Publications by authors named "Reiji Goto"

Article Synopsis
  • - Patients with acute coronary syndrome (ACS) were studied to see how plaque morphology, specifically plaque erosion (PE) vs plaque rupture (PR), affects the characteristics of residual lesions after treatment.
  • - In a comparison of 88 patients, those with PE had lower lipid volume and higher fibrous volume in their residual lesions compared to those with PR, indicating distinct differences in plaque nature between the two groups.
  • - The study found that lipid volume in residual lesions can help predict the type of plaque morphology in culprit lesions, with specific cutoff values showing reasonable accuracy for distinguishing between PE and PR.
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Background: Acute myocardial infarction (AMI) in young patients is a concerning issue because of its adverse health and social impacts. Nevertheless, risk factors and prognosis of AMI in young patients are yet to be characterized.

Objectives: This study aimed to characterize AMI in young patients who underwent primary percutaneous coronary intervention (PCI) using large-scale nationwide all-comer registry data in Japan, the Japanese Percutaneous Coronary Intervention (J-PCI).

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Physiological assessments using fractional flow reserve (FFR) and resting full-cycle ratio (RFR) have been recommended for revascularization decision making. Previous studies have shown a 20% rate of discordance between FFR and RFR. In this context, the correlation between RFR and FFR in patients with renal dysfunction remains unclear.

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The resting full-cycle ratio (RFR), a novel resting index, is well correlated with and shows good diagnostic accuracy to the fractional flow reserve (FFR). However, discordance results between the RFR and FFR have been observed to occur in about 20% of cases. This study aimed to clarify the prevalence and factors of discordant results between the RFR and FFR through a direct comparison of these values in daily clinical practice.

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