Change of Exhaled Acetone Concentration in a Diabetic Patient with Acute Decompensated Heart Failure
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- Yokokawa Tetsuro
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Ichijo Yasuhiro
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Houtsuki Yu
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Matsumoto Yoshiyuki
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Oikawa Masayoshi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Yoshihisa Akiomi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Sugimoto Koichi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Nakazato Kazuhiko
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Suzuki Hitoshi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Saitoh Shu-ichi
- Department of Cardiovascular Medicine, Fukushima Medical University
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- Shimouchi Akito
- Department of Lifelong Sports for Health Biomedical Sciences, College of Life and Health Sciences, Chubu University
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- Takeishi Yasuchika
- Department of Cardiovascular Medicine, Fukushima Medical University
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抄録
<p>In heart failure patients, exhaled acetone concentration, a noninvasive biomarker, is increased according to heart failure severity. Moreover, exhaled acetone concentration is also known to be affected by diabetes mellitus. However, there have been no reports on exhaled acetone concentration in heart failure patients with diabetes mellitus. A 77-year old man was admitted to our hospital with acute decompensated heart failure and atrioventricular block. He had controlled diabetes mellitus under insulin treatment with hemoglobin A1c of 6.5%. He underwent treatment of diuretics and permanent pacemaker implantation. His condition improved and he was discharged at Day 12. Due to the heart failure improvement, his levels of exhaled acetone concentration decreased from 1.623 ppm at admission to 0.664 ppm at discharge. This is the first report to reveal a change of exhaled acetone concentration in a diabetic patient with acute decompensated heart failure.</p>
収録刊行物
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- International Heart Journal
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International Heart Journal 58 (5), 828-830, 2017
一般社団法人 インターナショナル・ハート・ジャーナル刊行会
