Featured Publications
Performance of the MAGGIC heart failure risk score and its modification with the addition of discharge natriuretic peptides
Sawano M, Shiraishi Y, Kohsaka S, Nagai T, Goda A, Mizuno A, Sujino Y, Nagatomo Y, Kohno T, Anzai T, Fukuda K, Yoshikawa T. Performance of the MAGGIC heart failure risk score and its modification with the addition of discharge natriuretic peptides. ESC Heart Failure 2018, 5: 610-619. PMID: 29520978, PMCID: PMC6073038, DOI: 10.1002/ehf2.12278.Peer-Reviewed Original ResearchConceptsMAGGIC scoreBNP levelsB-type natriuretic peptide levelsAcute Heart Failure registryChronic Heart Failure (MAGGIC) scoreConsecutive acute HF patientsHeart failure patient outcomesHeart Failure Risk ScoreMeta-Analysis Global GroupAcute HF patientsHeart Failure RegistryHeart failure scoreProspective multicentre registryIncremental prognostic valueNatriuretic peptide levelsHeart failure patientsMulticentre registryHF patientsFailure patientsYear mortalityNatriuretic peptidePatient mortalityPrognostic valueMean ageJapanese Registry
2022
Machine learning models for prediction of adverse events after percutaneous coronary intervention
Niimi N, Shiraishi Y, Sawano M, Ikemura N, Inohara T, Ueda I, Fukuda K, Kohsaka S. Machine learning models for prediction of adverse events after percutaneous coronary intervention. Scientific Reports 2022, 12: 6262. PMID: 35428765, PMCID: PMC9012739, DOI: 10.1038/s41598-022-10346-1.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionAdverse eventsRisk scoreHospital mortalityCoronary interventionConsecutive coronary artery disease patientsCoronary artery disease patientsAdverse periprocedural eventsLow-risk patientsMajor adverse eventsGood discriminationMulticenter registryPeriprocedural eventsDisease patientsClinical decisionLogistic regressionSpecific interventionsRisk predictionOverall risk predictionPatientsScoresInterventionMortalityAdequate discriminationOutcomes
2021
Sudden cardiac death after acute decompensation in heart failure patients: implications of discharge haemoglobin levels
Fukuoka R, Kohsaka S, Shiraishi Y, Sawano M, Abe T, Levy W, Nagatomo Y, Nishihata Y, Goda A, Kohno T, Kawamura A, Fukuda K, Yoshikawa T. Sudden cardiac death after acute decompensation in heart failure patients: implications of discharge haemoglobin levels. ESC Heart Failure 2021, 8: 3917-3928. PMID: 34323007, PMCID: PMC8497203, DOI: 10.1002/ehf2.13414.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overDeath, Sudden, CardiacHeart FailureHemoglobinsHumansMaleMiddle AgedPatient DischargeProspective StudiesConceptsSudden cardiac deathPump failure deathAcute HF patientsDischarge Hb levelsHeart failure patientsMode of deathHb levelsHF patientsFailure patientsCardiac deathEjection fractionHemoglobin levelsIncidence of SCDConsecutive acute HF patientsSeattle Proportional Risk ModelDischarge hemoglobin levelsProspective multicentre registryBaseline ejection fractionMean Hb levelNon-cardiovascular causesSeverity of anemiaSCD risk predictionProportional risk modelFailure deathHF management
2020
Beta blockers versus calcium channel blockers for provocation of vasospastic angina after drug-eluting stent implantation: a multicentre prospective randomised trial
Sawano M, Katsuki T, Kitai T, Tamita K, Obunai K, Ikegami Y, Yamane T, Ueda I, Endo A, Maekawa Y, Kawamura A, Fukuda K, Kohsaka S. Beta blockers versus calcium channel blockers for provocation of vasospastic angina after drug-eluting stent implantation: a multicentre prospective randomised trial. Open Heart 2020, 7: e001406. PMID: 33087441, PMCID: PMC7580072, DOI: 10.1136/openhrt-2020-001406.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAged, 80 and overAngina PectorisCalcium Channel BlockersCoronary Artery DiseaseCoronary VasospasmDrug-Eluting StentsFemaleHumansIncidenceJapanMaleMiddle AgedPercutaneous Coronary InterventionProspective StudiesProtective FactorsRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeConceptsMajor cardiovascular eventsPercutaneous coronary interventionCalcium channel blockersCoronary artery diseaseStable coronary artery diseaseDrug-eluting stent implantationAcetylcholine provocation testingDiagnostic coronary angiographyBeta blockersCCB groupArtery diseaseCoronary angiographyVasospastic anginaCoronary revascularisationProvocation testingStent implantationChannel blockersSecond-generation drug-eluting stent implantationUniversity Hospital Medical Information Network Clinical Trials RegistryIndex percutaneous coronary interventionNon-fatal myocardial infarctionSingle-vessel lesionsSubsequent coronary eventsCoronary artery spasmClinical Trials RegistryAssociation of decreasing hemoglobin levels with the incidence of acute kidney injury after percutaneous coronary intervention: a prospective multi-center study
Kuno T, Numasawa Y, Mikami T, Niimi N, Sawano M, Kodaira M, Suzuki M, Ueno K, Ueda I, Fukuda K, Kohsaka S. Association of decreasing hemoglobin levels with the incidence of acute kidney injury after percutaneous coronary intervention: a prospective multi-center study. Heart And Vessels 2020, 36: 330-336. PMID: 33034713, DOI: 10.1007/s00380-020-01706-w.Peer-Reviewed Original ResearchConceptsAcute kidney injuryPercutaneous coronary interventionRisk of AKIHemoglobin dropAKI incidenceKidney injuryCoronary interventionHemoglobin levelsProspective multi-center studySerum creatinine levelsMulti-center studyRelative decreaseConsecutive patientsCreatinine levelsIndependent predictorsRisk factorsHemoglobin changeHigh riskAbsolute decreaseLogistic regressionPatientsIncidenceHemoglobinInjuryDlElectrocardiographic Left Atrial Abnormality and B-Type Natriuretic Peptide in a General Japanese Population: NIPPON DATA2010
Shoji S, Kohsaka S, Sawano M, Okamura T, Hirata A, Sugiyama D, Ohkubo T, Nakamura Y, Watanabe M, Kadota A, Ueshima H, Okayama A, Miura K, Group F. Electrocardiographic Left Atrial Abnormality and B-Type Natriuretic Peptide in a General Japanese Population: NIPPON DATA2010. Journal Of Atherosclerosis And Thrombosis 2020, 28: 34-43. PMID: 32188793, PMCID: PMC7875149, DOI: 10.5551/jat.54171.Peer-Reviewed Original ResearchConceptsFuture cardiovascular eventsBNP concentrationsCardiovascular eventsElevated BNPGeneral populationB-type natriuretic peptide concentrationsElectrocardiographic Left Atrial AbnormalityJapanese Circulation Society guidelinesB-type natriuretic peptideP-wave terminal forceContemporary general populationEarliest detectable markerElevated BNP concentrationsHistory of hypertensionNatriuretic peptide concentrationsJapanese populationGeneral population cohortHigher BNP concentrationsRepresentative Japanese populationGeneral Japanese populationLeft atrial abnormalityAtrial pressureElectrocardiogram (ECG) markersElectrocardiographic findingsNatriuretic peptide
2019
In-hospital outcome in patients presenting with acute coronary syndrome with left main coronary artery disease: A report from Japanese prospective multicenter percutaneous coronary intervention registry
Tani H, Sawano M, Numasawa Y, Kobayashi Y, Suzuki M, Noma S, Shiraishi Y, Ueda I, Fukuda K, Kohsaka S. In-hospital outcome in patients presenting with acute coronary syndrome with left main coronary artery disease: A report from Japanese prospective multicenter percutaneous coronary intervention registry. Journal Of Cardiology 2019, 75: 635-640. PMID: 31899113, DOI: 10.1016/j.jjcc.2019.11.006.Peer-Reviewed Original ResearchConceptsAcute coronary syndromePercutaneous coronary interventionCardiogenic shockMortality rateACS patientsHospital mortalityCoronary syndromeHospital outcomesHigh riskLeft main coronary artery diseaseMain coronary artery diseasePresence of CSST-elevation myocardial infarctionPercutaneous coronary intervention registryContemporary risk modelsCoronary lesion characteristicsLeft main diseaseCoronary artery bypassHospital mortality rateDe novo patientsElevation myocardial infarctionCoronary artery diseaseCoronary Intervention RegistryShort-term outcomesKey clinical characteristicsReal-world use of intravascular ultrasound in Japan: a report from contemporary multicenter PCI registry
Kuno T, Numasawa Y, Sawano M, Abe T, Ueda I, Kodaira M, Suzuki M, Noma S, Nakamura I, Negishi K, Ishikawa S, Fukuda K, Kohsaka S. Real-world use of intravascular ultrasound in Japan: a report from contemporary multicenter PCI registry. Heart And Vessels 2019, 34: 1728-1739. PMID: 31129872, DOI: 10.1007/s00380-019-01427-9.Peer-Reviewed Original ResearchConceptsElective percutaneous coronary interventionPercutaneous coronary interventionEmergent percutaneous coronary interventionNon-IVUS groupPCI-related complicationsCoronary dissectionIntravascular ultrasoundIVUS usePCI registryMultivariate logistic regression analysisPlain old balloon angioplastyElective PCI patientsJapanese PCI registryMulticenter PCI registrySevere coronary dissectionMore comorbid conditionsClinical trial dataLogistic regression analysisLow event ratesIVUS groupPCI patientsCoronary interventionConsecutive patientsIndependent predictorsClinical outcomes
2018
Stroke After Percutaneous Coronary Intervention in the Era of Transradial Intervention
Shoji S, Kohsaka S, Kumamaru H, Sawano M, Shiraishi Y, Ueda I, Noma S, Suzuki M, Numasawa Y, Hayashida K, Yuasa S, Miyata H, Fukuda K. Stroke After Percutaneous Coronary Intervention in the Era of Transradial Intervention. Circulation Cardiovascular Interventions 2018, 11: e006761. PMID: 30545258, DOI: 10.1161/circinterventions.118.006761.Peer-Reviewed Original ResearchConceptsPercutaneous coronary interventionPeriprocedural strokeTransradial interventionTransfemoral interventionCoronary interventionAccess siteElective percutaneous coronary interventionPropensity score-matched analysisMultivariable logistic regression analysisOptimal access siteProspective multicenter databaseAcute kidney injuryAcute coronary syndromeChronic kidney diseaseLife-threatening complicationsPeripheral artery diseaseLogistic regression analysisCoronary syndromeHemorrhagic eventsKidney injuryPCI complicationsArtery diseaseMulticenter databaseStroke patientsKidney diseaseEffects of body habitus on contrast-induced acute kidney injury after percutaneous coronary intervention
Kuno T, Numasawa Y, Sawano M, Katsuki T, Kodaira M, Ueda I, Suzuki M, Noma S, Negishi K, Ishikawa S, Miyata H, Fukuda K, Kohsaka S. Effects of body habitus on contrast-induced acute kidney injury after percutaneous coronary intervention. PLOS ONE 2018, 13: e0203352. PMID: 30212493, PMCID: PMC6136739, DOI: 10.1371/journal.pone.0203352.Peer-Reviewed Original ResearchConceptsBody mass indexPercutaneous coronary interventionContrast-induced acute kidney injuryCI-AKIAcute kidney injuryKidney injuryCoronary interventionBMI groupsBody habitusAbsolute serum creatinine increaseLower body mass indexDifferent body mass indexBaseline renal dysfunctionCI-AKI incidenceSerum creatinine increaseCreatinine clearance ratioPatient body habitusJ-curve relationshipCreatinine increaseLean patientsRenal dysfunctionClinical factorsConsecutive patientsMass indexContrast volumeValidation of U.S. mortality prediction models for hospitalized heart failure in the United Kingdom and Japan
Nagai T, Sundaram V, Shoaib A, Shiraishi Y, Kohsaka S, Rothnie K, Piper S, McDonagh T, Hardman S, Goda A, Mizuno A, Sawano M, Rigby A, Quint J, Yoshikawa T, Clark A, Anzai T, Cleland J. Validation of U.S. mortality prediction models for hospitalized heart failure in the United Kingdom and Japan. European Journal Of Heart Failure 2018, 20: 1179-1190. PMID: 29846026, DOI: 10.1002/ejhf.1210.Peer-Reviewed Original Research
2017
Outcomes After Percutaneous Coronary Intervention of Acute Coronary Syndrome Complicated With Cardiopulmonary Arrest (from a Japanese Multicenter Registry)
Numasawa Y, Sawano M, Miyata H, Ueda I, Noma S, Suzuki M, Kuno T, Kodaira M, Maekawa Y, Fukuda K, Kohsaka S. Outcomes After Percutaneous Coronary Intervention of Acute Coronary Syndrome Complicated With Cardiopulmonary Arrest (from a Japanese Multicenter Registry). The American Journal Of Cardiology 2017, 119: 1173-1178. PMID: 28236456, DOI: 10.1016/j.amjcard.2017.01.007.Peer-Reviewed Original ResearchMeSH KeywordsAcute Coronary SyndromeAge FactorsAgedBody Mass IndexFemaleHeart ArrestHospital MortalityHumansHypothermia, InducedJapanMaleMiddle AgedMultivariate AnalysisNo-Reflow PhenomenonPercutaneous Coronary InterventionProspective StudiesRegistriesShock, CardiogenicST Elevation Myocardial InfarctionConceptsAcute coronary syndromePercutaneous coronary interventionST-elevation myocardial infarctionCardiopulmonary arrestCardiogenic shockCoronary interventionInhospital mortalityMortality rateAcute Coronary Syndrome ComplicatedPresence of CSHours of admissionHigh mortality rateInhospital outcomesCoronary syndromeUnstable anginaIndependent predictorsShock statusMyocardial infarctionPatientsMultivariate analysisOlder ageInterventionOutcomesMortalityAge
2016
Degree of dyspnoea in patients with non‐ST‐elevation acute coronary syndrome: A report from Japanese multicenter registry
Shiraishi Y, Kohsaka S, Ueda I, Inohara T, Sawano M, Numasawa Y, Hayashida K, Maekawa Y, Momiyama Y, Fukuda K. Degree of dyspnoea in patients with non‐ST‐elevation acute coronary syndrome: A report from Japanese multicenter registry. International Journal Of Clinical Practice 2016, 70: 978-987. PMID: 28032431, DOI: 10.1111/ijcp.12905.Peer-Reviewed Original ResearchConceptsAcute heart failureAcute coronary syndromeElevation acute coronary syndromeDegree of dyspnoeaDyspnoea severityRenal eventsMajor cardiovascularHospital mortalityCoronary syndromeNon-ST elevation acute coronary syndromeJapanese multicenter registryMulticenter PCI registryNSTE-ACS patientsRenal event rateMild activityDyspnoeic symptomsNSTE-ACSHospital deathHospital outcomesMulticenter registryPCI registryMultivariate adjustmentConsecutive patientsHeart failureDyspnoeaIndependent Prognostic Value of Single and Multiple Non-Specific 12-Lead Electrocardiographic Findings for Long-Term Cardiovascular Outcomes: A Prospective Cohort Study
Sawano M, Kohsaka S, Okamura T, Inohara T, Sugiyama D, Shiraishi Y, Watanabe M, Nakamura Y, Higashiyama A, Kadota A, Okuda N, Murakami Y, Ohkubo T, Fujiyoshi A, Miura K, Okayama A, Ueshima H, . Independent Prognostic Value of Single and Multiple Non-Specific 12-Lead Electrocardiographic Findings for Long-Term Cardiovascular Outcomes: A Prospective Cohort Study. PLOS ONE 2016, 11: e0157563. PMID: 27362562, PMCID: PMC4928789, DOI: 10.1371/journal.pone.0157563.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedCardiovascular DiseasesCardiovascular SystemElectrocardiographyFemaleHumansLongitudinal StudiesMaleMiddle AgedPrognosisProspective StudiesConceptsFramingham risk scoreCardiovascular deathRisk chartsRisk scoreCohort studyLong-term cardiovascular deathLong-term prognostic effectLong-term cardiovascular outcomesProspective cohort studyIndependent prognostic valueLongitudinal cohort studyRisk stratification systemCause deathCardiovascular outcomesCoronary deathElectrocardiogram findingsHazard ratioPrognostic impactStroke deathsElectrocardiographic findingsPrognostic effectPrognostic valueHealthy menRepolarization abnormalitiesHigh risk
2015
Validation of the Get With The Guideline–Heart Failure risk score in Japanese patients and the potential improvement of its discrimination ability by the inclusion of B-type natriuretic peptide level
Shiraishi Y, Kohsaka S, Abe T, Mizuno A, Goda A, Izumi Y, Yagawa M, Akita K, Sawano M, Inohara T, Takei M, Kohno T, Higuchi S, Yamazoe M, Mahara K, Fukuda K, Yoshikawa T, Investigators W. Validation of the Get With The Guideline–Heart Failure risk score in Japanese patients and the potential improvement of its discrimination ability by the inclusion of B-type natriuretic peptide level. American Heart Journal 2015, 171: 33-39. PMID: 26699598, DOI: 10.1016/j.ahj.2015.10.008.Peer-Reviewed Original ResearchConceptsB-type natriuretic peptide levelsGWTG-HF risk scoreAcute heart failureNatriuretic peptide levelsHospital mortalityRisk scorePeptide levelsAHF patientsC-statisticGuidelines-Heart Failure (GWTG-HF) risk scoreWest Tokyo Heart Failure registryChronic obstructive pulmonary diseaseBlood urea nitrogen levelsGWTG-HF scoreHeart Failure RegistryMulticenter cohort registryRisk score performanceObstructive pulmonary diseaseSystolic blood pressureUrea nitrogen levelsHosmer-Lemeshow statisticFuture risk modelsCohort registryBlood pressureHeart failure
2014
Prognostic Implication of Physical Signs of Congestion in Acute Heart Failure Patients and Its Association with Steady-State Biomarker Levels
Negi S, Sawano M, Kohsaka S, Inohara T, Shiraishi Y, Kohno T, Maekawa Y, Sano M, Yoshikawa T, Fukuda K. Prognostic Implication of Physical Signs of Congestion in Acute Heart Failure Patients and Its Association with Steady-State Biomarker Levels. PLOS ONE 2014, 9: e96325. PMID: 24802880, PMCID: PMC4011709, DOI: 10.1371/journal.pone.0096325.Peer-Reviewed Original ResearchConceptsJugular venous distensionAcute heart failurePulmonary ralesTime of dischargePhysical findingsReadmission ratesAHF patientsAcute heart failure patientsElevated troponin T levelsSingle-center university hospitalConsecutive AHF patientsElevated TnT levelsParoxysmal nocturnal dyspneaNon-ischemic etiologyTroponin T levelsHeart failure patientsNon-ischemic cardiomyopathyLong-term outcomesTime of admissionThird heart soundNocturnal dyspneaMean followPrimary endpointVenous distensionFailure patients