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We explored the appropriateness of CHF treatment in rural areas in Japan. Methods  We compared rates of adherence to therapeutic guidelines for CHF between residents with a left ventricular ejection fraction \u003c35% living in urban areas (n = 207) and those in rural areas (n = 180). Treatments included pharmacological [beta-blockers, angiotensin-converting enzyme inhibitors (ACEi)/angiotensin II receptor blocker (ARB), mineralocorticoid receptor antagonist (MRA) and anticoagulants for atrial fibrillation] and non-pharmacological [implantable cardioverter defibrillator (ICD)/cardiac resynchronization therapy (CRT), cardiac rehabilitation and HF education] approaches. Patients  This study included 387 patients with CHF, prior myocardial infarction or cardiomyopathy, and a left ventricular ejection fraction (LVEF) \u003c35% as determined by echocardiography. 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  1. 0 資料タイプ別
  2. 02 学位論文
  1. 250 大学院医歯学総合研究科(医)
  2. 60 博士学位論文
  3. 10 博士学位論文

慢性心不全の治療のためのガイドラインの遵守における地域格差

http://hdl.handle.net/10191/0002000301
http://hdl.handle.net/10191/0002000301
116e3aed-4081-4c50-80b4-56e17a11947d
名前 / ファイル ライセンス アクション
r2nmk996.pdf 本文 (549KB)
r2nmk996_a.pdf 要旨 (545KB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2022-04-04
タイトル
言語 en
タイトル Regional Disparities in Adherence to Guidelines for the Treatment of Chronic Heart Failure
タイトル
言語 ja
タイトル 慢性心不全の治療のためのガイドラインの遵守における地域格差
言語
言語 eng
キーワード
言語 en
主題Scheme Other
主題 heart failure
キーワード
言語 en
主題Scheme Other
主題 regional disparity
キーワード
言語 en
主題Scheme Other
主題 guidelines
資源タイプ
資源 http://purl.org/coar/resource_type/c_db06
タイプ doctoral thesis
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
著者 松尾, 佑治

× 松尾, 佑治

en Matsuo, Yuji

ja 松尾, 佑治

Search repository
抄録
内容記述タイプ Abstract
内容記述 Objective The incidence of chronic heart failure (CHF) is likely to keep increasing in Japan as the population ages, placing increased burdens on medical facilities, particularly on the limited numbers of rural hospitals. We explored the appropriateness of CHF treatment in rural areas in Japan. Methods We compared rates of adherence to therapeutic guidelines for CHF between residents with a left ventricular ejection fraction <35% living in urban areas (n = 207) and those in rural areas (n = 180). Treatments included pharmacological [beta-blockers, angiotensin-converting enzyme inhibitors (ACEi)/angiotensin II receptor blocker (ARB), mineralocorticoid receptor antagonist (MRA) and anticoagulants for atrial fibrillation] and non-pharmacological [implantable cardioverter defibrillator (ICD)/cardiac resynchronization therapy (CRT), cardiac rehabilitation and HF education] approaches. Patients This study included 387 patients with CHF, prior myocardial infarction or cardiomyopathy, and a left ventricular ejection fraction (LVEF) <35% as determined by echocardiography. Results The respective rates of treatments administered in urban and rural areas were as follows: beta-blockers, 91.3% vs. 61.7% (p<0.05); ACEi/ARB, 86.5% vs. 68.3% (p<0.05); MRA, 74.4% vs. 59.4% (p<0.01); anticoagulants, 100% vs. 86.5%, (p<0.05); ICD/CRT, 45.4% vs. 5.0% (p<0.05); cardiac rehabilitation, 32.4% vs. 13.3% (p<0.05) and HF education, 33.3% vs. 32.8% (p=0.75). Conclusion Regional disparities in treatment for CHF persist, even in Japan. Improvements in the use of guideline-directed treatment in rural areas might improve the outcomes for CHF patients.
言語 en
内容記述
内容記述タイプ Other
内容記述 Internal Medicine. 2021, 60(4), 525-532.
言語 en
DOI
識別子タイプ DOI
関連識別子 https://doi.org/10.2169/internalmedicine.4660-20
権利
言語 en
権利情報 【○!C】 2021 The Japanese Society of Internal Medicine
権利
言語 en
権利情報Resource https://creativecommons.org/licenses/by-nc-nd/4.0/
権利情報 Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
学位名
言語 ja
学位名 博士(医学)
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 13101
言語 ja
学位授与機関名 新潟大学
言語 en
学位授与機関名 Niigata University
学位授与年月日
学位授与年月日 2021-03-23
学位授与番号
学位授与番号 甲第4842号
学位記番号
内容記述タイプ Other
内容記述 新大院博(医)第996号
言語 ja
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