Publications by authors named "Nakazato J"

Article Synopsis
  • The Coupling study investigated how vascular biomarkers and supine blood pressure (BP) impact the risk of major cardiovascular events in outpatients over 30 with cardiovascular risk factors, involving 4716 participants during a median follow-up of 5 years.* -
  • Key findings revealed that higher cardio-ankle vascular index (CAVI) and lower ankle-brachial index (ABI) are associated with increased cardiovascular event risk, particularly when CAVI is ≥8.0 and ABI is ≤1.10.* -
  • The study emphasizes that uncontrolled supine hypertension (≥140/90 mmHg) is a significant risk factor, suggesting a need for better management of BP and vascular health in clinical practice, given that traditional
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In the era of Industry 5.0, advanced technologies like artificial intelligence (AI), robotics, big data, and the Internet of Things (IoT) offer promising avenues for economic growth and solutions to societal challenges. Digital twin technology is important for real-time three-dimensional space reproduction in this transition, and unmanned aerial vehicles (UAVs) can support it.

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Article Synopsis
  • The paper examines communication-efficient federated learning (FL), which enables decentralized machine learning across different locations without sharing raw data.
  • It reviews strategies to improve communication efficiency in FL, including model updates, compression methods, resource management, and client selection.
  • The study also identifies ongoing research challenges and suggests future directions for enhancing communication efficiency in federated learning systems.
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To deal with recent increasing mobile traffic, ultra-broadband communication with millimeter-wave (mmWave) has been regarded as a key technology for 5G cellular networks. In a previous study, a mmWave heterogeneous network was composed of several mmWave small cells overlaid on the coverage of a macro cell. However, as seen from the optical fiber penetration rate worldwide, it is difficult to say that backhaul with Gbps order is available everywhere.

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Background: Inconsistencies between the office and out-of-office blood pressure (BP) values (described as white-coat hypertension or masked hypertension) may be attributable in part to differences in the BP monitoring devices used.

Methods: We studied consistency in the classification of BP control (well-controlled BP vs. uncontrolled BP) among office, home, and ambulatory BPs by using a validated "all-in-one" BP monitoring device.

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The emergence of 5G-IoT opens up unprecedented connectivity possibilities for new service use cases and players. Multi-access edge computing (MEC) is a crucial technology and enabler for Beyond 5G, supporting next-generation communications with service guarantees (e.g.

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Article Synopsis
  • * Key findings included a 72.9% restenosis rate and a 36.9% occurrence of major adverse limb events among participants.
  • * Independent risk factors for restenosis identified were chronic limb-threatening ischemia, chronic total occlusion, lesion length of 25 cm or more, and distal reference vessel diameter less than 5 mm.
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Coronary artery embolism due to BioGlue surgical adhesive after repair of type A acute aortic dissection is a rare condition. We report a case of BioGlue coronary artery embolism after type A acute aortic dissection repair confirmed using intravascular ultrasound imaging and pathological examination. It was successfully treated with percutaneous coronary intervention.

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A postpartum patient with acute-onset dyspnoea and hypotention, associated with reduced left ventricular function requiring intensive blood pressure control, was initially misdiagnosed as having peripartum cardiomyopathy. Her clinical symptoms rapidly resolved. Echocardiography revealed reversible left ventricular dysfunction with apical ballooning and coronary angiography was normal.

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The value of the cardio-ankle vascular index (CAVI) increases with age. All large-scale studies of the CAVI have investigated patients <80 years old. Thus, the clinical characteristics of high CAVI in patients aged 80 or more remain unclear.

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Vascular biomarkers, including the cardio-ankle vascular index (CAVI), are increasingly being recognized as important indicators of cardiovascular risk. CAVI has been shown to have good discriminative ability for detecting new-onset hypertension, but results of studies investigating cardiovascular risk prediction are inconsistent. Furthermore, there is a lack of data on the prognostic value of changes in CAVI over time.

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A 75-year-old woman, with a history of bilateral internal mammary artery-coronary artery bypass graft surgery, developed hypotension and pulmonary oedema posing as cardiogenic shock. Severe bilateral subclavian artery stenosis emerged to be the cause of ischaemic myocardial dysfunction and heart failure. An emergency endovascular treatment was successfully performed.

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Aims: Anomalous origin of the coronary artery (AOCA) with an inter-arterial course (IAC) between the great vessels poses a risk for a life-threatening cardiovascular event. We assessed, in a registry-based study, the clinical features, treatment strategies, and prognoses of life-threatening cardiovascular events ensuant to AOCA.

Methods And Results: Included were 65 AOCA patients (48 men/17 women, aged 41 ± 23 years) from 40 clinical centres who had experienced sudden cardiac arrest (SCA) (n = 30), acute myocardial infarction (AMI) (n = 5), angina (n = 23), or syncope (n = 7).

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Background: Calciprotein particles (CPPs) have been suggested to be associated with the degree of coronary atherosclerosis, and have also been established as a molecular marker for clinical outcome in patients with chronic kidney disease (CKD). However, there are several concerns with regard to conventional measurement of CPPs. We therefore developed a new CPP measurement system that can detect both smaller and lower-density CPPs.

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Background: Evidence is accumulating that early consumption is more beneficial than is delayed introduction as a strategy for primary prevention of food allergy. However, allergic reactions caused by early introduction of such solid foods have been a problematic issue. We investigated whether or not early stepwise introduction of eggs to infants with eczema combined with optimal eczema treatment would prevent egg allergy at 1 year of age.

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Background: Initial diagnosis of acute aortic dissection (AAD) in the emergency room (ER) is sometimes difficult or delayed. The aim of this study is to define clinical predictors related to inappropriate or delayed diagnosis of Stanford type A AAD.

Methods: We conducted a retrospective analysis of 127 consecutive patients with type A AAD who presented to the ER within 12 h of symptom onset (age: 69.

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A 34-year-old female with a history of systemic lupus erythematosus (SLE) developed an acute inferior myocardial infarction while hospitalized for methicillin-resistant Staphylococcus Aureus sepsis. An emergent coronary angiography revealed an ectatic proximal left coronary artery and a huge aneurysm (37 mm × 32 mm) in the mid-portion of the right coronary artery, which had ruptured into the right atrium. A "steal phenomenon" due to significant left to right shunt resulting from the ruptured aneurysm was the cause of the myocardial infarction.

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Arrhythmogenic right ventricular cardiomyopathy (ARVC) is a multigenic form of cardiomyopathy characterized by myocardial loss and fibrofatty replacement mainly in the right ventricle. Progressive right ventricular dysfunction, ventricular arrhythmias, and sudden cardiac death are the clinical picture of this disease. Despite its clinical importance as a cause of sudden death, ARVC is likely to be under-recognized.

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A 49-year-old woman developed angina at rest. A CT of the coronary artery revealed that the left anterior descending artery arose from the right coronary artery, and traversed between the aorta and pulmonary trunk. An exercise stress myocardial scintigraphy did not reproduce myocardial ischaemia or anginal symptoms.

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We report a case of infective endocarditis complicated with left ventricular pseudoaneurysm originating from the posterior annulus of the prosthetic mitral valve in a 56-year-old woman. Despite prolonged antibiotic treatment, transesophageal echocardiography (TEE) showed partial detachment of the prosthesis from the posterior mitral annulus. Three-dimensional rotational computed tomography clearly demonstrated a pseudoaneurysm toward the posterolateral portion of the mitral prosthetic valve, which was not evident by TEE.

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Primary chylopericardium is a rare condition. The etiology and the treatment remain unclear. We report two cases of primary chylopericardium successfully treated by surgery.

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Background: Not only symptoms but electrocardiographic (ECG) changes mimicking acute coronary syndrome as well have been known to develop in acute aortic dissection (AAD). However, detailed information is lacking.

Objective: We sought to evaluate incidence, patterns, and underlying mechanisms for acute ECG changes in type A AAD.

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Atopic dermatitis (AD) is considered to be Th2 cell-mediated disorder. In most infants with AD, AD may be induced by food allergy. In the early stage of infantile AD, it is unclear whether there are changes in serum Th2 chemokines or in Th2 chemokine production by peripheral blood mononuclear cells (PBMC).

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