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す。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一年間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。
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（2022年度）
| 日付 | 担当 | タイトル | 引用 |
| 2022/4/8 | 中里 | Feasibility and Potential Impact of Heart Transplantation from Adult Donors After Circulatory Death | J Am Coll Cardiol. 2022 Jan 18;79(2):148-162 |
| 2022/4/8 | 岩田 | 1-Year Outcomes of Fluoropolymer-Based Drug-Eluting Stent in Femoropopliteal Practice: Predictors of Restenosis and Aneurysmal Degeneration | JACC Cardiovasc Interv. 2022 Mar 28;15(6):630-638. |
| 2022/4/15 | 芝山 | Derivation and Validation of a Clinical Score for Predicting Postoperative Atrial Fibrillation in Noncardiac Elective Surgery (the HART Score) | Am J Cardiol. 2022 May 1;170:56-62. |
| 2022/4/15 | 丘 | Empagliflozin in the treatment of heart failure with reduced ejection fraction in addition to background therapies and therapeutic combinations (EMPEROR-Reduced): a post-hoc analysis of a randomised, double-blind trial | Lancet Diabetes Endocrinol. 2022 Jan;10(1):35-45. |
| 2022/4/22 | 宇佐美 | Efficacy and safety of low-dose colchicine in patients with coronary disease: a systematic review and meta-analysis of randomized trials | Eur Heart J. 2021 Jul 21;42(28):2765-2775 |
| 2022/5/6 | 林 | Risk of Overcorrection in Rapid Intermittent Bolus vs Slow Continuous Infusion Therapies of Hypertonic Saline for Patients with Symptomatic Hyponatremia: The SALSA Randomized Clinical Trial | JAMA Intern Med. 2021 Jan 1;181(1):81-92. |
| 2022/5/13 | 内山 | Clinical Outcomes Associated with His-Purkinje System Pacing vs. Biventricular Pacing, in Cardiac Resynchronization Therapy: A Meta-Analysis | Front Cardiovasc Med. 2022 Feb 11;9:707148 |
| 2022/5/13 | 宮口 | Effect of Salt Substitution on Cardiovascular Events and Death | N Engl J Med. 2021 Sep 16;385(12):1067-1077. |
| 2022/5/20 | 飯高 | High-Resolution Cardiac Magnetic Resonance Imaging Techniques for the Identification of Coronary Microvascular Dysfunction | JACC Cardiovasc Imaging. 2021 May;14(5):978-986. |
| 2022/5/20 | 橋爪 | CT or Invasive Coronary Angiography in Stable Chest Pain | N Engl J Med. 2022 Apr 28;386(17):1591-1602. |
| 2022/5/27 | 青山 | Effect of Mavacamten on Echocardiographic Features in Symptomatic Patients with Obstructive Hypertrophic Cardiomyopathy | J Am Coll Cardiol. 2021 Dec 21;78(25):2518-2532 |
| 2022/5/27 | 岸田 | Reduction of dietary sodium to less than 100 mmol in heart failure (SODIUM-HF): an international, open-label, randomised, controlled trial | Lancet. 2022 Apr 9;399(10333):1391-1400. |
| 2022/6/3 | 大長 | The SGLT2 inhibitor empagliflozin in patients hospitalized for acute heart failure: a multinational randomized trial | Nat Med. 2022 Mar;28(3):568-574. |
| 2022/6/3 | 大長 | Sodium-glucose co-transporter 2 inhibition in patients hospitalized for acute decompensated heart failure: rationale for and design of the EMPULSE trial | Eur J Heart Fail. 2021 May;23(5):826-834 |
| 2022/6/10 | 石脇 | Treatment for Mild Chronic Hypertension during Pregnancy: CHAP trial | N Engl J Med. 2022 May 12;386(19):1781-1792. |
| 2022/6/10 | 須藤 | Prophylactic Rivaroxaban Therapy for Left Ventricular Thrombus After Anterior ST-Segment Elevation Myocardial Infarction | JACC Cardiovasc Interv. 2022 Apr 25;15(8):861-872. |
| 2022/6/17 | 丘 | Mechanical Left Ventricular Unloading in Patients Undergoing Venoarterial Extracorporeal Membrane Oxygenation | J Am Coll Cardiol. 2022 Apr 5;79(13):1239-1250 |
| 2022/6/17 | 岩田 | Impact of Baseline and Postprocedural Intravascular Ultrasound Findings on 1-Year Primary Patency After Drug-Coated Balloon Treatment of Femoropopliteal Lesions | J Endovasc Ther. 2022 Feb;29(1):66-75 |
| 2022/6/17 | 横須賀 | Alcohol consumption, cardiac biomarkers, and risk of atrial fibrillation and adverse outcomes | Eur Heart J. 2021 Mar 21;42(12):1170-1177 |
| 2022/6/24 | 堀江 | Efficacy and Safety of Dapagliflozin According to Frailty in Heart Failure With Reduced Ejection Fraction: A Post Hoc Analysis of the DAPA-HF Trial | Ann Intern Med. 2022 Jun;175(6):820-830 |
| 2022/6/24 | 飯高 | Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial | Lancet. 2022 May14;399(10338):1876-1885. |
| 2022/7/1 | 芝山 | A multi-modal diagnostic model improves detection of cardiac amyloidosis among patients with diagnostic confirmation by cardiac biopsy | Am Heart J. 2021;232:137-145. |
| 2022/7/8 | 内山 | Discontinuation of oral anticoagulation therapy after successful atrial fibrillation ablation: A systematic review and meta-analysis of prospective studies | PLoS One. 2021 Jun 24;16(6):e0253709. doi: 10.1371/journal.pone.0253709. |
| 2022/7/15 | 岩田 | 1-Year Outcomes of Thromboendarterectomy vs Endovascular Therapy for Common Femoral Artery Lesions. CAULIFLOWER Study Results | JACC Cardiovasc Interv. 2022 Jul 25;15(14):1453-1463. |
| 2022/7/15 | 宇佐美 | Angiotensin Receptor-Neprilysin Inhibition in Acute Myocardial Infarction. PARADISE-MI | N Engl J Med 2021;385:1845-55. |
| 2022/7/29 | 村上 | Edoxaban versus Vitamin K Antagonist for Atrial Fibrillation after TAVR | N Engl J Med 2021;385:2150-60. |
| 2022/8/5 | 丘 | Initial Decline (Dip) in Estimated Glomerular Filtration Rate After Initiation of Dapagliflozin in Patients with Heart Failure and Reduced Ejection Fraction: Insights From DAPA-HF | Circulation. 2022 Apr 20;101161CIRCULATIONAHA121058910 |
| 2022/8/5 | 河田 | Influenza Vaccination After Myocardial Infarction: A Randomized, Double-Blind, Placebo-Controlled, Multicenter Trial | Circulation. 2021 Nov 2;144(18):1476-1484. |
| 2022/08/26 | 中里 | Percutaneous coronary intervention with drug-eluting stents versus coronary artery bypass grafting in left main coronary artery disease: an individual patient data meta-analysis | Lancet. 2021 Dec 18;398(10318):2247-2257. |
| 2022/09/02 | 村田 | Empagliflozin Improves Outcomes in Patients With Heart Failure and Preserved Ejection Fraction Irrespective of Age | J Am Coll Cardiol. 2022 Jul 5;80(1):1-18. |
| 2022/09/16 | 堀江 | Acetazolamide in Acute Decompensated Heart Failure with Volume Overload | N Engl J Med. 2022 Sep 29;387(13):1185-1195. |
| 2022/09/30 | 須藤 | Safety of the oral factor XIa inhibitor asundexian compared with apixaban in patients with atrial fibrillation (PACIFIC-AF): a multicentre, randomised, double-blind, double-dummy, dose-finding phase 2 study | Lancet. 2022 Apr 9;399(10333):1383-1390 |
| 2022/09/30 | 大長 | Percutaneous Revascularization for Ischemic Left Ventricular Dysfunction | N Engl J Med. 2022 Oct 13;387(15):1351-1360. |
| 2022/10/07 | 林 | Higher Arm Versus Lower Arm Systolic Blood Pressure and Cardiovascular Outcomes: a Meta-Analysis of Individual Participant Data From the INTERPRESS-IPD Collaboration | Hypertension. 2022 Oct;79(10):2328-2335. |
| 2022/10/14 | 飯高 | Survival Following Alcohol Septal Ablation or Septal Myectomy for Patients With Obstructive Hypertrophic Cardiomyopathy | J Am Coll Cardiol. 2022 May 3;79(17):1647-1655 |
| 2022/10/21 | 石脇 | Risk stratification of patients with cardiac sarcoidosis: the ILLUMINATE-CS registry | Eur Heart J. 2022 Sep 21;43(36):3450-3459. |
| 2022/10/21 | 内山 | Left ventricular septal pacing versus left bundle branch pacing in the treatment of atrioventricular block | Ann Noninvasive Electrocardiol. 2022 May;27(3):e12944 |
| 2022/10/28 | 櫻井 | Recurrence of Atrial Fibrillation After Catheter Ablation or Antiarrhythmic Drug Therapy in the CABANA Trial | J Am Coll Cardiol. 2020 Jun 30;75(25):3105-3118. |
| 2022/10/28 | 芝山 | Iron Deficiency in Heart Failure and Effect of Dapagliflozin: Findings From DAPA-HF | Circulation. 2022 Sep 27;146(13):980-994. |
| 2022/11/04 | 青山 | Vascular Endothelial Dysfunction in Myeloproliferative Neoplasms and Gene Mutations | Int Heart J. 2022 Jul 30;63(4):661-668. |
| 2022/11/11 | 宇佐美 | Monotherapy With Prasugrel After Dual-Antiplatelet Therapy for Japanese Percutaneous Coronary Intervention Patients With High Bleeding Risk - A Prospective Cohort Study (PENDULUM mono Study) | Circ J. 2020 Dec 25;85(1):27-36 |
| 2022/11/18 | 須藤 | Sustained-Release Ivabradine Hemisulfate in Patients With Systolic Heart Failure | J Am Coll Cardiol. 2022 Aug 9;80(6):584-594. |
| 2022/11/18 | 大長 | Randomized Trial of Left Bundle Branch vs Biventricular Pacing for Cardiac Resynchronization Therapy | J Am Coll Cardiol. 2022 Sep 27;80(13):1205-1216. |
| 2022/11/25 | 飯高 | Impact of the Degree of Wire Bias in the Vessel's Healthy Portion on Coronary Perivascular Trauma in Rotational Atherectomy | Cardiovasc Revasc Med. 2022 Jul;40:123-131. |
| 2022/12/02 | 丘 | Cardiac and Kidney Adverse Effects of HIF Prolyl-Hydroxylase Inhibitors for Anemia in Patients With CKD Not Receiving Dialysis: A Systematic Review and Meta-analysis | Am J Kidney Dis. 2023 Apr;81(4):434-445. |
| 2022/12/02 | 笹林 | Targeting Higher Intraoperative Blood Pressures Does Not Reduce Adverse Cardiovascular Events Following Noncardiac Surgery | J Am Coll Cardiol. 2021 Nov 2;78(18):1753-1764. |
| 2023/01/06 | 木村 | Meta-Analysis of Reversal Agents for Severe Bleeding Associated With Direct Oral Anticoagulants | J Am Coll Cardiol. 2021 Jun 22;77(24):2987-3001. |
| 2023/01/13 | 榎本 | Effects of Empagliflozin in Women and Men With Heart Failure and Preserved Ejection Fraction | Circulation. 2022 Oct 4;146(14):1046-1055. |
| 2023/01/27 | 岩田 | Outcomes and Patency of Endovascular Infrapopliteal Reinterventions in Patients With Chronic Limb-Threatening Ischemia | J Endovasc Ther. 2023 Jan 7;15266028221147457. doi: 10.1177/15266028221147457. |
| 2023/02/03 | 青山 | Canadian Spontaneous Coronary Artery Dissection Cohort Study: 3-Year Outcomes | J Am Coll Cardiol. 2022 Oct 25;80(17):1585-1597. |
| 2023/02/03 | 内山 | Effect of Catheter Ablation Using Pulmonary Vein Isolation With vs Without Posterior Left Atrial Wall Isolation on Atrial Arrhythmia Recurrence in Patients With Persistent Atrial Fibrillation: The CAPLA Randomized Clinical Trial | JAMA. 2023 Jan 10;329(2):127-135. |
| 2023/02/17 | 宇佐美 | Resumption of sexual activity after acute myocardial infarction and long-term survival | Eur J Prev Cardiol. 2022 Mar 11;29(2):304-311 |
| 2023/02/24 | 藤本 | Progression of Atrial Fibrillation after Cryoablation or Drug Therapy | N Engl J Med. 2023 Jan 12;388(2):105-116 |
| 2023/03/03 | 丘 | PCSK9 Inhibition During the Inflammatory Stage of SARS-CoV-2 Infection | J Am Coll Cardiol. 2023 Jan 24;81(3):224-234. |
| 2023/03/03 | 芝山 | Does early detection of atrial fibrillation reduce the risk of thromboembolic events? Rationale and design of the Heartline study | Am Heart J. 2023 May;259:30-41 |
| 2023/03/24 | 岩田 | Intravascular Lithotripsy and Drug-Coated Balloon Angioplasty for Severely Calcified Common Femoral Artery Atherosclerotic Disease | J Endovasc Ther. 2023 Mar 10;15266028231158313. doi: 10.1177/15266028231158313. |
| 2023/03/24 | 石脇 | Prevalence, Characteristics, and Outcomes of COVID-19-Associated Acute Myocarditis | Circulation. 2022 Apr 12;145(15):1123-1139 |
ミニレクチャー（2022年度）
| 日付 | テーマ |
| 2022/4/26 | 心不全①：病態とカテコラミン |
| 2022/5/10 | 心不全②：輸液と利尿 |
| 20225/17 | 心不全③：運動と栄養 |
| 2022/5/24 | 冠動脈疾患と血行再建 |
| 2022/5/31 | 冠動脈造影とPCI |
| 2022/6/14 | 動脈圧とIABP |
| 2022/6/28 | 循環動態モニタリング①：CO, SV, SVR, svO2, |
| 2022/7/5 | 循環動態モニタリング②：CO/CI, PCWP, CPO, PAPi |
| 2022/7/12 | 心電図とラダーグラム |
| 2022/7/19 | 心電図：不整脈と解剖① |
| 2022/7/26 | 心電図：不整脈と解剖② |
| 2022/8/16 | 心電図読影テスト |
| 2022/08/23 | 糖尿病治療薬と循環器疾患 |
| 2022/08/30 | wide QRSの心電図 |
| 2022/09/06 | VTの鑑別 |
| 2022/09/13 | HOCMとPTSMA |
| 2022/09/29 | 凝固系 |
| 2022/10/04 | 循環器の救急疾患CASE study① |
| 2022/10/11 | 循環器の救急疾患CASE study② |
| 2022/10/18 | 循環器の緩和ケア |
| 2022/10/25 | 心アミロイドーシス |
| 2022/11/08 | 和温療法 |
| 2022/11/15 | PCIと抗血栓療法 |
| 2022/11/29 | アナフィラキシー |
| 2022/12/06 | 動脈硬化性疾患予防ガイドライン2022 |
| 2022/12/27 | アルカローシス |
| 2023/01/10 | 糖尿病治療アルゴリズム |
| 2023/01/17 | 高血圧：治療と二次性高血圧 |
| 2023/01/24 | HIT |
| 2023/01/31 | クリニカルパスの基本 |
| 2023/02/07 | 糖尿病腎症：ADAとKDIGO2022 |
| 2023/02/14 | PCI：ガイドワイヤーの選択と操作 |
※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