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スタチン治療患者における血清n-3系多価不飽和脂肪酸濃度と冠動脈プラークとの関連性 : 冠動脈CT血管造影による評価
https://hiroshima.repo.nii.ac.jp/records/2005194
https://hiroshima.repo.nii.ac.jp/records/2005194fc5d92a2-7da1-4737-ae42-b9a8f1ca4ba6
名前 / ファイル | ライセンス | アクション |
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Item type | デフォルトアイテムタイプ_(フル)(1) | |||||||||
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公開日 | 2014-11-21 | |||||||||
タイトル | ||||||||||
タイトル | Association between serum levels of n-3 polyunsaturated fatty acids and coronary plaque detected by coronary computed tomography angiography in patients receiving statin therapy | |||||||||
言語 | en | |||||||||
タイトル | ||||||||||
タイトル | スタチン治療患者における血清n-3系多価不飽和脂肪酸濃度と冠動脈プラークとの関連性 : 冠動脈CT血管造影による評価 | |||||||||
言語 | ja | |||||||||
作成者 |
卜部, 洋司
× 卜部, 洋司
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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 | |||||||||
権利情報 | ||||||||||
権利情報 | Copyright(c) by Author | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Coronary computed tomography angiography | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Coronary plaques | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | Eicosapentaenoic acid | |||||||||
主題 | ||||||||||
主題Scheme | Other | |||||||||
主題 | N-3 polyunsaturated fatty acid | |||||||||
主題 | ||||||||||
主題Scheme | NDC | |||||||||
主題 | 490 | |||||||||
内容記述 | ||||||||||
内容記述 | Background: Intensive lipid-lowering therapy with statins reduces cardiovascular events, but residual cardiovascular risks remain. Intake of n-3 polyunsaturated fatty acids (PUFAs) has been associated with cardiovascular events. We examined the relationships between serum n-3 PUFAs and coronary atherosclerotic findings on computed tomography angiography (CTA) in patients undergoing statin treatment. Methods and Results: We enrolled 172 subjects (mean age: 68.2 years; 64% men) prior to statin treatment for 6 months. Serum PUFAs, including eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and arachidonic acid, were measured. When the patients were divided into 2 groups according to the median EPA level (61.3 μg/ml), the low-EPA group showed higher incidences of 3-vessel plaque involvement (62% vs. 43%, P=0.015), noncalcified plaques (NCPs) (74% vs. 52%, P=0.0016), extensive NCPs (?2 segments) (56% vs. 34%, P=0.0036), and high-risk plaques (minimum CT density <39 HU and remodeling index >1.05) (43% vs. 22%, P=0.0034). Multivariate analyses revealed that low EPA levels were an independent factor for these coronary plaque findings. The DHA levels were not independently associated with these findings. Conclusions: Low serum EPA level, but not serum DHA, is associated with the presence and extent of NCPs and high-risk plaques detected by coronary CTA in patients undergoing lipid-lowering therapy with statins. | |||||||||
言語 | en | |||||||||
日付 | ||||||||||
日付 | 2014-11-21 | |||||||||
日付タイプ | Created | |||||||||
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_db06 | |||||||||
資源タイプ | doctoral thesis | |||||||||
出版タイプ | ||||||||||
出版タイプ | NA | |||||||||
出版タイプResource | http://purl.org/coar/version/c_be7fb7dd8ff6fe43 | |||||||||
関連情報 | ||||||||||
関連タイプ | references | |||||||||
関連名称 | Yoji Urabe, Hideya Yamamoto, Toshiro Kitagawa, Hiroto Utsunomiya, Hiroshi Tsushima, Fuminari Tatsugami, Kazuo Awai and Yasuki Kihara; Association Between Serum Levels of n-3 Polyunsaturated Fatty Acids and Coronary Plaque Detected by Coronary Computed Tomography Angiography in Patients Receiving Statin Therapy; Circulation Journal Vol. 77 (2013) No. 10 2578-2585 (doi: 10.1253/circj.CJ-13-0257) | |||||||||
関連情報 | ||||||||||
関連タイプ | references | |||||||||
識別子タイプ | DOI | |||||||||
関連識別子 | http://dx.doi.org/10.1253/circj.CJ-13-0257 | |||||||||
学位授与番号 | ||||||||||
学位授与番号 | 甲第6392号 | |||||||||
学位名 | ||||||||||
言語 | ja | |||||||||
学位名 | 博士(医学) | |||||||||
学位名 | ||||||||||
言語 | en | |||||||||
学位名 | Philosophy in Medical Science | |||||||||
学位授与年月日 | ||||||||||
学位授与年月日 | 2014-03-23 | |||||||||
学位授与機関 | ||||||||||
学位授与機関識別子Scheme | kakenhi | |||||||||
学位授与機関識別子 | 15401 | |||||||||
言語 | ja | |||||||||
学位授与機関名 | 広島大学 | |||||||||
学位授与機関 | ||||||||||
言語 | en | |||||||||
学位授与機関名 | Hiroshima University | |||||||||
旧ID | 36307 |