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Papers by Shigenobu Inami
Japanese Circulation Journal-english Edition, Mar 1, 2005
Japanese Circulation Journal-english Edition, 2006
Japanese Circulation Journal-english Edition, 2006
OBJECTIVES Changes of ruptured plaques in nonculprit lesions were evaluated using coronary angios... more OBJECTIVES Changes of ruptured plaques in nonculprit lesions were evaluated using coronary angioscopy. BACKGROUND The concept of multiple coronary plaque ruptures has been established. However, no detailed follow-up studies of ruptured plaques in nonculprit lesions have yet been reported. METHODS Forty-eight thrombi in 50 ruptured coronary plaques in nonculprit lesions in 30 patients were identified by angioscopy. The percent diameter stenosis (%DS) at the target plaques on quantitative coronary angiographic analysis and the serum C-reactive protein (CRP) level were measured. RESULTS The mean angioscopic follow-up period was 13 9 months. Thirty-five superimposed thrombi still remained at follow-up, and the predominant thrombus color changed from red (56%) at baseline to pinkish-white (83%) at follow-up. The healing rate increased according to the angioscopic follow-up period (23% at 12 months vs. 55% at 12 months, p 0.044). The %DS at the healed plaque increased from baseline to fol...
Japanese Circulation Journal-english Edition, 2002
Cureus, 2021
Leadless pacemaker is indicated in patients with symptomatic bradycardia as an alternative therap... more Leadless pacemaker is indicated in patients with symptomatic bradycardia as an alternative therapy when transvenous pacemaker implantation is considered difficult or at high risk. The experience of implanting leadless pacemaker in patients with dextrocardia and situs inversus is limited. A 94-year-old male was transferred to our hospital due to advanced atrio-ventricular block with episode of syncope. Chest radiograph and computed tomography revealed dextrocardia with situs inversus. Emergency cardiac catheterization was performed and a temporary pacemaker was inserted, but the patient removed it due to delirium. So, a leadless pacemaker was implanted to him. Shorter time of bed-rest after the implantation and shorter hospital stay would be beneficial of implanting a leadless pacemaker. Precise anatomical evaluation would be important to perform implantation efficiently and safely.
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 31, 2002
Japanese Circulation Journal, Mar 1, 2000
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 1, 2005
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 1, 2009
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 1, 2003
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 31, 2002
International Heart Journal, 2010
Plaque disruption, which may be associated with some coronary risk factors, plays a key role in t... more Plaque disruption, which may be associated with some coronary risk factors, plays a key role in the development of acute coronary syndromes and progression of atherosclerosis. However, the clinical profile of asymptomatic plaque disruption in stable ischemic heart disease has not been well evaluated. The aim of the present study was to investigate the frequency and determinants of silent plaque disruption (SPD) in patients with stable ischemic heart disease using coronary angioscopy. Forty-one patients with stable angina or old myocardial infarction (OMI) without any complaints within 3 months were included in the present study. Angioscopy was successfully performed through 49 nonischemic related coronary arteries. The presence of SPD and coronary risk factors were recorded. Silent plaque disruption was found in 12 patients with stable ischemic heart disease (12/41, 29.3%), and the frequency of SPD in nonischemic related coronary arteries was 26.5% (13/49). A significantly higher frequency of SPD was noted in yellow plaques than in white plaques (35.3% versus 6.7%, P = 0.043). Overall, the independent clinical risk factors of SPD in nonischemic related coronary arteries were diabetes mellitus (P = 0.018; OR, 18.8209; 95% CI, 1.6525 to 214.3523) and hypertension (P = 0.0313; OR, 6.6485; 95% CI, 1.1850 to 37.3019). These results suggest silent plaque disruption was commonly observed in nonischemic related coronary arteries in patients with stable ischemic heart disease and its determinants were diabetes mellitus and hypertension.
Coronary Angioscopy, 2015
Journal of the Japanese Coronary Association, 2013
Japanese Circulation Journal-english Edition, Mar 1, 2005
Japanese Circulation Journal-english Edition, 2006
Japanese Circulation Journal-english Edition, 2006
OBJECTIVES Changes of ruptured plaques in nonculprit lesions were evaluated using coronary angios... more OBJECTIVES Changes of ruptured plaques in nonculprit lesions were evaluated using coronary angioscopy. BACKGROUND The concept of multiple coronary plaque ruptures has been established. However, no detailed follow-up studies of ruptured plaques in nonculprit lesions have yet been reported. METHODS Forty-eight thrombi in 50 ruptured coronary plaques in nonculprit lesions in 30 patients were identified by angioscopy. The percent diameter stenosis (%DS) at the target plaques on quantitative coronary angiographic analysis and the serum C-reactive protein (CRP) level were measured. RESULTS The mean angioscopic follow-up period was 13 9 months. Thirty-five superimposed thrombi still remained at follow-up, and the predominant thrombus color changed from red (56%) at baseline to pinkish-white (83%) at follow-up. The healing rate increased according to the angioscopic follow-up period (23% at 12 months vs. 55% at 12 months, p 0.044). The %DS at the healed plaque increased from baseline to fol...
Japanese Circulation Journal-english Edition, 2002
Cureus, 2021
Leadless pacemaker is indicated in patients with symptomatic bradycardia as an alternative therap... more Leadless pacemaker is indicated in patients with symptomatic bradycardia as an alternative therapy when transvenous pacemaker implantation is considered difficult or at high risk. The experience of implanting leadless pacemaker in patients with dextrocardia and situs inversus is limited. A 94-year-old male was transferred to our hospital due to advanced atrio-ventricular block with episode of syncope. Chest radiograph and computed tomography revealed dextrocardia with situs inversus. Emergency cardiac catheterization was performed and a temporary pacemaker was inserted, but the patient removed it due to delirium. So, a leadless pacemaker was implanted to him. Shorter time of bed-rest after the implantation and shorter hospital stay would be beneficial of implanting a leadless pacemaker. Precise anatomical evaluation would be important to perform implantation efficiently and safely.
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 31, 2002
Japanese Circulation Journal, Mar 1, 2000
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 1, 2005
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 1, 2009
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 1, 2003
Circulation Journal Official Journal of the Japanese Circulation Society, Mar 31, 2002
International Heart Journal, 2010
Plaque disruption, which may be associated with some coronary risk factors, plays a key role in t... more Plaque disruption, which may be associated with some coronary risk factors, plays a key role in the development of acute coronary syndromes and progression of atherosclerosis. However, the clinical profile of asymptomatic plaque disruption in stable ischemic heart disease has not been well evaluated. The aim of the present study was to investigate the frequency and determinants of silent plaque disruption (SPD) in patients with stable ischemic heart disease using coronary angioscopy. Forty-one patients with stable angina or old myocardial infarction (OMI) without any complaints within 3 months were included in the present study. Angioscopy was successfully performed through 49 nonischemic related coronary arteries. The presence of SPD and coronary risk factors were recorded. Silent plaque disruption was found in 12 patients with stable ischemic heart disease (12/41, 29.3%), and the frequency of SPD in nonischemic related coronary arteries was 26.5% (13/49). A significantly higher frequency of SPD was noted in yellow plaques than in white plaques (35.3% versus 6.7%, P = 0.043). Overall, the independent clinical risk factors of SPD in nonischemic related coronary arteries were diabetes mellitus (P = 0.018; OR, 18.8209; 95% CI, 1.6525 to 214.3523) and hypertension (P = 0.0313; OR, 6.6485; 95% CI, 1.1850 to 37.3019). These results suggest silent plaque disruption was commonly observed in nonischemic related coronary arteries in patients with stable ischemic heart disease and its determinants were diabetes mellitus and hypertension.
Coronary Angioscopy, 2015
Journal of the Japanese Coronary Association, 2013