Publications by authors named "Hiroshige Ishii"

Article Synopsis
  • A 61-year-old man with congestive heart failure due to severe aortic regurgitation was initially misdiagnosed with concealed infective endocarditis, despite lacking typical symptoms like fever and positive blood cultures.
  • After aortic valve replacement and further examination, Behçet's disease was considered a more likely cause for his symptoms, owing to its association with valvulitis and aortic issues.
  • The case highlights the importance of recognizing Behçet's disease as a potential diagnosis in patients with cardiac involvement, even in the absence of common clinical signs, which could lead to improved treatment and outcomes.
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Aims: Inadequate self-care management is a leading cause of re-hospitalization in patients with heart failure (HF). Psychological factors such as some ego functions interfere with self-care behaviour modification, leading to poor outcomes in patients with several chronic diseases. However, characteristics of ego states in patients with repeated hospitalization for HF remain undefined.

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CHRNA1 encodes the α subunit of nicotinic acetylcholine receptors (nAChRs) and is expressed at the neuromuscular junction. Moreover, it is one of the causative genes of Congenital Myasthenic Syndromes (CMS). CHRNA1 undergoes alternative splicing to produce two splice variants: P3A(-), without exon P3A, and P3A(+), with the exon P3A.

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We report a case of highly calcified 75% stenotic lesion in the proximal left anterior descending coronary artery. During stenting, the balloon incurred a pinhole rupture at the moment of dilatation and the stent expanded only at both ends. This caused the balloon and stent to become lodged in the coronary artery.

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Aim: To verify the hypothesis that even if breastfeeding is continued during pregnancy, there are no harmful effects on pregnancy.

Methods: The outcomes of pregnancies in mothers who continued breastfeeding during pregnancy were studied. One hundred and ten pregnant women were recruited who had one full-term baby, no experience of premature birth or abortion, and who continued to breastfeed at diagnosis of pregnancy.

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Objective: In patients with acute myocardial infarction (AMI), angiographic slow/no-flow during percutaneous coronary intervention (PCI) may lead to unfavorable outcomes. The aim of our study was to investigate the predictors and long-term prognosis of AMI patients with angiographic slow/no-flow.

Methods: We evaluated 228 consecutive AMI patients with either normal flow (Thrombolysis in Myocardial Infarction [TIMI] flow grade 3)(n=192) or slow/no-flow (< or =TIMI-2)(n=36) based on cineangiograms performed during PCI.

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Objectives: We sought to determine the incidence of acute coronary events after coronary stenting in comparison to that after plain old balloon angioplasty (POBA).

Background: Although coronary stenting is proven to be effective in reducing the incidence of restenosis, the long-term outcome in terms of acute coronary events has not been clarified.

Methods: Study subjects were 1,507 patients with 2,780 native coronary artery lesions treated by POBA (n=1,400) or stenting (n=1,380).

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