Publications by authors named "H Matano"

Objective: To comprehensively evaluate diagnostic algorithms for myocardial infarction using a high-sensitivity cardiac troponin I (hs-cTnI) assay.

Patients And Methods: We prospectively enrolled patients with suspected myocardial infarction without ST-segment elevation from nine emergency departments in Japan. The diagnostic algorithms evaluated: (i) based on hs-cTnI alone, such as the European Society of Cardiology (ESC) 0/1-h or 0/2-h and High-STEACS pathways; or (ii) used medical history and physical findings, such as the ADAPT, EDACS, HEART, and GRACE pathways.

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Background: Early prediction of oxygen therapy in patients with coronavirus disease 2019 (COVID-19) is vital for triage. Several machine-learning prognostic models for COVID-19 are currently available. However, external validation of these models has rarely been performed.

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Article Synopsis
  • Recent advancements in troponin testing have improved early detection of NSTEMI in emergency departments, yet reliance on clinical judgment still occurs and the best strategy remains unclear.
  • This study aims to validate and compare the effectiveness of clinical judgment, prediction rules, and high-sensitive troponin strategies in accurately ruling out NSTEMI in 1500 patients in Japan.
  • The research is ethics-approved and will assess various diagnostic approaches' sensitivity and reliability over a one-year period starting July 2018.
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Objective: The efficacy of nonoperative management of blunt thoracic aortic injury (BTAI) was evaluated in patients with pseudoaneurysm.

Methods: A retrospective review was done for patients with BTAI at Fukui Prefectural Hospital during a 9-year period. Charts were reviewed for age, gender, Injury Severity Score, Abbreviated Injury Scale for each body area, initial type of aortic injury, site of aortic injury, type of definitive management, complications, and outcomes.

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