The Traditional Japanese Medicine (Kampo) Boiogito has a Dual Benefit in Cardiorenal Syndrome : A Pilot Observational Study
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- GAUTAM Milan
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- IZAWA Atsushi
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- SAIGUSA Tatsuya
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- YAMASAKI Saeko
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- MOTOKI Hirohiko
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- TOMITA Takeshi
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- MIYASHITA Yusuke
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- KOYAMA Jun
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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- HONGO Minoru
- Department of Cardiovascular Medicine, Shinshu University School of Health Sciences
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- IKEDA Uichi
- Department of Cardiovascular Medicine, Shinshu University School of Medicine
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Background : Conventional treatment for cardiorenal syndrome (CRS) is frequently associated with drug resistance and limited clinical success. We aimed to explore a new approach utilizing Boiogito (TJ-20), a traditional Japanese medicine (Kampo), in combination with conventional treatment for patients with CRS.<br>Methods and Results : We enrolled 26 patients with CRS (18 men ; mean age, 77±8.4 years ; mean serum brain natriuretic peptide (BNP), 241.5±196.6pg/mL ; mean estimated glomerular filtration rate (eGFR), 40.02±10.54mL・min-1.1.73m-2). Treatment with TJ-20 was started at an average dose of 4.6±1.5g/day, which was increased to 5.2±1.2g/day at 3.5 months and to 5.9±1.5g/day at 9.4 months. TJ-20 treatment significantly increased mean eGFR (mL・min-1.1.73m-2) to 44.60±10.76 at 3.5 months (P=0.001), and to 45.93±11.57 at 9.4 months (P=0.0004). In addition, the New York Heart Association functional classification improved (P=0.019), and serum BNP levels decreased significantly to 195.5±145.7pg/mL at 3.5 months (P=0.008) and to 163.3±130.2pg/mL at 9.4 months (P=0.007). The increase in eGFR had no correlation with the decrease in BNP level, indicating independent effects on both renal function and heart failure status.<br>Conclusions : TJ-20 can benefit both renal function and heart failure status in patients with CRS. Alternative medicine utilizing TJ-20 may provide a novel and useful strategy for the difficult management of patients with CRS.
収録刊行物
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- 信州医学雑誌
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信州医学雑誌 62 (2), 89-97, 2014
信州医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204211143680
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- NII論文ID
- 130004551929
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- NII書誌ID
- AN00120815
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- ISSN
- 18846580
- 00373826
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- HANDLE
- 10091/17539
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- NDL書誌ID
- 025478080
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- IRDB
- NDL
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可