Publications by authors named "Tatsuya Miyoshi"

Transcatheter aortic valve implantation (TAVI) using the NAVITOR system has been relatively underreported due to its recent introduction in Japan. This study aimed to assess the short-term outcomes of TAVI with the NAVITOR in real-world clinical practice. Patients with severe aortic stenosis who underwent TAVI using the NAVITOR system at our institution between December 2022 and December 2023 were prospectively enrolled.

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  • Despite the introduction of the rubella vaccine in 1977, rubella and congenital rubella syndrome (CRS) persist in Japan, highlighting flaws in the current immunization strategy.
  • Universal immunization improved vaccine coverage and reduced rubella cases, but outbreaks occurred in 2012-2013 and 2018-2019 due to imported viruses and unvaccinated males.
  • The study suggests that a single-dose vaccination is insufficient to fully prevent infections and CRS, emphasizing the need for a second dose to close immunization gaps and avoid future outbreaks.
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Although accurate assessment of right ventricular (RV) morphology and function is clinically important, data regarding reference values for echocardiographic measurements of the right ventricle in the Japanese population are limited. The World Alliance Society of Echocardiography (WASE) Normal Values Study was conducted to examine normal echocardiographic values in 15 countries. Using the WASE study database, we analyzed 2-dimensional echocardiographic parameters of RV size and systolic function in 192 healthy Japanese individuals and compared them with those obtained from 153 healthy American individuals.

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Background: Left atrial volume (LAV) has prognostic value. Guidelines propose indexation to body surface area (BSA), however studies demonstrate this can overcorrect for body size. Limited studies investigate indexation across different ethnicities.

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  • Early prediction of aorta-related events is crucial for treatment in acute aortic dissection patients, yet most studies focus on long-term growth, not in-hospital changes.
  • The study involved 116 patients with uncomplicated type B acute aortic dissection, dividing them based on changes in aortic volume during hospital stay to assess their association with aorta-related events over 5 years.
  • Results showed that patients with an increase in aortic volume had a significantly higher rate of events (49.2%) compared to those with reduced volume (3.5%), suggesting in-hospital volume changes are important predictors for long-term outcomes.
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Background: Recently, mechanical support obtained with the combination of venoarterial extracorporeal membrane oxygenation (VA-ECMO) and an Impella device, together referred to as ECPELLA, has been shown to be effective for acute myocardial infarction with cardiogenic shock. However, methods for withdrawing VA-ECMO in acute myocardial infarction cases complicated by right ventricular dysfunction are yet to be established. Here, we report the effective use of inhaled nitric oxide during the weaning of VA-ECMO from the ECPELLA management of a patient with acute myocardial infarction with cardiogenic shock.

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Background: Normal values for three-dimensional (3D) right ventricular (RV) size and function are not well established, as they originate from small studies that involved predominantly white North American and European populations, did not use RV-focused views, and relied on older 3D RV analysis software. The World Alliance Societies of Echocardiography study was designed to generate reference ranges for normal subjects around the world. The aim of this study was to assess the worldwide capability of 3D imaging of the right ventricle and report size and function measurements, including their dependency on age, sex, and ethnicity.

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Background: Left ventricular (LV) circumferential strain has received less attention than longitudinal deformation, which has recently become part of routine clinical practice. Among other reasons, this is because of the lack of established normal values. Accordingly, the aim of this study was to establish normative values for LV circumferential strain and determine sex-, age-, and race-related differences in a large cohort of healthy adults.

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Background: Although increased left ventricular (LV) mass is associated with adverse outcomes, measured values vary widely depending on the specific technique used. Moreover, the impact of sex, age, and race on LV mass remains controversial, further limiting the clinical use of this parameter. Accordingly, the authors studied LV mass using a variety of two-dimensional and three-dimensional echocardiographic techniques in a large population of normal subjects encompassing a wide range of ages.

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Aims: Aortic valve area (AVA) used for echocardiographic assessment of aortic stenosis (AS) has been traditionally interpreted independently of sex, age and race. As differences in normal values might impact clinical decision-making, we aimed to establish sex-, age- and race-specific normative values for AVA and Doppler parameters using data from the World Alliance Societies of Echocardiography (WASE) Study.

Methods And Results: Two-dimensional transthoracic echocardiographic studies were obtained from 1903 healthy adult subjects (48% women).

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  • The study investigates psychological distress in elderly patients with cardiovascular disease (CVD) compared to those without CVD, highlighting how common this issue is within the population.
  • Data from a national survey in Japan showed a significant difference in distress rates, with 29.8% of patients with CVD experiencing psychological distress versus 20.5% of those without it.
  • Several factors linked to psychological distress in CVD patients included female gender, comorbidities, smoking, sleep duration, housing status, retirement, walking disabilities, and lower income, with walking disability being the strongest predictor.
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  • Recent research on mitral valve (MV) percutaneous interventions indicates a growing need for detailed assessments of the MV, which can be effectively done using three-dimensional echocardiography.
  • The study analyzed data from 748 normal subjects, focusing on how MV size and structure vary with age, sex, and race, revealing significant differences between genders and population groups.
  • Findings showed that men generally had larger MV sizes compared to women, and that Asian individuals had smaller annular sizes compared to black and white populations, highlighting the importance of considering these factors in clinical assessments.
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Background: Echocardiography remains the most widely used modality to assess left ventricular (LV) chamber size and function. Currently this assessment is most frequently performed using two-dimensional (2D) echocardiography. However, three-dimensional (3D) echocardiography has been shown to be more accurate and reproducible than 2D echocardiography.

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Echocardiography is used worldwide to evaluate cardiac size and function. To determine what values are abnormal, it is essential to establish normal reference values for echocardiography. The current guidelines for chamber quantification specify normative values for cardiac chambers and recommend that gender and body size be taken into account.

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  • This study aimed to establish normal values for right ventricular (RV) diastolic function parameters across different demographics, including sex, age, and race, due to the lack of research in this area compared to left ventricular function.
  • Data from 888 normal subjects included measurements such as tricuspid valve inflow velocities and right atrial volume, with differences analyzed by age groups (<40, 41-65, >65 years), sex, and race.
  • Results revealed that women generally had higher RV diastolic velocities than men, while older age groups showed lower velocities and higher ratios, with distinct differences observed among racial groups for certain parameters.
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Background: Accurate measurements of the aortic annulus and root are important for guiding therapeutic decisions regarding the need for aortic surgery. Current echocardiographic guidelines for identification of aortic root dilatation are limited because current normative values were derived predominantly from white individuals in narrow age ranges, and based partially on M-mode measurements. Using data from the World Alliance Societies of Echocardiography study, the authors sought to establish normal ranges of aortic dimensions across sexes, races, and a wide range of ages.

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Pulmonary artery sarcoma (PAS) is considered a very rare tumor with a poor prognosis. We herein report two cases of PAS that were diagnosed by positron emission tomography (PET)/computed tomography (CT). In both cases, PET was an effective option for diagnosing tumors, and surgical resection was a valid treatment for these diseases.

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  • - The study evaluates left atrial (LA) size and function using 2D and 3D echocardiography in 1,765 healthy individuals, analyzing the effects of age, sex, and race on LA parameters.
  • - Findings indicate that while LA volumes are similar for men and women, women have better passive emptying fractions, and LA size and function change with age, particularly showing variations in functional indices.
  • - The research suggests that normal LA volume values can apply to both sexes, but significant differences arise due to aging, with noted variations in LA volumes among different racial groups.
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Background: Echocardiographic assessment of right ventricular (RV) systolic function is an important component of clinical decision making. Although professional societies have worked to define normal ranges of RV size and function, their guidelines have not included the impacts of age, sex, and ethnicity on these parameters, as they have for the left ventricle. The World Alliance of Societies of Echocardiography study was designed to investigate the effects of age, sex, and ethnicity on all cardiac chambers.

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Background: Assessment of cardiac output (CO) and stroke volume (SV) is essential to understand cardiac function and hemodynamics. These parameters can be examined using three echocardiographic techniques (pulsed-wave Doppler, two-dimensional [2D], and three-dimensional [3D]). Whether these methods can be used interchangeably is unclear.

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Background: The World Alliance Societies of Echocardiography study is a multicenter, international, prospective, cross-sectional study whose aims were to evaluate healthy adult individuals to establish age- and sex-normative values of echocardiographic parameters and to determine whether differences exist among people from different countries and of different ethnicities. The present report focuses on two-dimensional (2D) and three-dimensional (3D) right atrial (RA) size and function.

Methods: Transthoracic 2D and 3D echocardiographic images were obtained in 2,008 healthy adult individuals evenly distributed among subgroups according to sex (1,033 men, 975 women) and age 18 to 40 years (n = 854), 41 to 65 years (n = 653), and >65 years (n = 501).

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Background: The World Alliance Societies of Echocardiography (WASE) study was conducted to describe echocardiographic normal values in adults and to compare races and nationalities using a uniform acquisition and measurement protocol. This report focuses on left ventricular (LV) diastolic function.

Methods: WASE is an international, cross-sectional study.

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Human noroviruses cause an estimated 685 million infections and 200 000 deaths annually worldwide. Although vaccines against GII.4 and GI.

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Background: Although liver dysfunction is one of the common complications in patients with acute heart failure (AHF), no integrated marker has been defined. The albumin-bilirubin (ALBI) score has recently been proposed as a novel, clinically-applicable scoring system for liver dysfunction. We investigated the utility of the ALBI score in patients with AHF compared to that for a preexisting liver dysfunction score, the Model of End-Stage Liver Disease Excluding prothrombin time (MELD XI) score.

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