Effects of Fatty Acid Therapy in Addition to Strong Statin on Coronary Plaques in Acute Coronary Syndrome: An Optical Coherence Tomography Study.

• Material Type: 博士論文
• Title: Effects of Fatty Acid Therapy in Addition to Strong Statin on Coronary Plaques in Acute Coronary Syndrome: An Optical Coherence Tomography Study.
• Author/Editor: Kita, Yoko; Watanabe, Makoto; Kamon, Daisuke; Ueda, Tomoya; Soeda, Tsunenari; Okayama, Satoshi; Ishigami, Kenichi; Kawata, Hiroyuki; Horii, Manabu; Inoue, Fumitaka; Doi, Naofumi; Okura, Hiroyuki; Uemura, Shiro; Saito, Yoshihiko
• Author Heading: Kita, Yoko; Watanabe, Makoto; Kamon, Daisuke; Ueda, Tomoya; Soeda, Tsunenari; Okayama, Satoshi; Ishigami, Kenichi; Kawata, Hiroyuki; Horii, Manabu; Inoue, Fumitaka; Doi, Naofumi; Okura, Hiroyuki; Uemura, Shiro; Saito, Yoshihiko
• Publication, Distribution, etc.: American Heart Association, Inc.
• Publication Date: 2020-08
• Publication Date (W3CDTF): 2020-08
• Alternative Title: 高脂血症を合併する急性心筋梗塞における冠動脈血管修復過程に及ぼす多価不飽和脂肪酸の追加投与効果に関する研究
• Periodical title: Journal of the American Heart Association
• No. or year of volume/issue: 9 16
• Volume: 9
• Issue: 16
• Pages: Article No.e015593-
• ISSN (Periodical Title): ISSN : 2047-9980
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2020-12-24
• Dissertation Number: 乙第1477号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: fatty acid; fibrous cap; optical coherence tomography
• Target Audience: 一般
• Note (General): type:Thesis; BACKGROUND Vascular healing response associated with adjunctive n-3 polyunsaturated fatty acid therapy therapy in patients receiving strong statin therapy remains unclear. The aim of this study was to evaluate the effect of polyunsaturated fatty acid therapy with eicosapentaenoic acid (EPA) or docosahexaenoic acid (DHA) in addition to strong statin therapy on coronary atherosclerotic plaques using optical coherence tomography. METHODS AND RESULTS This prospective multicenter randomized controlled trial included 130 patients with acute coronary syndrome treated with strong statins. They were assigned to either statin only (control group, n=42), statin+high-dose EPA (1800 mg/day) (EPA group, n=40), statin+EPA (930 mg/day)+DHA (750 mg/day) (EPA+DHA group, n=48). Optical coherence tomography was performed at baseline and at the 8-month follow-up. The target for optical coherence tomography analysis was a nonculprit lesion with a lipid plaque. Between baseline and the 8-month follow-up, fibrous cap thickness (FCT) significantly increased in all 3 groups. There were no significant differences in the percent change for minimum FCT between the EPA or EPA+DHA group and the control group. In patients with FCT <120 µm (median value), the percent change for minimum FCT was significantly higher in the EPA or EPA+DHA group compared with the control group. CONCLUSIONS EPA or EPA+DHA therapy in addition to strong statin therapy did not significantly increase FCT in nonculprit plaques compared with strong statin therapy alone, but significantly increased FCT in patients with thinner FCT. Registration URL: https://www.umin.ac.jp/ctr/; Unique identifier: UMIN 000012825.; 博士（医学）・乙第1477号・令和2年12月24日; Copyright © 2020 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley Blackwell This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.; identifier:Journal of the American Heart Association Vol.9 No.16 Article No.e015593 (2020 Aug); identifier:20479980; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/3822; identifier:Journal of the American Heart Association, 9(16): Article No.e015593
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.1161/JAHA.119.015593
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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