生活習慣病から起こる心臓病について

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  • セイカツ シュウカンビョウ カラ オコル シンゾウビョウ ニ ツイテ
  • Heart disease resulting from “Lifestyle Disease”

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Abstract

Formerly, we used to call the disease caused by hypertension, diabetes, hyperlipidemia, or history of smoking etc “Adult Disease”. Recently, that is called “Lifestyle Disease”. Lifestyle disease is associated with ischemic heart disease. Percutaneous coronary intervention using durable polymer（DP）drug-eluting stents（DESs）has been the most common strategy to treat patients with symptomatic coronary artery disease. Use of first-generation DESs reduced in-stent restenosis rates compared with bare metal stents（BMSs）; however, their use was associated with late stent thrombosis due to delayed arterial healing. Therefore, the patients with DESs need to continue antiplatelet therapy for more than one month. On the other hand, in several situations where foreign body reaction may occur, stent materials should not be left in the patient. Recently, several clinical trials have supported the efficacy of drugcoated balloons（DCBs）in the treatment of stent restenosis and small vessel de novo lesions. Finally, we propose the following, ① It is possible to prevent the arterioscrelosis and reduce the onset probability of heart disease（ischemic heart disease）by improving lifestyle habit. ② The therapy of ischemic heart disease progresses recently, and we get several new devices for restenosis lesions and severe calcified lesions. ③ It is important for the patients who undergo the catheter therapy to control the status of lifestyle disease. The good relationship between the patient and the doctor is sure to lead the patient to longevity in the future.

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