28 results on '"Toshiyuki, Ishikawa"'
Search Results
2. Opposite trends in environmental DNA distributions of two freshwater species under climate change
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Qianqian Wu, Jinxin Zhou, Tatsuya Komoto, Toshiyuki Ishikawa, Naoshige Goto, Masayuki K. Sakata, Daisuke Kitazawa, and Toshifumi Minamoto
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ecosystem model ,environmental DNA (eDNA) ,interdisciplinary method ,species conservation ,water circulation ,Ecology ,QH540-549.5 - Abstract
Abstract Changes in the thermal structure of lake ecosystems have been documented as a response to climate change, but the dynamics of biomass distribution, which fundamentally determines species conservation, has been less studied. An interdisciplinary approach was used to demonstrate the influence of climate‐driven changes on the environmental DNA (eDNA) distribution of two species (Gymnogobius isaza and Palaemon paucidens) in Lake Biwa, the largest monomictic lake in Japan. In field surveys in 2016–2017 (full water circulation) and 2019 (partial water circulation), eDNA concentrations of these species were measured for 43 and 47 samples, respectively, collected from the lake bottom. The correlative relationship was investigated between species' eDNA concentrations and environmental variables. The species–environment relationship was then applied to species' eDNA distributions under existing and future environments calculated by a lake ecosystem model. Based on differences in the estimated eDNA distributions, we suggest that different species respond differently to climate change. The distribution of G. isaza will expand in the future if full water circulation occurs, although it appears to be independent of water circulation at present. Partial water circulation enlarges the distribution area of P. paucidens, but its eDNA concentrations will be low in the future, regardless of the extent of water circulation. These results indicate that species such as P. paucidens, which is now abundant but vulnerable to climate change, require special attention. Furthermore, our study emphasizes the potential application of interdisciplinary methodologies for improved species conservation.
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- 2023
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3. JCS/JHRS 2019 guideline on non‐pharmacotherapy of cardiac arrhythmias
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Akihiko Nogami, Takashi Kurita, Haruhiko Abe, Kenji Ando, Toshiyuki Ishikawa, Katsuhiko Imai, Akihiko Usui, Kaoru Okishige, Kengo Kusano, Koichiro Kumagai, Masahiko Goya, Yoshinori Kobayashi, Akihiko Shimizu, Wataru Shimizu, Morio Shoda, Naokata Sumitomo, Yoshihiro Seo, Atsushi Takahashi, Hiroshi Tada, Shigeto Naito, Yuji Nakazato, Takashi Nishimura, Takashi Nitta, Shinichi Niwano, Nobuhisa Hagiwara, Yuji Murakawa, Teiichi Yamane, Takeshi Aiba, Koichi Inoue, Yuki Iwasaki, Yasuya Inden, Kikuya Uno, Michio Ogano, Masaomi Kimura, Shun‐ichiro Sakamoto, Shingo Sasaki, Kazuhiro Satomi, Tsuyoshi Shiga, Tsugutoshi Suzuki, Yukio Sekiguchi, Kyoko Soejima, Masahiko Takagi, Masaomi Chinushi, Nobuhiro Nishi, Takashi Noda, Hitoshi Hachiya, Masataka Mitsuno, Takeshi Mitsuhashi, Yasushi Miyauchi, Aya Miyazaki, Tomoshige Morimoto, Hiro Yamasaki, Yoshifusa Aizawa, Tohru Ohe, Takeshi Kimura, Kazuo Tanemoto, Hiroyuki Tsutsui, Hideo Mitamura, and the JCS/JHRS Joint Working Group
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2021
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4. Magnetic thickness measurement for various iron steels using magnetic sensor and effect of electromagnetic characteristics
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Keiji Tsukada, Minoru Hayashi, Taisei Kawakami, Shoya Adachi, Kenji Sakai, Toshihiko Kiwa, Toshiyuki Ishikawa, Mohd Mawardi Saari, Kengo Hori, Kazumasa Hisazumi, and Tomonori Tominaga
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Physics ,QC1-999 - Abstract
The diagnosis and prevention of the deterioration of iron-steel infrastructure has become an important social issue in recent years. The thickness measurement technique (extremely low-frequency eddy current testing (ELECT)) using a magnetic sensor for detecting steel corrosion at extreme frequency ranges has been previously reported. Using the calibration curves based on the correlation between the phase of the detected magnetic signal and the plate thickness, the plate thickness reduction caused by corrosion can be estimated from the detected phase signal. Iron-steel materials have large changes in electromagnetic characteristics; therefore, the reference calibration data for each type of iron-steel are required for plate thickness estimation. In this study, the effect of electromagnetic characteristics on the magnetic thickness measurement was investigated to improve the thickness estimation. Four types of iron-steel plates (SS400, SM400A, SM490A, and SMA400AW) with thicknesses ranging from 1 mm to 18 mm were measured by ELECT, and the phase change at multiple frequencies of each plate were analyzed. The shift in the phase and linearity regions of the calibration curves for each type of steel plate was observed. To analyze this shift phenomenon, the electromagnetic characteristics (permeability μ and conductivity σ) of each type of steel were measured. Compared with the permeability μ and conductivity σ of each steel plate in the applied magnetic field strength range, the product (σμ) for various steel plates decreased in the following order: SM400 > SS400 >SMA400AW > SM490A. The product of μ and σ is related to the skin depth, indicating the electromagnetic wave attenuation and eddy current phase shift in the material. Therefore, each shift in the calibration curve of each type of iron steel is explained by the changes in the parameters σ and μ.
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- 2022
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5. Thickness Measurement at High Lift-Off for Underwater Corroded Iron-Steel Structures Using a Magnetic Sensor Probe
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Shoya Adachi, Minoru Hayashi, Taisei Kawakami, Yuto Ando, Jin Wang, Kenji Sakai, Toshihiko Kiwa, Toshiyuki Ishikawa, and Keiji Tsukada
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eddy current testing ,high lift-off thickness measurement ,magnetic sensor ,corrosion ,underwater steel structure ,Chemical technology ,TP1-1185 - Abstract
Infrastructure facilities that were built approximately half a century ago have rapidly aged. Steel sheet piles, the inspection object in this study, are severely corroded, resulting in cave-in damages at wharfs. To solve such a problem, non-destructive inspection techniques are required. We previously demonstrated plate thickness measurement using extremely low-frequency eddy current testing. However, when the steel sheet piles are located in water, shellfish adhere to their surface, causing a lift-off of several tens of millimeters. Therefore, this large lift-off hinders the thickness measurement owing to fluctuations of magnetic signals. In this study, sensor probes with different coil diameters were prototyped and the optimum size for measuring steel sheet piles at high lift-off was investigated. Using the probes, the magnetic field was applied with a lift-off range from 0 to 80 mm, and the intensity and phase of the detected magnetic field were analyzed. Subsequently, by increasing the probe diameter, a good sensitivity was obtained for the thickness estimation with a lift-off of up to 60 mm. Moreover, these probes were used to measure the thickness of actual steel sheet piles, and measurements were successfully obtained at a high lift-off.
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- 2022
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6. New non-invasive indexes of arterial stiffness are significantly correlated with severity and complexity of coronary atherosclerosis
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Hiroshi Doi, Tomoaki Ishigami, Rie Nakashima-Sasaki, Tabito Kino, Lin Chen, Kentaro Arakawa, Sae Teranaka, Shintaro Minegishi, Kaito Abe, Toshiyuki Ishikawa, Teruyasu Sugano, and Kouichi Tamura
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: Endothelial dysfunction and increased arterial stiffness gradually develop before the manifestation of catastrophic cardiovascular events. Therefore, detection and assessment of vascular function are required to address pre-existing pathological conditions. However, the currently available diagnostic devices and methods are insufficient due to variability among investigators and the time-consuming nature of manual procedures. Methods: Recently, novel devices were developed for the detection of both arterial stiffness and endothelial dysfunction in a single blood pressure measurement using a cuff-oscillometric technique (AVE-1500, Shisei Datum, Japan). API (arterial pressure volume index) is defined as the reciprocal of the slope of the tangent of the brachial artery pressure-volume curve, and AVI (arterial velocity pulse index) is defined as the ratio of the difference between the ejection and reflection waves. In the present study, we performed retrospective, cross-sectional analyses of subjects (n = 102; mean age = 70.5 ± 10.4 years) with detailed coronary angiographic examinations and clinical background parameters. Results: After adjusting for various variables using multiple linear regression analyses, we found that API, but not AVI, was significantly correlated with coronary artery severity and complexity scores. Conclusions: We propose that API may be a new vascular index useful for monitoring and assessing the severity and complexity of atherosclerosis in subjects with coronary artery disease and for evaluating atherosclerotic diseases.
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- 2019
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7. Long-term effect of cardiac pacing on sleep-disordered breathing in patients with conventional indications for a permanent pacemaker
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Kohei Matsushita, MD, Toshiyuki Ishikawa, MD, Noritaka Toda, MD, Shinnichi Sumita, MD, Katsumi Matsumoto, MD, Junya Hosoda, MD, Yuuichirou Kimura, MD, Yutaka Ogino, MD, Yuka Taguchi, MD, Tomoaki Ishigami, MD, Teruyasu Sugano, MD, and Satoshi Umemura, MD
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Sleep apnea syndrome ,Atrial fibrillation ,Sick Sinus Syndrome ,Atrio-ventricular block ,Polysomnography ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background: The effect of cardiac pacing on sleep-disordered breathing is controversial. We investigated the long-term effect of cardiac pacing on sleep disordered breathing in patients with conventional indications for permanent pacemakers Methods: Subjects comprised 40 patients (29 men; mean age 69±9 years, mean left ventricle ejection fraction 69±8%, and body mass index 23.6±3.5 kg/m2) who were diagnosed with indications for permanent pacemakers (sick sinus syndrome in 23 patients, atrioventricular block in 15, and brady atrial fibrillation in 2). All patients received polysomnographic evaluations before implantation of permanent pacemakers. After implantation of permanent pacemakers, all patients received polysomnographic evaluations during use of the pacemaker settings (AAI/DDD/VVI at 70 beats per minute). Results: The mean follow-up period was 35±13 months. Before implantation, the distribution of sleep-disordered breathing was as follows: 93% had apnea hypopnea index >5, 58% had apnea hypopnea index >15, and 20% had apnea hypopnea index >30. The mean apnea hypopnea index for all patients was 20±15, for those with obstructive type apnea was 4.9±5.3, and for those with central type apnea was 3.0±4.5. The mean Epworth Sleepiness Score was 5.9±4.0. No patient received continuous positive airway pressure therapy or any other therapy for sleep-disordered breathing during the follow up period. The mean apnea hypopnea index at 1 week after implantation of permanent pacemakers was 21±14 (P=0.8) and the mean apnea hypopnea index at end of follow-up was 11±7 (P
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- 2014
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8. Long-term Effect of Dual-chamber Pacing on Pressure Gradient at Left Ventricular Outflow Tract in Hypertrophic Obstructive Cardiomyopathy
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Junya Hosoda, MD, Toshiyuki Ishikawa, MD, Yohei Yamakawa, MD, Kohei Matsushita, MD, Katsumi Matsumoto, MD, Mihoko Miyamoto, MD, Teruyasu Sugano, MD, Tomoaki Ishigami, MD, Kazuaki Uchino, MD, Kazuo Kimura, MD, and Satoshi Umemura, MD
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Hypertrophic obstructive cardiomyopathy ,Ventricular pacing ,Right ventricular apex ,Sinus rhythm ,Catheterization study ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
A 60-year-old man with hypertrophic obstructive cardiomyopathy (HOCM) was implanted dual-chamber ICD for the purpose of both the left ventricular outflow tract (LVOT) gradient reduction by ventricular pacing and the primary prevention of ventricular tachyarrhythmia. Because the LVOT gradient reduction and improvement of symptoms by pacing were insufficient, however, a new pacing lead was inserted in the right ventricular apex at a different position 1.5 cm away from the site of the defibrillation lead, and the LVOT gradient greatly declined from 108 to 30 mmHg. This DDD pacing was continued over seven years. On this occasion, he was referred to our hospital because of battery depletion, and a cardiac catheterization study was performed after ICD replacement. The LVOT gradient was 10 mmHg in sinus rhythm. After administration of isoproterenol (0.02γ), the gradient was increased to 92 mmHg in sinus rhythm. DDD pacing using a newly placed ventricular pacing lead significantly decreased the gradient to 36 mmHg. This case study indicated that DDD pacing from a suitable location in the right ventricular apex caused a marked early reduction in the LVOT gradient, and at long-term follow up a further significant effect was obtained, also in sinus rhythm.
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- 2011
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9. Changes of Sympathetic Activity in Patient with Chronic Atrial Fibrillation and Severe Congestive Heart Failure Treated with Biventricular Pacing
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Kohei Matsushita, MD, Toshiyuki Ishikawa, MD, Shinichi Sumita, MD, Tsukasa Kobayashi, MD, Hideyuki Ogawa, MD, Noriko Inoue, MD, Katsumi Matsumoto, MD, Minoru Taima, MD, Ichirou Nakazawa, MD, Teruyasu Sugano, MD, Tomoaki Ishigami, MD, Kazuaki Uchino, MD, Kazuo Kimura, MD, and Satoshi Umemura, MD
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Cardiac resynchronization therapy ,Pacemaker ,Autonomic nervous system ,Hypertrophic cardiomyopathy ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
The patient was a 64-year-old man with chronic atrial fibrillation with bradycardia. Left ventricular ejection fraction was 34%. He was treated with biventricular pacing. Heart failure improved from NYHA class III to II. Sympathetic nerve activity (SNA. was recorded during 6 minutes of biventricular (BV), right ventricular apical (RVA. and left ventricular (LV. pacing. SNA was significantly lower during biventricular pacing (49.5 ± 4.0/min. compared with RVA (58.8 ±6:9/min, p = 0.016. and LV (63.3 ± 4.3/min, p = 0.002. pacing. BV pacing improves hemodynamics and decreases SNA compared with RVA or LV pacing.
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- 2006
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10. A case of a coronary covered stent for repeated restenosis at the anastomosis site between saphenous vein graft and graft prosthesis
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Teruyasu Sugano, Masaomi Gohbara, Toshiyuki Ishikawa, Kazuo Kimura, and Kouichi Tamura
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Aortic dissection ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Percutaneous coronary intervention ,Stent ,Case Report ,Anastomosis ,medicine.disease ,Stenosis ,surgical procedures, operative ,Restenosis ,Right coronary artery ,medicine.artery ,Internal medicine ,Cardiology ,Medicine ,Myocardial infarction ,cardiovascular diseases ,Cardiology and Cardiovascular Medicine ,business - Abstract
A 56-year-old man was admitted with a diagnosis of non-ST-segment elevation myocardial infarction, after surgery for total arch replacement, aortic root replacement with a mechanical aortic valve, and coronary artery reconstruction by the Piehler method for acute aortic dissection. Coronary angiography (CAG) revealed a 99% stenosis of the anastomosis site between the J Graft (Japan Lifeline, Tokyo, Japan) and the saphenous vein graft (SVG), which was distally sutured to his right coronary artery (posterior descending artery). After percutaneous coronary intervention (PCI) with a drug-eluting stent to the anastomosis site, repeated in-stent restenosis unfortunately occurred. Despite repeated PCIs, he was again admitted due to exertional angina pectoris, with proven inferior myocardial ischemia by stress myocardial perfusion imaging. We therefore decided to use a coronary covered stent for the anastomosis site to seal neointimal proliferation. GRAFTMASTER 2.8/19 mm (Abbott, CA, USA) was implanted in the anastomosis site, and a follow-up CAG one-year later revealed that the covered stent was clearly opened. To the best of our knowledge, this is the first paper to demonstrate the usefulness of a covered stent for repeated restenosis of the anastomosis site between SVG and graft prostheses.
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- 2021
11. Habitat selection and migration of the common shrimp, Palaemon paucidens in Lake Biwa, Japan—An eDNA‐based study
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Ken Kawano, Masayoshi K. Hiraiwa, Hiroki Yamanaka, Ryohei Nakao, Masayuki K. Sakata, Toshiyuki Ishikawa, Toshifumi Minamoto, Satsuki Tsuji, and Qianqian Wu
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Ecology ,Palaemon paucidens ,Biology ,environmental DNA (eDNA) ,migration ,Shrimp ,Fishery ,Quantitative Real Time PCR ,Habitat ,Lake Biwa ,Genetics ,spatial and temporal distribution ,Ecology, Evolution, Behavior and Systematics ,Selection (genetic algorithm) ,quantitative real‐time PCR - Abstract
Palaemon paucidens has a large population and is an important food source for fish in Lake Biwa, Japan. They are abundant in shallow waters from spring to summer, after which most individuals migrate to offshore deep areas where they remain during autumn and winter. However, some individuals are nonmigratory, remaining in shallow waters over winter. It has been reported that P. paucidens individuals have declined in recent years; a better understanding of its seasonal distribution is needed to manage this species, and basic information on its seasonal distribution is indispensable. We tracked the environmental DNA (eDNA) distribution of P. paucidens in Lake Biwa over a year using a quantitative real‐time polymerase chain reaction method. We collected water samples from offshore (both from the surface and from the benthic) and from shallow shore sites adjacent to the shorelines of the main lake and connecting freshwater lagoons. Offshore sampling took place in summer and winter, and shallow shore and lagoon sampling in all four seasons. During summer, eDNA concentrations were significantly higher in shallow and lagoon areas than offshore bottom sites. Conversely, during winter, eDNA concentrations were higher in offshore bottom sites, and relatively high and low eDNA concentrations in lagoons and shallow shore, respectively. These results most likely reflect the spatial and temporal distribution of this species in Lake Biwa. The eDNA concentrations peaked in early August at shallow shore sites in the main lake, with a significant decline in mid‐October, while low eDNA concentrations were recorded at offshore bottom sites in late August. These results suggest that P. paucidens migrates from shallow waters to offshore bottom sites between early August and mid‐October. These results provide important information for the management of this species.
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- 2019
12. Effects of Anti-arrhythmic Drugs for Pacing Threshold and Defibrillation Threshold
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Toshiyuki Ishikawa, MD PhD FHRS FJCC
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2011
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13. A case report of pulmonary vein isolation with radiofrequency catheter using superior vena cava approach in patient with paroxysmal atrial fibrillation and inferior vena cava filter
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Junya Hosoda, Toshiyuki Ishikawa, Masatoshi Narikawa, and Masayoshi Kiyokuni
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medicine.medical_specialty ,medicine.medical_treatment ,Inferior vena cava filter ,Case Report ,030204 cardiovascular system & hematology ,Inferior vena cava ,Pulmonary vein isolation ,Pulmonary vein ,03 medical and health sciences ,0302 clinical medicine ,Superior vena cava ,medicine ,AcademicSubjects/MED00200 ,030212 general & internal medicine ,business.industry ,Atrial fibrillation ,medicine.disease ,Ablation ,Pulmonary embolism ,Catheter ,medicine.vein ,Superior vena cava approach ,cardiovascular system ,Radiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background Transseptal puncture and pulmonary vein isolation (PVI) in patients with atrial fibrillation (AF) are generally performed via the inferior vena cava (IVC). However, in cases where the IVC is inaccessible, a specific strategy may be needed. Case summary An 86-year-old woman with paroxysmal AF and an IVC filter in situ was referred to our hospital for ablation therapy. An IVC filter for pulmonary embolism and deep venous thrombosis had been implanted 15 years prior, therefore we selected a transoesophageal echocardiography (TOE)-guided transseptal puncture using a superior vena cava (SVC) approach. After the single transseptal puncture, we performed fast anatomical mapping, voltage mapping by multipolar mapping catheter, and then PVI by contact force-guided radiofrequency catheter using a steerable sheath. Following the ablation, bidirectional conduction block between the four pulmonary veins and the left atrium was confirmed by both radiofrequency and mapping catheter. No complications occurred and no recurrence of AF was documented in the 12 months after the procedure. Discussion When performing a transseptal puncture during AF ablation, an SVC approach, via access through the right internal jugular vein, enables the sheath to directly approach the left atrium without angulation and improves operability of the ablation catheter. Combining the use of general anaesthesia, TOE, a steerable sheath, and contact force-guided ablation may contribute to achieving minimally invasive PVI with a single transseptal puncture via an SVC approach.
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- 2021
14. Inverse Relation between Condition of Heart Failure and Intrathoracic Impedance Measured by Implantable Cardioverter Defibrillator—A case report—
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Kohei Matsushita, MD, Toshiyuki Ishikawa, MD, Shinichi Sumita, MD, Tsukasa Kobayashi, MD, Hideyuki Ogawa, MD, Noriko Inoue, MD, Katsumi Matsumoto, MD, Minoru Taima, MD, Ichirou Nakazawa, MD, Teruyasu Sugano, MD, Tomoaki Ishigami, MD, Kazuaki Uchino, MD, Kazuo Kimura, MD, and Satoshi Umemura, MD
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Electric countershock ,Monitoring ,Physiologic (thoracic impedance) ,Pulmonary edema ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
The patient was a 78-year-old man with dilated cardiomyopathy. His cardio-thoracic ratio was 60.4% and left ventricular ejection fraction (LVEF) was 33%. He had been repeatedly admitted for congestive heart failure. He underwent implantation of an implantable cardioverter-defibrillator (ICD) for ventricular fibrillation. We compared the values of BNP and shock impedance stored by the ICD. The correlation coefficient (p-value) between BNP and shock impedance was −0.700 (p < 0.0005), increase of BNP and shock impedance was −0.778 (p < 0.0001), percent increase of BNP and shock impedance was −0.767 (p < 0.0005). In conclusion, there is an inverse relation between BNP and shock impedance, and measurements of shock impedance may be useful in the management of congestive heart failure.
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- 2005
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15. Development of cardiovascular implantable electronic devices ―A history of trouble shooting
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Toshiyuki Ishikawa, MD, FHRS, FJCC
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2014
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16. TENSILE BEHAVIOR AND STRENGTH OF STEEL PLATE BONDED WITH UV-CURABLE GLASS FIBER REINFORCED POLYESTER RESIN SHEET ON BOTH SIDES.
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Hiroshi Higashiyama, Toshiyuki Ishikawa, Nobuhiro Mitsukawa, Takeshi Nagao, and Osamu Takahash
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POLYESTER fibers ,GLASS fibers ,TENSILE strength ,IRON & steel plates ,ULTIMATE strength ,FINITE element method - Abstract
Steel structures in social infrastructures often undergo corrosion and the thickness of these steel plates decreases. Then, the strength of steel structures decreases according to the residual plate thickness. Applications of a steel plate attaching method and a fiber reinforced polymer/plastic (FRP) bonding method are effective for repair and strengthening for these steel structures. In this study, UV-curable glass fiber reinforced polyester resin (UV-GFRPR) sheet was focused instead of FRPs. The aims of this study are to confirm repair and strengthening effects of the UV-GFRPR sheet bonded on both sides of steel plate. The UV-GFRPR sheet consists of a polyester resin and chopped glass fibers and is hardened by radiation of UV source for a certain time. The tensile behavior and strength of steel plate bonded with UV-GFRPR sheets were assessed under axial tensile load. After that, the tensile behavior and strength of specimens were numerically estimated from each stress-strain curve of UV-GFRPR and steel modeled by using Menegotto-Pinto model. Furthermore, nonlinear finite element analysis (FEA) taking into account of the properties of bond layers was carried out to compare the numerical results. From the test results, the yield and ultimate strengths of specimens increased linearly according to the number of laminated layers of UV-GFRPR. Both results of the numerical calculation and the FEA agreed well with the test results. It is concluded that the numerical calculation without the contribution of bond layers can estimate the tensile behavior and strength of steel plate bonded with UV-GFRPR on both sides. [ABSTRACT FROM AUTHOR]
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- 2021
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17. Right-sided cardiac resynchronization therapy with defibrillator implantation in a patient with corrected transposition of great arteries and persistent left superior vena cava
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Hirooki Matsushita, Junya Hosoda, Katsumi Matsumoto, Yutaka Ogino, Yuka Taguchi, and Toshiyuki Ishikawa
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medicine.medical_specialty ,congenital, hereditary, and neonatal diseases and abnormalities ,medicine.medical_treatment ,Cardiac resynchronization therapy ,030204 cardiovascular system & hematology ,Great cardiac vein ,Article ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,medicine ,030212 general & internal medicine ,Persistent left superior vena cava ,cardiovascular diseases ,Vein ,Coronary sinus ,business.industry ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Great arteries ,Heart failure ,Ventricular fibrillation ,Cardiology ,cardiovascular system ,Cardiology and Cardiovascular Medicine ,business - Abstract
Patients with corrected transposition of great arteries (c-TGA) are generally known to develop atrioventricular block, systemic right ventricular dysfunction, and tricuspid regurgitation over time, which are associated with tachyarrhythmia and progressive heart failure. A 76-year-old man had been diagnosed with c-TGA. He developed a cardiopulmonary arrest while playing tennis, and an automated external defibrillator detected ventricular fibrillation (VF). Immediate cardiopulmonary resuscitation and intensive treatment were performed. He fully recovered without neurological sequelae. QRS duration was 172ms. Echocardiography showed marked dysfunction and dyssynchrony of the systemic right ventricle (systemic right ventricular end-diastolic diameter/end-systolic diameter=73/60mm, systemic right ventricular ejection fraction=34%). For secondary prevention and treatment of progressive heart failure, cardiac resynchronization therapy with defibrillator (CRT-D) implantation was recommended. Venography via the left cubital superficial vein revealed a persistent left superior vena cava (PLSVC) and giant coronary sinus that did not connect with the right superior vena cava (SVC). Because of the acute angle between the PLSVC and great cardiac vein, we selected a right-sided approach via the right SVC. We were finally able to deliver a coronary sinus lead to the lateral vein. CRT-D implantation can be achieved even in patients with c-TGA and PLSVC. Learning objective: CRT-D implantation can be achieved even in a patient with c-TGA and PLSVC.>
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- 2017
18. The life history with seasonal migration of the lacustrine shrimp Palaemon paucidens in an ancient lake in Japan
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Yasuoki Takami, Qianqian Wu, Toshiyuki Ishikawa, and Toshifumi Minamoto
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seasonal migration ,Ecology ,Ancient lake ,Stable isotope ratio ,Body size ,Biology ,Shrimp ,Palaemon paucidens ,stable isotope ratio ,Lake Biwa ,Lipid content ,lipid content ,reproductive condition ,Life history ,body size ,Ecology, Evolution, Behavior and Systematics ,RNA/DNA ratio - Abstract
The lacustrine shrimp Palaemon paucidens undertakes seasonal migration between shallow waters in spring and summer to deep waters in autumn and winter in Lake Biwa in Japan. Previous studies hypothesized that the migration to deep waters was for hibernation. The findings of this study oppose this hypothesis. We showed that P.paucidens is physiologically active in deep waters during winter; that the carbon stable isotope ratio indicated that the species forages in winter and that there was a difference in food sources between summer and winter; that lipid content was highest in January; and that gene expression activity (as measured by the RNA/DNA ratio) remained constant throughout the year. Thus, P.paucidens individuals that migrate to the bottom are likely to forage in winter, but do not hibernate. Nutrients gained in winter were not reflected in individual growth but may have been allocated to gonadal growth and the production of gametes, suggesting that winter foraging by this species in deep sites contributes to obtain resources for reproductive investment. In addition, we found that both small individuals with no reproductive experience and relatively large females with reproductive experience overwintered, indicating that P.paucidens has a life-cycle that is longer than 1yr in Lake Biwa.
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- 2019
19. Electrocardiographic criteria for predicting total occlusion of the proximal left anterior descending coronary artery in anterior wall acute myocardial infarction
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Tsutomu Endo, Kazuo Kimura, Toshiyuki Ishikawa, Masami Kosuge, Osamu Tochikubo, Tomohiko Shigemasa, Mitsugi Sugiyama, and Satoshi Umemura
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Adult ,Male ,medicine.medical_specialty ,Myocardial Infarction ,Coronary Disease ,Anterior Descending Coronary Artery ,Coronary Angiography ,Sensitivity and Specificity ,Electrocardiography ,Reperfusion therapy ,Internal medicine ,Occlusion ,medicine ,ST segment ,Humans ,Myocardial infarction ,cardiovascular diseases ,Aged ,medicine.diagnostic_test ,business.industry ,Vascular disease ,General Medicine ,Articles ,Middle Aged ,medicine.disease ,Surgery ,Cardiology ,Female ,Myocardial infarction diagnosis ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background: Patients with occlusion of the left anterior descending coronary artery (LAD) proximal to both the first septal branch and the first diagonal branch may benefit most from early reperfusion therapy due to extensive area at risk. Hypothesis: The aim of the study was to examine whether 12-lead electrocardiograms (ECGs) in the acute phase of acute myocardial infarction (AMI) could identify total occlusion of the LAD proximal to both the first septal and the first diagonal branch. Methods: A 12-lead electrocardiogram was recorded on admission in 128 patients with anterior AMI within 12h from symptom onset. Patients were divided into three groups according to the culprit lesion: 33 patients had total occlusion of the LAD proximal to both the first septal perforator and the first diagonal branch (Group P), in 51 it was proximal to either the first septal perforator or the first diagonal branch (Group D-a), and in 44 it was distal to both the first septal perforator and the first diagonal branch (Group D-b). Results: Sensitivity and specificity of a greater degree of ST-segment depression in lead III than that of ST-segment elevation in lead aVL were 85 and 95%, respectively, which was better than the results derived by all other ECG criteria (p< 0.001). Conclusions: We conclude that a greater degree of ST-segment depression in lead III than that of ST-segment elevation in lead aVL is a useful predictor of proximal LAD occlusion in patients with anterior AMI.
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- 2009
20. Dissolved organic carbon concentration of a natural water body and its relationship to water color in Central Kalimantan, Indonesia.
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Toshiyuki Ishikawa, Trisliana, Yurenfrie, Ardianor, and Sulmin Gumiri
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Abstract In Central Kalimantan, Indonesia, the water of lakes and rivers showed high dissolved organic carbon (DOC) concentration, 5-50mgC/l. There was a clear relationship between DOC concentration and pH. DOC also contributed to low water transparency in the studied lakes. Water colors measured by spectrophotometer showed a strong relationship with DOC concentration, indicating high applicability of water color measurement for estimation of DOC. The development of a simple but quick estimation of DOC will contribute to understanding the seasonal dynamics of DOC, which might regulate both abiotic and biotic conditions in aquatic ecosystems in this area. [ABSTRACT FROM AUTHOR]
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- 2006
21. Optimal Atrioventricular Delay Setting Determined by QT Sensor of Implanted DDDR Pacemaker.
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Toshiyuki Ishikawa, Teruyasu Sugano, Shinichi Sumita, Noritaka Toda, Masami Kosuge, Izumi Kobayashi, Kohel Matsusita, Yasuo Ohkusu, Kazuo Kimura, Takashi Usui, and Satoshi Umemura
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ATRIOVENTRICULAR node ,HEART conduction system ,CARDIAC pacemakers ,ECHOCARDIOGRAPHY ,DIAGNOSTIC ultrasonic imaging ,MEDICAL technology - Abstract
Pacemaker. QT interval (QTI) may change when cardiac junction is improved by optimizing the AV delay. QTI is used as the sensor for rate responsive pacemakers. Evoked (e)QTI is measured as the time duration from the ventricular pace-pulse to the T sense point, which is the steepest point of the intracardiac T wave. The relationship between AV delay and eQTI and cardiac function was studied in 13 patients (74.2 ± 9.3 [SD] years old) with an implanted QT-driven DDDR pacemaker. A special pacemaker software module was downloaded into the pacemaker memory for eQTI data logging. AV delay was set at 100, 120, 150, 180, 210, and 240 ms. Cardiac output (CO) was measured by' continuous Doppler echocardiography eQTI was 343.3 ± 22.5, and 343.4 ± 23.2 ms (P < 0.01. repeated ANOVA) and CO was 4.2 ± 0.8, 4.6 ± 0.8, and 4.2 ± 0.8 L/min (P < 0.0001, repeated ANOVA) when AV delay was set at the AV delay shortened by one step (AV[-]) and prolonged by one step (AV[+]) from the AV delay at which QT interval was maximum (AV[max]) in seven patients, in whom the peak AV delay at which the eQTI was maximal could be identified. eQTI decreased from 345.1 ± 20.9 to 339.4 ± 21.1 ms (P < 0.0001) and CO decreased from 4.4 ± 1.4 to 4.1 ± 1.3 L/min (P <0.005) when AV delay was prolonged from AV(max) to AV(+) in all patients. eQTI decreased from 345.1 ± 22.5 to 343.3 ± 22.4 ms (P < 0.0005) and CO decreased from 4.6 ± 0.8 to 4.2 ± 0.8 L/min (P < 0.05) when AV delay was shortened from AV(max) to AV(-) in seven patients. Thus, CO was maximal when AV delay was set at the AV delay at which eQTI was maximal. In conclusion, the optimal AV delay can be predicted from the eQTI sensed by an implanted pacemaker. and automatic setting of the optimal A V delay can be achieved by the QT sensor of an implanted pacemaker. [ABSTRACT FROM AUTHOR]
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- 2002
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22. Posterior wall involvement attenuates predictive value of ST-segment elevation in lead V4R for right ventricular involvement in inferior acute myocardial infarction
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Nobuhiko Maejima, Toshiyuki Ishikawa, Satoshi Morita, Toshiaki Ebina, Satoshi Umemura, Masami Kosuge, Kiyoshi Hibi, and Kazuo Kimura
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Male ,medicine.medical_specialty ,Heart Ventricles ,Infarction ,Myocardial Reperfusion Injury ,Inferior Wall Myocardial Infarction ,Coronary Angiography ,Sensitivity and Specificity ,Electrocardiography ,Predictive Value of Tests ,medicine.artery ,Internal medicine ,Occlusion ,Medicine ,ST segment ,Humans ,Myocardial infarction ,Creatine Kinase ,Aged ,medicine.diagnostic_test ,business.industry ,ST segments ,Middle Aged ,medicine.disease ,Coronary Occlusion ,Coronary occlusion ,Predictive value of tests ,Right coronary artery ,Reperfusion ,Cardiology ,Female ,Cardiology and Cardiovascular Medicine ,business - Abstract
SummaryBackgroundST-segment elevation of ≥1.0mm in the right precordial chest lead V4R (ST↑V4R) has been shown to be a reliable marker of right ventricular involvement (RVI) in inferior acute myocardial infarction (IMI). However, the impact of left ventricular posterior wall involvement (PWI) on the relation between ST↑V4R and RVI is unknown.MethodsWe studied 267 patients with recanalized IMI due to the right coronary artery (RCA) occlusion within 6h after symptom onset. A 12-lead electrocardiogram, lead V4R, and leads V7–9 were recorded on admission. RVI was defined as occlusion proximal to the first major right ventricular branch of the RCA. The perfusion territory of the RCA was assessed by angiographic distribution score, and PWI was defined as a score of ≥0.7. Patients were stratified according to the presence or absence of PWI and RVI.ResultsRVI was associated with higher peak creatine kinase and a higher rate of impaired myocardial reperfusion, defined as a myocardial blush grade of 0 or 1 after recanalization, in the presence or absence of PWI, especially the former. RVI was associated with a higher rate of ST↑V4R in the absence, but not in the presence, of PWI. ST↑V4R identified RVI with sensitivities of 34% and 96% (p
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23. Long-term effect of cardiac pacing on sleep-disordered breathing in patients with conventional indications for a permanent pacemaker
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Yuuichirou Kimura, Yutaka Ogino, Satoshi Umemura, Junya Hosoda, Tomoaki Ishigami, Yuka Taguchi, Shinnichi Sumita, Toshiyuki Ishikawa, Teruyasu Sugano, Katsumi Matsumoto, Kohei Matsushita, and Noritaka Toda
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lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.medical_specialty ,Atrio-ventricular block ,medicine.medical_treatment ,Polysomnography ,Sick sinus syndrome ,Internal medicine ,medicine ,Continuous positive airway pressure ,Sick Sinus Syndrome ,Ejection fraction ,medicine.diagnostic_test ,business.industry ,Apnea ,Sleep apnea ,Atrial fibrillation ,medicine.disease ,respiratory tract diseases ,Sleep apnea syndrome ,Apnea–hypopnea index ,lcsh:RC666-701 ,Anesthesia ,Cardiology ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business - Abstract
Background The effect of cardiac pacing on sleep-disordered breathing is controversial. We investigated the long-term effect of cardiac pacing on sleep disordered breathing in patients with conventional indications for permanent pacemakers Methods Subjects comprised 40 patients (29 men; mean age 69±9 years, mean left ventricle ejection fraction 69±8%, and body mass index 23.6±3.5 kg/m2) who were diagnosed with indications for permanent pacemakers (sick sinus syndrome in 23 patients, atrioventricular block in 15, and brady atrial fibrillation in 2). All patients received polysomnographic evaluations before implantation of permanent pacemakers. After implantation of permanent pacemakers, all patients received polysomnographic evaluations during use of the pacemaker settings (AAI/DDD/VVI at 70 beats per minute). Results The mean follow-up period was 35±13 months. Before implantation, the distribution of sleep-disordered breathing was as follows: 93% had apnea hypopnea index >5, 58% had apnea hypopnea index >15, and 20% had apnea hypopnea index >30. The mean apnea hypopnea index for all patients was 20±15, for those with obstructive type apnea was 4.9±5.3, and for those with central type apnea was 3.0±4.5. The mean Epworth Sleepiness Score was 5.9±4.0. No patient received continuous positive airway pressure therapy or any other therapy for sleep-disordered breathing during the follow up period. The mean apnea hypopnea index at 1 week after implantation of permanent pacemakers was 21±14 (P=0.8) and the mean apnea hypopnea index at end of follow-up was 11±7 (P Conclusion Long term cardiac pacing significantly reduces the number of episodes of sleep apnea in patients with conventional permanent pacemaker indications.
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24. Effects of Anti-arrhythmic Drugs for Pacing Threshold and Defibrillation Threshold
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Toshiyuki Ishikawa
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Defibrillation threshold ,medicine.medical_specialty ,lcsh:Diseases of the circulatory (Cardiovascular) system ,business.industry ,lcsh:RC666-701 ,Internal medicine ,medicine ,Cardiology ,Anti arrhythmic ,Cardiology and Cardiovascular Medicine ,business - Full Text
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25. ST-SEGMENT DEPRESSION IN LEAD AVR STRONGLY PREDICTS ADVERSE OUTCOMES IN PATIENTS WITH ANTEROLATERAL ST-SEGMENT ELEVATION ACUTE MYOCARDIAL INFARCTION
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Noriaki Iwahashi, Kazuo Kimura, Satoshi Morita, Kazuaki Uchino, Nobuhiko Maejima, Satoshi Umemura, Kengo Tsukahara, Toshiaki Ebina, Toshiyuki Ishikawa, Mitsuaki Endo, Kiyoshi Hibi, and Masami Kosuge
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medicine.medical_specialty ,business.industry ,Adverse outcomes ,medicine.disease ,Anesthesia ,Internal medicine ,Cardiology ,Medicine ,ST segment ,In patient ,Myocardial infarction ,business ,Lead (electronics) ,Cardiology and Cardiovascular Medicine ,Depression (differential diagnoses) - Full Text
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26. LATERAL ST-SEGMENT ELEVATION IS A STRONG PREDICTOR OF IMPAIRED MYOCARDIAL REPERFUSION IN PATIENTS WITH INFERIOR ACUTE MYOCARDIAL INFARCTION
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Noriaki Iwahashi, Kengo Tsukahara, Toshiaki Ebina, Masami Kosuge, Kazuaki Uchino, Jyun Okuda, Satoshi Morita, Kazuo Kimura, Toshiyuki Ishikawa, Kiyoshi Hibi, and Satoshi Umemura
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medicine.medical_specialty ,Myocardial reperfusion ,Lateral ST segment elevation ,business.industry ,Internal medicine ,medicine ,Cardiology ,Electrocardiography in myocardial infarction ,In patient ,Myocardial infarction ,medicine.disease ,business ,Cardiology and Cardiovascular Medicine - Full Text
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27. METABOLIC AND HEMODYNAMIC VARIABLES RELATED TO PACING.
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Toshiyuki Ishikawa, Takashi Usui, Masanobu Kashiwagi, Hiroshi Yoshimura, Kiminari Kobayashi, and Masao Ishil
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HEMODYNAMICS ,BLOOD circulation ,DOCUMENTATION ,BIBLIOGRAPHY ,MEDICAL research - Abstract
The article presents several abstracts concerning metabolic and hemodynamic variables related to pacing. One of the abstracts provides that implanted multi-programmable pacemakers were tested according to three treadmill protocols. The first was an incremental symptom limited treadmill test at heart rate 70, the second consisted of 12 minutes of walking at 40% of max exercise level at three pacemaker rates: 70, 100, 115. The third protocol had four exercise tests at submaximal exercise level, 6 minutes on treadmill at rate settings of 70,100,115,130.
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- 1989
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28. Shock Lead Dislodgement Related To Its Small Hair-Pin Curve In A Pocket -A Case Of Ratchet Syndrome.
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Yuka Taguchi, Kohei Matsushita, Toshiyuki Ishikawa, Yutaka Ogino, Hirooki Matsushita, Junya Hosoda, Katsumi Matsumoto, and Satoshi Umemura
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MYOCARDIAL infarction , *CORONARY disease - Abstract
There have been few reports about ratchet syndrome. We report a case of ratchet syndrome caused by small hair-pin curve of lead that triggered the lead retract itself. A 69-year-old man with a past history of inferior wall myocardial infarction, presented with progressive congestive heart failure. He underwent implantation of cardiac resynchronization therapy with an implantable cardiac defibrillator (CRTD) at our hospital. At 33 days after implantation, shock lead dislodgement was revealed. X-ray showed that the lead tip was in left subclavian vein, leaving its screw out, and a large part of the proximal portion of the lead was retracted into the pocket, while the other two leads remained in appropriate positions and the device had not rotated. An X-ray series showed that a hair-pin curve had been expanding gradually from just after implantation. In this case, relatively stiff shock lead was markedly bent and expanded the curve in the pocket, and ratchet-like movement occurred. We here report a new type of ratchet syndrome. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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