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  1. 医歯学総合研究科
  2. 医歯学総合研究科・博士論文

Effects of glycemic control and hypoglycemia on Thrombus formation assessed using automated microchip flow chamber system : an exploratory observational study

http://hdl.handle.net/10232/00030854
http://hdl.handle.net/10232/00030854
a0dcac8a-020b-46a2-84ab-777e77964077
名前 / ファイル ライセンス アクション
Diss_山元_聖明_ISK000_2019.pdf Diss_山元_聖明_ISK000_2019 (988.6 kB)
license.icon
Abstract_山元_聖明_4512800062_2019.pdf Abstract_山元_聖明_4512800062_2019 (113.1 kB)
Result_Yamamoto_Kiyoaki_isk_528_2019.pdf Result_Yamamoto_Kiyoaki_isk_528_2019 (910.5 kB)
Comments_Yamamoto_Kiyoaki_isk_528_2019.pdf Comments_Yamamoto_Kiyoaki_isk_528_2019 (409.3 kB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2020-01-27
タイトル
タイトル Effects of glycemic control and hypoglycemia on Thrombus formation assessed using automated microchip flow chamber system : an exploratory observational study
別言語のタイトル
その他のタイトル マイクロチップ式血流下自動解析システムを用いて評価した血栓形成に対する血糖コントロールと低血糖の影響 : 探索的観察研究
著者 山元, 聖明

× 山元, 聖明

WEKO 134655

山元, 聖明

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著者よみ
姓名 ヤマモト, キヨアキ
別言語の著者
姓名 YAMAMOTO, Kiyoaki
言語
言語 eng
キーワード
主題言語 en
主題Scheme Other
主題 Glycemic control
キーワード
主題言語 en
主題Scheme Other
主題 Hyperglycemia
キーワード
主題言語 en
主題Scheme Other
主題 Hypoglycemia
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
要約(Abstract)
内容記述タイプ Other
内容記述 Background: Thrombus formation is an important factor affecting cardiovascular events and venous thromboembolism in type 2 diabetes. However, it is unclear whether glycemic control reduces thrombogenicity. We investigated the effect of short-term glycemic control (STUDY 1) and hypoglycemia (STUDY 2) on thrombus formation using an automated microchip flow chamber system.
Methods: For STUDY 1, we recruited 10 patients with type 2 diabetes. Before and after 2 weeks of treatment, blood glucose was analyzed with a continuous glucose monitoring system, and thrombogenicity was analyzed with an automated microchip flow chamber system. For STUDY 2, we recruited 10 subjects without diabetes who underwent an insulin tolerance test. We evaluated the change in thrombogenic potential with hypoglycemia.
Results: STUDY1: The mean blood glucose level reduced from 10.1 ± 2.6 to 6.9 ± 0.97mM (P < 0.01). T10, an indicator of thrombogenicity, significantly attenuated after glycemic control (338 ± 65 vs. 425 ± 117 s, P < 0.05). The attenuation in T10 was significantly correlated with changes in mean blood glucose level after treatment (r = − 0.718, P < 0.05). STUDY 2: Platelet function was enhanced with decreasing blood glucose; increased platelet function was strongly correlated with an increase in epinephrine.
Conclusions: We demonstrated attenuation in thrombogenicity with short-term comprehensive diabetes care and enhancement in thrombogenicity with hypoglycemia, using a new flow chamber system.
要約(Abstract)
内容記述タイプ Other
内容記述 Kiyoaki Yamamoto, Takashi Ito, Tomoka Nagasato, Atsushi Shinnakasu, Mihoko Kurano, Aiko Arimura, Hiroshi Arimura, Hiroshi Hashiguchi, Takahisa Deguchi, Ikuro Maruyama and Yoshihiko Nishio
Effects of glycemic control and hypoglycemia on Thrombus formation assessed using automated microchip flow chamber system: an exploratory observational study
Thrombosis Journal (2019)
doi: https://doi.org/10.1186/s12959-019-0206-8
収録雑誌名 Thrombosis Journal

発行日 2019-09-02
作成日
日付 2019-12-06
DOI
識別子タイプ DOI
DOI 10.1186/s12959-019-0206-8
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
NDC
主題Scheme NDC
主題 490
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文全文
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文要旨
ファイル(説明)
内容記述タイプ Other
内容記述 最終試験結果の要旨
ファイル(説明)
内容記述タイプ Other
内容記述 論文審査の要旨
公開者・出版者
出版者 BMC
公開者・出版者
出版者 鹿児島大学
公開者よみ
公開者よみ カゴシマ ダイガク
公開者別名
公開者別名 Kagoshima University
備考
備考 【指導教員:西尾善彦】
date.appl
【学位申請日】2019-10-02
学位名
学位名 博士(医学)Doctor of Philosophy in Medical Science
学位授与機関
学位授与機関識別子Scheme kakenhi
学位授与機関識別子 17701
学位授与機関名 鹿児島大学
学位授与年月日
学位授与年月日 2019-12-18
学位授与番号
学位授与番号 甲総研第528号
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