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FullText URL K0005209_abstract_review.pdf K0005209_fulltext.pdf K0005209_summary.pdf
Author Sugimoto, Kentaro|
Published Date 2015-09-30
Content Type Thesis or Dissertation
Grant Number 甲第5209号
Granted Date 2015-09-30
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language English
Title Alternative Non-high-output cardiac failure in patients undergoing hemodialysis through an arteriovenous shunt
FullText URL 127_203.pdf
Author Ugawa, Toyomu|
Abstract Background: Hemodialysis-related heart failure has been considered to be associated with excessive blood flow through the arteriovenous (AV) shunt used for vascular access. However, some patients undergoing dialysis have heart failure in the absence of an increase in cardiac output (CO) related to shunt blood-flow loading because the loading cannot be compensated for by increasing CO. This condition may be challenging to manage ; thus, early diagnosis is important. Methods and Results: Twelve patients (mean age, 71 years ; 9 men) with end-stage renal disease, dialysis-related heart failure, a high brain natriuretic peptide (BNP) level, and a mean New York Heart Association (NYHA) class of II underwent AV shunt closure. Their cardiac index (CI), pre- and post-dialysis BNP levels, and several cardiac variables were assessed pre- and postoperatively. All patients achieved relief of heart failure symptoms and a reduction in NYHA class after AV closure, but six patients had a postoperative increase in CI (the "non-high-output" cardiac failure group), whereas the other six had a decrease in CI (the "high-output" cardiac failure group). The high-output patients had greater improvements in BNP levels and most cardiac variables compared to the non-high-output group ; therefore, the heart failure in the non-high-output patients was considered more serious than that in the high-output group. Conclusions: The selection of effective strategies for treating dialysis-related heart failure may depend partly on identifying which patients have non-high-output failure. Such identification requires serial measurements of BNP levels and evaluations of cardiac variables other than the ejection fraction.
Keywords 心拍出量(cardiac output) 心不全(heart failure) 脳性ナトリウム利尿ペプチド(brain natriuretic peptide) 非過大シャント心不全(non-high-output cardiac failure) 腎臓(kidney)
Publication Title 岡山医学会雑誌
Published Date 2015-12-01
Volume volume127
Issue issue3
Start Page 203
End Page 207
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.127.203
language Japanese
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.203
NAID 130005116810
Title Alternative Basic and clinical research regarding vascular endothelial function
FullText URL 127_187.pdf
Author Tsukahara, Hirokazu|
Keywords アルギニン代謝 一酸化窒素 ガス生物学 血管内皮学 酸化ストレス
Publication Title 岡山医学会雑誌
Published Date 2015-12-01
Volume volume127
Issue issue3
Start Page 187
End Page 195
ISSN 0030-1558
language Japanese
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.187
NAID 130005116819
FullText URL K0005188_abstract_review.pdf K0005188_summary.pdf K0005188_fulltext.pdf
Author Narazaki, Shinji|
Published Date 2015-06-30
Content Type Thesis or Dissertation
Grant Number 甲第5188号
Granted Date 2015-06-30
Thesis Type Doctor of Philosophy in Medical Science
Grantor 岡山大学
language English
Title Alternative The 2014 Incentive Award of the Okayama Medical Association in General Medical Science (2014 Yuuki Prize)
FullText URL 127_87.pdf
Author Ookubo, Nanako|
Publication Title 岡山医学会雑誌
Published Date 2015-08-03
Volume volume127
Issue issue2
Start Page 87
End Page 90
ISSN 0030-1558
Related Url isVersionOf https://doi.org/10.4044/joma.127.87
language Japanese
Copyright Holders Copyright (c) 2015 岡山医学会
File Version publisher
DOI 10.4044/joma.127.87
NAID 130005096250
Author Okayama Association for Laboratory Animal Science|
Published Date 2015-04
Publication Title 岡山実験動物研究会報
Volume volume31
Content Type Others
Author Mittani, Keiichi|
Published Date 2015-04
Publication Title 岡山実験動物研究会報
Volume volume31
Content Type Journal Article
FullText URL K0005185_abstract_review.pdf K0005185_fulltext.pdf
Author Kurikawa, Naoko|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5185号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Letters
Grantor 岡山大学
language Japanese
FullText URL K0005181_abstract_review.pdf K0005181_fulltext.pdf
Author 韓 亮|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5181号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Economics
Grantor 岡山大学
language Japanese
FullText URL K0005170_abstract_review.pdf K0005170_fulltext.pdf
Author Yamaguchi, Norihito|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5170号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Agriculture
Grantor 岡山大学
language Japanese
FullText URL K0005162_abstract_review.pdf K0005162_fulltext.pdf
Author Nakashima, Hitoshi|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5162号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Environmental Science
Grantor 岡山大学
language Japanese
FullText URL K0005159_abstract_review.pdf K0005159_fulltext.pdf
Author Kamegai, Yasuko|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5159号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Environmental Science
Grantor 岡山大学
language Japanese
FullText URL K0005155_abstract_review.pdf K0005155_fulltext.pdf
Author Ueno, Tomoyuki|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5155号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Engineering
Grantor 岡山大学
language Japanese
FullText URL K0005154_abstract_review.pdf K0005154_fulltext.pdf
Author Shimizu, Yoshiya|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5154号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Engineering
Grantor 岡山大学
language Japanese
FullText URL K0005153_abstract_review.pdf K0005153_fulltext.pdf
Author Motonaka, Kimiko|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5153号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Engineering
Grantor 岡山大学
language Japanese
FullText URL K0005152_abstract_review.pdf K0005152_fulltext.pdf
Author Kasashima, Nagayoshi|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5152号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Engineering
Grantor 岡山大学
language Japanese
FullText URL K0005151_abstract_review.pdf K0005151_summary.pdf K0005151_fulltext.pdf
Author Fukumori, Satoshi|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5151号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Engineering
Grantor 岡山大学
language Japanese
FullText URL K0005150_abstract_review.pdf K0005150_summary.pdf K0005150_fulltext.pdf
Author Mizokami, Masato|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5150号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Engineering
Grantor 岡山大学
language Japanese
FullText URL K0005142_abstract_review.pdf K0005142_fulltext.pdf
Author Araki, Toshio|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5142号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Agriculture
Grantor 岡山大学
language Japanese
FullText URL K0005140_abstract_review.pdf K0005140_fulltext.pdf
Author Mori, Takaaki|
Published Date 2015-03-25
Content Type Thesis or Dissertation
Grant Number 甲第5140号
Granted Date 2015-03-25
Thesis Type Doctor of Philosophy in Science
Grantor 岡山大学
language English