had the highest cardiac event rate during the mean 3.8 years of follow-up (log-rank p = 0.001). Multivariate regression analysis showed that Dsubset was an independent determinant of cardiac events. The receiver operating characteristic curve analysis revealed that total cholesterol <153 mg/dL was a best cut-off value for discrimination of the Dsubset. Conclusions: The combined reduction of campesterol and lathosterol that indicated intestinal cholesterol absorption and liver synthesis predicts future cardiac events in patients with mildly symptomatic NIDCM. | |||||
言語 | en | |||||
内容記述タイプ | Abstract | |||||
出版者 | ||||||
言語 | en | |||||
出版者 | Elsevier | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプresource | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
出版タイプ | ||||||
出版タイプ | AM | |||||
出版タイプResource | http://purl.org/coar/version/c_ab4af688f83e57aa | |||||
DOI | ||||||
関連タイプ | isVersionOf | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1016/j.jjcc.2016.08.012 | |||||
ISSN | ||||||
収録物識別子タイプ | PISSN | |||||
収録物識別子 | 0914-5087 | |||||
書誌情報 |
en : Journal of Cardiology 巻 69, 号 6, p. 888-894, 発行日 2017-06 |
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著者版フラグ | ||||||
値 | author | |||||
URI | ||||||
識別子 | http://doi.org/10.1016/j.jjcc.2016.08.012 | |||||
識別子タイプ | DOI | |||||
URI | ||||||
識別子 | http://hdl.handle.net/2237/26961 | |||||
識別子タイプ | HDL |