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Watanabe H, Shiomi H, Nakatsuma K, Morimoto T, Taniguchi T, Furukawa Y, Nakagawa Y, Horie M, Kimura T, Kimura T, Sakata R, Marui A, Matsuda M, Mitsuoka H, Onoe M, Nakagawa Y, Yamanaka K, Fujiwara H, Takatsu Y, Ohno N, Nohara R, Murakami T, Takeda T, Nobuyoshi M, Iwabuchi M, Hanyu M, Tatami R, Matsushita T, Shirotani M, Nishiwaki N, Kita T, Furukawa Y, Okada Y, Kato H, Eizawa H, Is K, Tanaka M, Nakayama S, Lee JD, Nakano A, Koshiji T, Morioka K, Takizawa A, Shimamoto M, Yamazaki F, Takahashi M, Nishizawa J, Horie M, Takashima H, Tamura T, Aota M, Takahashi M, Tabata T, Tei C, Hamasaki S, Imoto Y, Yamamoto H, Kambara H, Doi O, Matsuda K, Nara M, Mitsudo K, Kadota K, Komiya T, Miki S, Mizoguchi T, Nakajima H, Ogawa H, Sugiyama S, Kawasuji M, Moriyama S, Hattori R, Aoyama T, Araki M, Suwa S, Tanbara K, Kitagawa K, Yamauchi M, Okamoto N, Fujino Y, Tezuka S, Saeki A, Hanazawa M, Sato Y, Hibi C, Sasae H, Takinami E, Uchida Y, Yamamoto Y, Nishida S, Yoshimoto M, Maeda S, Miki I, Minematsu S, Abe M, Shiomi H, Tada T, Tazaki J, Kato Y, Hayano M, Tokushige A, Natsuaki M, Nakajima T. Clinical efficacy of thrombus aspiration on 5-year clinical outcomes in patients with ST-segment elevation acute myocardial infarction undergoing percutaneous coronary intervention. J Am Heart Assoc 2015; 4:e001962. [PMID: 26077588 PMCID: PMC4599536 DOI: 10.1161/jaha.115.001962] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Background Adjunctive thrombus aspiration (TA) during primary percutaneous coronary intervention (PCI) was reported to promote better coronary and myocardial reperfusion. However, long-term mortality benefit of TA remains controversial. The objective of this study is to investigate the clinical impact of TA on long-term clinical outcomes in patients with ST-segment elevation myocardial infarction (STEMI) undergoing primary PCI. Methods and Results The CREDO-Kyoto AMI Registry is a large-scale cohort study of acute myocardial infarction patients undergoing coronary revascularization in 2005–2007 at 26 hospitals in Japan. Among 5429 patients enrolled in the registry, the current study population consisted of 3536 patients who arrived at the hospital within 12 hours after the symptom onset and underwent primary PCI. Clinical outcomes were compared between the 2 patient groups with or without TA. During primary PCI procedures, 2239 out of 3536 (63%) patients underwent TA (TA group). The cumulative 5-year incidence of all-cause death was significantly lower in the TA group than in the non-TA group (18.5% versus 23.9%, log-rank P<0.001). After adjusting for confounders, however, the risk for all-cause death in the TA group was not significantly lower than that in the non-TA group (hazard ratio: 0.90, 95% CI: 0.76 to 1.06, P=0.21). The adjusted risks for cardiac death, myocardial infarction, stroke, and target-lesion revascularization were also not significantly different between the 2 groups. Conclusions Adjunctive TA during primary PCI was not associated with better 5-year mortality in STEMI patients.
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Affiliation(s)
- Hiroki Watanabe
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.)
| | - Hiroki Shiomi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.)
| | - Kenji Nakatsuma
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.)
| | - Takeshi Morimoto
- Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.)
| | - Tomohiko Taniguchi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.)
| | - Yutaka Furukawa
- Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.)
| | | | - Minoru Horie
- Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Takeshi Kimura
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.)
| | | | - Takeshi Kimura
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Ryuzo Sakata
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Akira Marui
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Mitsuo Matsuda
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hirokazu Mitsuoka
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masahiko Onoe
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yoshihisa Nakagawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Kazuo Yamanaka
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hisayoshi Fujiwara
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yoshiki Takatsu
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Nobuhisa Ohno
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Ryuji Nohara
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Tomoyuki Murakami
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Teruki Takeda
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masakiyo Nobuyoshi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masashi Iwabuchi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Michiya Hanyu
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Ryozo Tatami
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Tsutomu Matsushita
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Manabu Shirotani
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Noboru Nishiwaki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Toru Kita
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yutaka Furukawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yukikatsu Okada
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hiroshi Kato
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hiroshi Eizawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Katsuhisa Is
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masaru Tanaka
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Shogo Nakayama
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Jong-Dae Lee
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Akira Nakano
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Takaaki Koshiji
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Koichi Morioka
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Akinori Takizawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Mitsuomi Shimamoto
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Fumio Yamazaki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masaaki Takahashi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Junichiro Nishizawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Minoru Horie
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hiroyuki Takashima
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Takashi Tamura
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masaki Aota
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Mamoru Takahashi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Takafumi Tabata
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Chuwa Tei
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Shuichi Hamasaki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yutaka Imoto
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hiroyuki Yamamoto
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hirofumi Kambara
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Osamu Doi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Katsuhiko Matsuda
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masafumi Nara
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Kazuaki Mitsudo
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Kazushige Kadota
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Tatsuhiko Komiya
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Shinji Miki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Tetsu Mizoguchi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hiroyuki Nakajima
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hisao Ogawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Seigo Sugiyama
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Michio Kawasuji
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Syuji Moriyama
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Ryuichi Hattori
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Takeshi Aoyama
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Makoto Araki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Satoru Suwa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Keiichi Tanbara
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Kumiko Kitagawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Misato Yamauchi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Naoko Okamoto
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yumika Fujino
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Saori Tezuka
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Asuka Saeki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Miya Hanazawa
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yuki Sato
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Chikako Hibi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hitomi Sasae
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Emi Takinami
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yuriko Uchida
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yuko Yamamoto
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Satoko Nishida
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Mai Yoshimoto
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Sachiko Maeda
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Izumi Miki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Saeko Minematsu
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Mitsuru Abe
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Hiroki Shiomi
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Tomohisa Tada
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Junichi Tazaki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Yoshihiro Kato
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Mamoru Hayano
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Akihiro Tokushige
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Masahiro Natsuaki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
| | - Tetsu Nakajima
- Department of Cardiovascular Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan (H.W., H.S., K.N., T.T., T.K.) Department of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan (T.M.) Division of Cardiology, Kobe City Medical Center General Hospital, Kobe, Japan (Y.F.) Division of Cardiology, Tenri Hospital, Nara, Japan (Y.N.) Departments of Cardiovascular and Respiratory Medicine, Shiga University of Medical Science, Otsu, Japan (M.H.)
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