○種別 (必須): | □ | 学術論文 (審査論文)
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○言語 (必須): | □ | 英語
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○審査 (推奨): |
○カテゴリ (推奨): |
○共著種別 (推奨): |
○学究種別 (推奨): |
○組織 (推奨): |
○著者 (必須): | 1. | (英) Kojima Sunao (日) (読)
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| 2. | (英) Sakamoto Tomohiro (日) (読)
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| 3. | (英) Ogawa Hisao (日) (読)
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| 4. | (英) Kitagawa Akira (日) (読)
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| 5. | (英) Matsui Kunihiko (日) (読)
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| 6. | (英) Shimomura Hideki (日) (読)
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| 7. | (英) Kimura Kazuo (日) (読)
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| 8. | (英) Ogata Yasuhiro (日) (読)
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| 9. | (英) Sakaino Naritsugu (日) (読)
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| 10. | (英) .Multicenter Study for Aggressive Lipid-lowering Strategy by HMG-CoA Reductase Inhibitors Investigators. (日) (読)
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○題名 (必須): | □ | (英) Standard-dose statin therapy provides incremental clinical benefits in normocholesterolemic diabetic patients. (日)
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○副題 (任意): |
○要約 (任意): | □ | (英) BACKGROUND: Randomized trials have established statins as an agent for prevention of coronary heart disease (CHD). The purpose of this study was to assess the hypothesis that standard-dose statin therapy has a beneficial effect in normocholesterolemic diabetic patients with CHD.METHODS AND RESULTS: A prospective, randomized, open, blinded-endpoint trial was conducted from 2002 to 2004 at 55 hospitals in Japan to evaluate the effect of statins on subsequent cardiovascular events. A total number of 1,016 CHD patients (301 patients with type 2 diabetes mellitus [DM] and 715 non-DM patients) with serum total cholesterol levels of 180-240 mg/dl were randomly divided into non-statin and statin treatments. Clinical parameters were comparable between DM and non-DM groups. Serum low-density lipoprotein (LDL)-cholesterol levels were equally decreased after statin treatment in the 2 groups. Statin treatment improved prognosis in both the DM and non-DM groups; however, the number needed to treat (NNT) and relative risk reduction (RRR) were remarkable especially in the DM group (NNT=8, RRR=67%) compared with the non-DM group (NNT=30, RRR=24%).CONCLUSIONS: Standard-dose statin therapy provides incremental clinical benefits in DM patients with normal cholesterol levels compared with non-DM patients. The data suggest that DM patients may enjoy the pleiotropic effects of statins, independent of the LDL-cholesterol lowering effects of these agents. (日)
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○キーワード (推奨): | 1. | (英) Aged (日) (読)
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| 2. | (英) Cholesterol, LDL (日) (読)
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| 3. | (英) Coronary Disease (日) (読)
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| 4. | (英) Diabetes Mellitus, Type 2 (日) (読)
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| 5. | (英) Dose-Response Relationship, Drug (日) (読)
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| 6. | (英) Female (日) (読)
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| 7. | (英) Humans (日) (読)
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| 8. | (英) Hydroxymethylglutaryl-CoA Reductase Inhibitors (日) (読)
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| 9. | 日本 (Japan)
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| 10. | (英) Lipids (日) (読)
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| 11. | (英) Male (日) (読)
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| 12. | (英) Middle Aged (日) (読)
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| 13. | (英) Prospective Studies (日) (読)
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| 14. | (英) Retrospective Studies (日) (読)
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| 15. | (英) Risk Factors (日) (読)
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| 16. | (英) Treatment Outcome (日) (読)
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○発行所 (推奨): | □ | 社団法人 日本循環器学会
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○誌名 (必須): | □ | Circulation Journal ([社団法人 日本循環器学会])
(pISSN: 1346-9843, eISSN: 1347-4820)
○ISSN (任意): | □ | 1347-4820
ISSN: 1346-9843
(pISSN: 1346-9843, eISSN: 1347-4820) Title: Circulation journal : official journal of the Japanese Circulation SocietyTitle(ISO): Circ JSupplier: 社団法人日本循環器学会Publisher: Japanese Circulation Society (NLM Catalog)
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○巻 (必須): | □ | 74
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○号 (必須): | □ | 4
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○頁 (必須): | □ | 779 785
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○年月日 (必須): | □ | 西暦 2010年 2月 17日 (平成 22年 2月 17日)
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○URL (任意): |
○DOI (任意): | □ | 10.1253/circj.CJ-09-0243 (→Scopusで検索)
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○PMID (任意): | □ | 20160396 (→Scopusで検索)
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○CRID (任意): |
○WOS (任意): |
○Scopus (任意): | □ | 2-s2.0-77950671314
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○備考 (任意): | 1. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Multicenter Study (日)
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| 3. | (英) Article.PublicationTypeList.PublicationType: Randomized Controlled Trial (日)
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