{"created":"2023-06-19T10:43:25.248693+00:00","id":3645,"links":{},"metadata":{"_buckets":{"deposit":"184a5ab9-0542-470d-b3d8-2543bd1b4c83"},"_deposit":{"created_by":11,"id":"3645","owners":[11],"pid":{"revision_id":0,"type":"depid","value":"3645"},"status":"published"},"_oai":{"id":"oai:shiga-med.repo.nii.ac.jp:00003645","sets":["30:46:84"]},"author_link":["571","57","1878","7867"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2020-07-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"20","bibliographicPageEnd":"4","bibliographicPageStart":"30226","bibliographicVolumeNumber":"S0914-5087","bibliographic_titles":[{},{"bibliographic_title":"Journal of cardiology","bibliographic_titleLang":"en"}]}]},"item_4_creator_3":{"attribute_name":"著者別名","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"蔦本, 尚慶"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"酒井, 宏"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山本, 孝"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"中川, 義久"}],"nameIdentifiers":[{},{}]}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background:\nThe reason for low plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) levels in patients with a high body mass index (BMI) is unknown. Although left ventricular end-diastolic pressure (LVEDP) is the gold standard of preload, the estimated trans left ventricular end-diastolic transmural pressure (eLVTMP) may be true preload especially in obese patients. ","subitem_description_type":"Abstract"},{"subitem_description":"Materials and methods:\nWe measured hemodynamic parameters and the plasma NT-proBNP level in the aortic root (AO) and coronary sinus (CS) in 602 left-sided heart disease patients. We defined normal as BMI < 25 kg/m2 (n = 436), overweight as 25 ≤ BMI<30 kg/m2 (n = 117), and obese as BMI ≥ 30 kg/m2 (n = 49). ","subitem_description_type":"Abstract"},{"subitem_description":"Results:\nThere were no significant differences in left ventricular ejection fraction (LVEF) or LVEDP among the three groups, and log (CSAO) NT-proBNP was significantly lower in overweight or obese patients than in normal patients. From stepwise multivariate analyses, eLVTMP (eLVTMP = LVEDPright atrial pressure), LVEF, and BMI were independent predictors of log (CSAO) NT-proBNP, but LVEDP was not. The eLVTMP was significantly lower in obese patients than in overweight patients (7.5 ± 5.1 vs. 9.6 ± 5.3 mmHg, p < 0.05) or normal patients (7.5 ± 5.1 vs. 9.6 ± 4.7 mmHg, p < 0.01). ","subitem_description_type":"Abstract"},{"subitem_description":"Conclusion:\nLower eLVTMP, as a marker of left ventricular preload, may contribute to the lower NT-proBNP secretion from the heart in obese patients. ","subitem_description_type":"Abstract"}]},"item_4_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"Journal Article","subitem_description_type":"Other"}]},"item_4_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Elsevier"}]},"item_4_relation_10":{"attribute_name":"PubMed番号","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"32682625","subitem_relation_type_select":"PMID"}}]},"item_4_relation_11":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"10.1016/j.jjcc.2020.07.004"}],"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1016/j.jjcc.2020.07.004","subitem_relation_type_select":"DOI"}}]},"item_4_rights_12":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"© 2020. Published by Elsevier Ltd."}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1876-4738","subitem_source_identifier_type":"ISSN"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"metadata only access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_14cb"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"TSUTAMOTO, Takayoshi"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"SAKAI, Hiroshi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAMOTO, Takashi"}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"NAKAGAWA, Yoshihisa"}],"nameIdentifiers":[{},{}]}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Body mass index","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Hemodynamics","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"N-terminal pro-brain natriuretic peptide","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Obesity","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Preload.","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Relationship between left ventricular preload and N-terminal pro-brain natriuretic peptide in obese patients.","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Relationship between left ventricular preload and N-terminal pro-brain natriuretic peptide in obese patients."}]},"item_type_id":"4","owner":"11","path":["84"],"pubdate":{"attribute_name":"公開日","attribute_value":"2020-07-27"},"publish_date":"2020-07-27","publish_status":"0","recid":"3645","relation_version_is_last":true,"title":["Relationship between left ventricular preload and N-terminal pro-brain natriuretic peptide in obese patients."],"weko_creator_id":"11","weko_shared_id":-1},"updated":"2023-06-19T12:11:37.023151+00:00"}