Publications by authors named "Tomoko Muroya"

The effect of self-measurement of blood pressure (BP) at home (home BP measurement, HBPM) has been evaluated over the past decade. This meta-analysis included the latest studies to determine whether HBPM reduced BP (PROSPERO ID: CRD42023442225). PubMed, Cochrane Library Database, and IchuShi-Web were searched for randomized controlled trials after the year 2000 which demonstrated the effect of HBPM on BP change compared with usual care (UC).

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Article Synopsis
  • Transient global amnesia (TGA) is a short-term memory condition that can be confused with other serious issues like hippocampal infarction, which needs further treatment.
  • A case study involving a 60-year-old woman showed difficulty in diagnosing between TGA and hippocampal infarction for about a week after her sudden onset of amnesia.
  • MRI scans revealed important differences over time, highlighting the need for thin-slice MRI and follow-up imaging to accurately distinguish between these two conditions.
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This study aimed to assess the combined effects of blood pressure (BP) and glucose status on chronic kidney disease (CKD) incidence in young and middle-aged adults. We examined data from 1,297,341 Japanese individuals aged <60 years (60.1% men; mean age 41.

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We aimed to quantify the impact of inadequate pharmacological therapy on uncontrolled blood pressure (BP) using Japanese real-world data. This retrospective cohort study used databases provided by DeSC Healthcare, Inc (Tokyo, Japan). We identified 27,652 patients with hypertension (age, 60.

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Article Synopsis
  • A study analyzed over 1.4 million Japanese individuals without chronic kidney disease (CKD) and on no antihypertensive medication to investigate the link between blood pressure (BP) and CKD risk.
  • The findings indicated that both systolic (SBP) and diastolic blood pressure (DBP) levels were significantly associated with increased CKD risk, especially noting that high DBP had a stronger correlation with CKD than SBP.
  • The research highlights the importance of monitoring kidney function, particularly eGFR decline, in individuals with high SBP and low DBP, emphasizing isolated high DBP levels as a notable risk factor for CKD in middle-aged adults.
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Objective: This observational retrospective cohort study investigates the effect of antihypertensive therapy with angiotensin II receptor blockers (ARBs) or dihydropyridine calcium channel blockers (dCCBs) monotherapy on renal function using longitudinal real-world health data of a drug-naive, hypertensive population without kidney disease.

Methods: Using propensity score matching, we selected untreated hypertensive participants ( n  = 10 151) and dCCB ( n  = 5078) or ARB ( n  = 5073) new-users based on annual health check-ups and claims between 2008 and 2020. Participants were divided by the first prescribed drug.

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Objective: No studies have demonstrated the association between urinary sodium-to-potassium (Na/K) ratio and all out-of-office blood pressure (BP) [home morning and evening BP (self-measured at home), and 24-h, daytime, and night-time ambulatory BP] in the same cohort. We aimed to assess, which type of out-of-office BP is more strongly associated with urinary Na/K ratio in the general population.

Methods: This cross-sectional study was conducted in the general population of Ohasama, Japan.

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Background And Aims: Chronic kidney disease (CKD) is a global health burden. Previous studies have shown a J- or U-shaped association between serum uric acid (SUA) and cardiovascular mortality. We assessed the risk of CKD incidence in a refined SUA category in middle-aged adults stratified by sex.

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