ジュウジョウ　ケンタロウ   JUJO Kentaro   重城　健太郎    所属   埼玉医科大学  医学部 総合医療センター　心臓内科    職種   教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	Efficacy of 24-Hour Blood Pressure Monitoring in Evaluating Response to Percutaneous Transluminal Renal Angioplasty
掲載誌名	正式名：CIRCULATION JOURNAL ISSNコード：13469843
出版社	JAPANESE CIRCULATION SOC
巻・号・頁	80(9),1922-+頁
著者・共著者	Kentaro Jujo,Katsumi Saito,Issei Ishida,Yuho Furuki,Taisuke Ouchi,Ahsung Kim,Yuki Suzuki,Haruki Sekiguchi,Junichi Yamaguchi,Hiroshi Ogawa,Nobuhisa Hagiwara
発行年月	2016/09
概要	Background: Percutaneous transluminal renal angioplasty (PTRA) improves patency in atherosclerotic renal artery stenosis (ARAS), but improvement in clinic blood pressure (BP) is seen in only 20-40% of patients who undergo PTRA. This study investigated the effects of PTRA on BP lowering, assessed on 24-h ambulatory BP monitoring (ABPM), and identified preoperative features predictive of satisfactory BP improvement after PTRA.Methods and Results: Of 1,753 consecutive patients undergoing coronary angiography, 31 patients with angio-graphically significant ARAS and translesional pressure gradient (TLPG)>20 mmHg underwent PTRA. ABPM was performed before, at 1 month and at 1 year after PTRA; patients with average systolic ABPM-BP decrease>10 mmHg at 1 month from baseline were categorized as responders. There was no obvious relationship between clinic BP and ABPM-BP at baseline. ABPM-BP was significantly higher in responders at baseline (SBP: 148 vs. 126 mmHg, P<0.01) and was improved 1 month after PTRA. This difference persisted until 1 year after PTRA. Night-time BP improved more than daytime BP in responders. Patients with higher baseline ABPM-BP achieved a larger decrease
DOI	10.1253/circj.CJ-16-0347