循環器内科での研修について
循環器内科研修
当院の初期臨床研修医は一年目に二ヶ月間循環器内科の研修があります。希望者は二年目にも研修を受けます。二年目の研修では本人の希望に応じて、救急対応、心臓カテーテル、心エコーなど主として研修したいことを重視しながら循環器診療への理解を深めます。初期研修医も学会発表も行なっています。
後期研修では、上級医の指導を受けながら自律的に診療を行えることを目標に研修します。当院は地域の三次救急救命センターであり心肺蘇生、心不全、急性心筋梗塞などの虚血性心疾患、不整脈、大血管及び末梢血管疾患などについて広範に学ぶことができます。心臓血管外科とも相談しやすく、手術の見学や術中の経食道エコー検査も可能です。研修が進むとPCIやEVT、ペースメーカー移植、アブレーション、経食道エコーなども上級医の指導のもとに行います。内科専門医研修の基幹病院にもなっており、内科専門医研修とともにサブスペシャリティとして循環器専門医も目指すことができます。
後期研修医は当院内科プログラム参加者、大学病院とのたすき掛け、他の基幹病院からの出向者などが在籍しております。
内科認定医や日本内科学会総合内科専門医を取得した方々は日本循環器学会循環器専門医、不整脈専門医、CVIT専門医やSHD心エコー図認証医、心臓リハビリ指導士などの取得を目指して研修して頂くことも可能です。臨床はもちろん、国内外の学会での発表も行うことができます。
当科の青山は日本循環器学会のダイバーシティ推進委員会やJCS-JJC、またWomen As One（国際的な女性医師の連携組織）に関与しており、循環器内科としても女性医師の就業やキャリア形成の相談に乗っています。育児中の医師もおり科全体でサポートしながら研修や業務に取り組んでもらっています。
当科での研修や就業をご希望の方は是非ご連絡ください。
当院の内科専門研修プログラムに関する情報は日本内科学会ホームページでもご確認いただけます。
https://www.naika.or.jp/pref_program/12_cb/
(日本循環器学会での研修医による発表)
（海外学会への参加と発表）
（シミュレーターを用いた心臓カテーテル治療の研修）
※資格等についての問い合わせ：船橋市立医療センター TEL：047-438-3321
抄読会（2023年度）
| 日付 | 担当 | タイトル | 引用 |
| 2023/4/7 | 竹内 | Long-term outcomes of phenoclusters in severe tricuspid regurgitation | Eur Heart J. 2023 Jun 1;44(21):1910-23 |
| 2023/4/14 | 須藤 | Transcatheter Repair for Patients with Tricuspid Regurgitation | New England Journal of Medicine. 2023 May 18;388(20):1833-42 |
| 2023/4/28 | 宇佐美 | Acupuncture as Adjunctive Therapy for Chronic Stable Angina: A Randomized Clinical Trial | JAMA Intern Med. 2019 Oct 1;179(10):1388-97 |
| 2023/5/11 | 山下 | Dapagliflozin in Heart Failure with Mildly Reduced or Preserved Ejection Fraction | New England Journal of Medicine. 2022 Sep 22;387(12):1089-98 |
| 2023/5/11 | 鈴木 | Phase 3 Trial of Sotatercept for Treatment of Pulmonary Arterial Hypertension | New England Journal of Medicine. 2023 Apr 20;388(16):1478-90 |
| 2023/5/19 | 岩田 | A vein bypass first versus a best endovascular treatment first revascularisation strategy for patients with chronic limb threatening ischaemia who required an infra-popliteal with or without an additional more proximal infra-inguinal revascularisation procedure to restore limb perfusion (BASIL-2): an open-label randomised multicentre phase 3 trial | The Lancet. 2023 May 27;401(10390):1798-809 |
| 2023/5/19 | 都田 | Bempedoic Acid and Cardiovascular Outcomes in Statin-Intolerant Patients | New England Journal of Medicine. 2023 Apr 13;388(15):1353-64 |
| 2023/5/25 | 高木 | Relationship between clinic and ambulatory blood pressure and mortality: an observational cohort study in 59 124 patients | The Lancet. 2023 Jun 17;401(10393):2041-50 |
| 2023/5/26 | 須藤 | Assessment of Paclitaxel Drug-Coated Balloon Only Angioplasty in STEMI | JACC Cardiovasc Interv. 2023 Apr 10;16(7):771-9 |
| 2023/6/2 | 内山 | Left bundle branch area pacing outcomes: The multicentre European MELOS study | Eur Heart J. 2022 Oct 21;43(40):4161-73 |
| 2023/6/9 | 飯髙 | Rotational Atherectomy for the Management of Undilatable In-Stent Restenosis with Single or Multiple Stent Layers | Cardiovascular Revascularization Medicine. 2022 Jan 1;34:32-7 |
| 2023/6/23 | 石脇 | Long-Term outcomes of perioperative myocardial infarction/injury after non-cardiac surgery | Eur Heart J. 2023 May 14;44(19):1690-701 |
| 2023/6/23 | 水谷 | Intravascular Imaging-Guided or Angiography-Guided Complex PCI | New England Journal of Medicine. 2023 May 4;388(18):1668-79 |
| 2023/6/30 | 岩田 | One Year Outcomes of Zilver PTX Versus Eluvia for Femoropopliteal Disease in Real-World Practice: REALDES Study | Journal of Endovascular Therapy. 2023; |
| 2023/7/7 | 丘 | Five-Year Follow-up after Transcatheter Repair of Secondary Mitral Regurgitation | New England Journal of Medicine. 2023 Jun 1;388(22):2037-48 |
| 2023/7/7 | 青山 | Novel insights into diminished cardiac reserve in non-obstructive hypertrophic cardiomyopathy from four-dimensional flow cardiac magnetic resonance component analysis | Eur Heart J Cardiovasc Imaging. 2023 Sep 1;24(9):1192-200 |
| 2023/7/21 | 横須賀 | Prevalent and Incident Anemia in PARADIGM-HF and the Effect of Sacubitril/Valsartan | JACC Heart Fail. 2023 Jul 1;11(7):749-59 |
| 2023/7/21 | 中山 | Polypill Strategy in Secondary Cardiovascular Prevention | New England Journal of Medicine. 2022 Sep 15;387(11):967-77 |
| 2023/7/21 | 林 | Defibrillation Strategies for Refractory Ventricular Fibrillation | New England Journal of Medicine. 2022 Nov 24;387(21):1947-56 |
| 2023/7/21 | 飯髙 | Renin-Angiotensin System Inhibition in Advanced Chronic Kidney Disease | New England Journal of Medicine. 2022 Dec 1;387(22):2021-32 |
| 2023/7/28 | 金山 | Acute Effects of Coffee Consumption on Health among Ambulatory Adults | New England Journal of Medicine. 2023 Mar 23;388(12):1092-100 |
| 2023/7/28 | 内山 | Cryoballoon Ablation as Initial Therapy for Atrial Fibrillation | New England Journal of Medicine. 2021 Jan 28;384(4):316-24 |
| 2023/8/18 | 宇佐美 | Coronary CT Angiography and 5-Year Risk of Myocardial Infarction | New England Journal of Medicine [Internet]. 2018 Sep 6;379(10):924-33 |
| 2023/8/25 | 橋爪 | Restriction of Intravenous Fluid in ICU Patients with Septic Shock | New England Journal of Medicine. 2022 Jun 30;386(26):2459-70 |
| 2023/8/25 | 須藤 | Effect of Routine Invasive vs Conservative Strategy in Older Adults With Frailty and Non-ST-Segment Elevation Acute Myocardial Infarction: A Randomized Clinical Trial | JAMA Intern Med. 2023 May 1;183(5):407-15 |
| 2023/9/1 | 都田 | Zilebesiran an RNA Interference Therapeutic Agent for Hypertension | New England Journal of Medicine. 2023 Jul 20;389(3):228-38 |
| 2023/9/1 | 石脇 | Lifelong endurance exercise and its relation with coronary atherosclerosis | European Heart Journal.(2023) 44, 2388-2399 |
| 2023/9/8 | 岩田 | Vessel Patency and Associated Factors of Drug-Coated Balloon for Femoropopliteal Lesion | J Am Heart Assoc. 2023 Aug 16;12(1) |
| 2023/9/15 | 土屋 | 24-Hour Urinary Sodium and Potassium Excretion and Cardiovascular Risk | New England Journal of Medicine. 2022 Jan 20;386(3):252-63 |
| 2023/9/22 | 飯髙 | Edoxaban for 12 Months Versus 3 Months in Patients with Cancer with Isolated Distal Deep Vein Thrombosis (ONCO DVT Study): An Open-Label | Multicenter Randomized Clinical Trial. Circulation |
| 2023/9/22 | 村上 | Complete or Culprit-Only PCI in Older Patients with Myocardial Infarction | New England Journal of Medicine. 2023 Sep 7;389(10):889-98 |
| 2023/9/29 | 青山 | Extracorporeal Life Support in Infarct-Related Cardiogenic Shock | New England Journal of Medicine. 2023 Oct 5;389(14):1286-97 |
| 2023/9/29 | 林 | Safety of Switching from a Vitamin K Antagonist to a Non-Vitamin K Antagonist Oral Anticoagulant in Frail Older Patients with Atrial Fibrillation: Results of the FRAIL-AF Randomized Controlled Trial | Circulation. 2024 Jan 23;149(4):279-89 |
| 2023/10/6 | 石脇 | Tight Blood-Glucose Control without Early Parenteral Nutrition in the ICU | New England Journal of Medicine. 2023 Sep 28;389(13):1180-90 |
| 2023/10/20 | 丘 | Semaglutide in Patients with Heart Failure with Preserved Ejection Fraction and Obesity | New England Journal of Medicine. 2023 Sep 21;389(12):1069-84 |
| 2023/10/20 | 三野 | Impact of Complete Revascularization in the ISCHEMIA Trial | J Am Coll Cardiol. 2023 Sep 19;82(12):1175-88 |
| 2023/10/27 | 内山 | Pulsed Field Ablation for the Treatment of Atrial Fibrillation: PULSED AF Pivotal Trial | Circulation. 2023 May 9;147(19):1422-32 |
| 2023/10/27 | 和田 | Timing of Complete Revascularization with Multivessel PCI for Myocardial Infarction | New England Journal of Medicine. 2023 Oct 12;389(15):1368-79 |
| 2023/11/10 | 岩田 | Drug-Eluting Resorbable Scaffold versus Angioplasty for Infrapopliteal Artery Disease | New England Journal of Medicine. 2024 Jan 4;390(1):9-19 |
| 2023/11/10 | 飯高 | Dose-Response to Sacubitril/Valsartan in Patients With Heart Failure and Reduced Ejection Fraction | J Am Coll Cardiol. 2022 Oct 18;80(16):1529-41 |
| 2023/11/10 | 林 | A comprehensive and easy-to-use ECG algorithm to predict the coronary occlusion site in ST-segment elevation myocardial infarction | Am Heart J. 2023 Jan 1;255:94-105 |
| 2023/11/17 | 須藤 | A Placebo-Controlled Trial of Percutaneous Coronary Intervention for Stable Angina | New England Journal of Medicine. 2023 Dec 21;389(25):2319-30 |
| 2023/11/24 | 石脇 | Cardiac and Metabolic Effects of Dapagliflozin in Heart Failure With Preserved Ejection Fraction: The CAMEO-DAPA Trial | Circulation. 2023 Sep 5;148(10):834-44 |
| 2023/11/24 | 都田 | Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation | New England Journal of Medicine. 2024 Jan 11;390(2):107-17 |
| 2023/12/1 | 青山 | National Survey Identifying the Factors Affecting the Career Development of Cardiologists in Japan | Circulation Journal. 2023 Sep 1;87(9):1219-28 |
| 2023/12/8 | 織田 | Twenty-Four-Hour Blood Pressure-Lowering Efficacy of Sacubitril/Valsartan Versus Olmesartan in Japanese Patients With Essential Hypertension Based on Nocturnal Blood Pressure Dipping Status: A Post Hoc Analysis of Data From a Randomized Double-Blind Multicenter Study | J Am Heart Assoc. 2023 Apr 18;12(8) |
| 2023/12/8 | 岩田 | Safety and efficacy of mechanical aspiration thrombectomy for patients with acute lower extremity ischemia | In: Journal of Vascular Surgery. Elsevier Inc ; 2024 p 584-592 e5 |
| 2023/12/15 | 飯髙 | Treatment of severe symptomatic aortic valve stenosis using non-invasive ultrasound therapy: a cohort study | The Lancet. 2023 Dec 16;402(10419):2317-25 |
| 2023/12/15 | 和田 | Rosuvastatin versus atorvastatin treatment in adults with coronary artery disease: secondary analysis of the randomised LODESTAR trial | BMJ. 2023 Oct 18;383:e075837 |
| 2024/1/12 | 田中 | Coexistence of Metabolic Dysfunction-Associated Fatty Liver Disease and Chronic Kidney Disease Is a More Potent Risk Factor for Ischemic Heart Disease | J Am Heart Assoc. 2023;12(14) |
| 2024/1/12 | 都田 | Semaglutide and Cardiovascular Outcomes in Obesity without Diabetes | New England Journal of Medicine. 2023 Dec 14;389(24):2221-32 |
| 2024/1/12 | 青山 | Prognostic Significance of Cardiac 123I-MIBG SPECT Imaging in Heart Failure Patients With Preserved Ejection Fraction | JACC Cardiovasc Imaging.2022 Apr;15(4):655-668. |
| 2024/1/19 | 林 | Evaluation of a new treadmill exercise protocol to unmask type 1 Brugada electrocardiographic pattern: can we improve diagnostic yield? | Europace. 2023 Jul 4;25(7). |
| 2024/1/19 | 丘 | Drug-Eluting Resorbable Scaffold versus Angioplasty for Infrapopliteal Artery Disease | New England Journal of Medicine. 2024 Jan 4;390(1):9-19 |
| 2024/1/19 | 谷 | Severe acute kidney injury related to haemolysis after pulsed field ablation for atrial fibrillation | Europace. 2024 Jan 1;26(1) |
| 2024/1/26 | 石脇 | Safety of Switching from a Vitamin K Antagonist to a Non-Vitamin K Antagonist Oral Anticoagulant in Frail Older Patients with Atrial Fibrillation: Results of the FRAIL-AF Randomized Controlled Trial | Circulation. 2024 Jan 23;149(4):279-89 |
| 2024/2/2 | 林 | Comparative effectiveness of moderate-intensity statin with ezetimibe therapy versus high-intensity statin monotherapy in patients with acute coronary syndrome: a nationwide cohort study | Sci Rep 2024 Dec 1;14(1). |
| 2024/2/2 | 宇佐美 | Impact of Sodium-Glucose Cotransporter 2 Inhibitor on Recurrence After Catheter Ablation for Atrial Fibrillation in Patients With Diabetes: A Propensity-Score Matching Study and Meta-Analysis | J Am Heart Assoc. 2023 Dec 19;12(24) |
| 2024/2/9 | 青山 | SGLT2 Inhibitor Use and Risk of Clinical Events in Patients With Cancer Therapy-Related Cardiac Dysfunction | JACC Heart Fail. 2024 Jan 1;12(1):67-78 |
| 2024/2/9 | 岩田 | Primary results of the SAVAL randomized trial of a paclitaxel-eluting nitinol stent versus percutaneous transluminal angioplasty in infrapopliteal arteries | Vascular Medicine (United Kingdom). 2023 Dec 1;28(6):571-80 |
| 2024/2/9 | 須藤 | Traditional Chinese Medicine Compound (Tongxinluo) and Clinical Outcomes of Patients with Acute Myocardial Infarction: The CTS-AMI Randomized Clinical Trial | JAMA. 2023 Oct 24;330(16):1534-1545.. |
| 2024/2/16 | 和田 | Rethinking False Positive Exercise Electrocardiographic Stress Tests by Assessing Coronary Microvascular Function | J Am Coll Cardiol. 2024 Jan 16;83(2):291-9 |
| 2024/2/29 | 内山 | Combined effects of high atrial septal pacing and reactive atrial antitachycardia pacing for reducing atrial fibrillation in sick sinus syndrome | J Arrhythm. 2023 Aug 1;39(4):566-73 |
| 2024/3/1 | 森田 | Dark chocolate intake and cardiovascular diseases: a Mendelian randomization study | Sci Rep. 2024 Dec 1;14(1) |
| 2024/3/1 | 竹内 | Long-Term Outcomes of Resynchronization-Defibrillation for Heart Failure | New England Journal of Medicine 2024 Jan 18;390(3):212-20. |
| 2024/3/14 | 丘 | Early Longitudinal Change in Heart Failure Health Status Following Initiation of Canagliflozin | JACC Heart Fail. 2024 Apr 1; |
| 2024/3/14 | 藤本 | 30-Day Outcomes of Transcatheter Tricuspid Annuloplasty With the K-Clip System: A Single-Center Observational Study | JACC: Advances 2023 Nov 1;2(9). |
| 2024/3/22 | 飯髙 | Coronary lithotripsy for the treatment of underexpanded stents: the international multicentre CRUNCH registry | EuroIntervention. 2022 Sep 1;18(7):574-81 |
※資格等についての問い合わせ：船橋市立医療センター TEL：047-438-3321