Yoko Fujii

Yoko Fujii

orcid

Research Focus & Metrics

Academic Career Length

23Years (2004-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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25 May 2011 in BMC Cardiovascular Disorders
Verified
Journal Article
Open access
PDF file
HTHiroshi Takano
Hiroshi Takano
YFYoko Fujii
Yoko Fujii
NYNaoko Yugeta
Naoko Yugeta
STShin'ichi Takeda
Shin'ichi Takeda
YWYoshito Wakao
Yoshito Wakao
Background: Two-dimensional speckle tracking echocardiography (STE) is a relatively new method to detect regional myocardial dysfunction. To assess left ventricular (LV) regional myocardial dysfunction using STE in Duchenne muscular dystrophy model dogs (CXMDJ) without overt clinical signs of heart failure.Methods: Six affected dogs, 8 carrier dogs with CXMDJ, and 8 control dogs were used. Conventional echocardiography, systolic and diastolic function by Doppler echocardiography, tissue Doppler imaging (TDI), and strain indices using STE, were assessed and compared among the 3 groups.Results: Significant differences were seen in body weight, transmitral E wave and E' wave derived from TDI among the 3 groups. Although no significant difference was observed in any global strain indices, in segmental analysis, the peak radial strain rate during early diastole in posterior segment at chordae the tendineae level showed significant differences among the 3 groups.Conclusions: The myocardial strain rate by STE served to detect the impaired cardiac diastolic function in CXMDJwithout any obvious LV dilation or clinical signs. The radial strain rate may be a useful parameter to detect early myocardial impairment in CXMDJ.

1 January 2015 in Journal of Veterinary Medical Science
Verified
Journal Article
Open access
KSKeisuke Sugimoto
Keisuke Sugimoto
YFYoko Fujii
Yoko Fujii
HSHiroshi Sunahara
Hiroshi Sunahara
TATakuma Aoki
Takuma Aoki
Hypertrophic cardiomyopathy (HCM) in cats is characterized by concentric left ventricular (LV) hypertrophy and both diastolic and systolic dysfunction. Although impaired cardiac function detected by tissue Doppler imaging (TDI) in cats with HCM was previously reported, reference ranges of TDI in normal cats and cats with HCM have been reported as widely variable. Two-dimensional speckle tracking echocardiography (STE) was useful for assessment of cardiac function in human patients with HCM, but clinical utility was not known in cats. The aim of this study was to assess global and segmental LV myocardial function using STE in cats with HCM whose TDI variables were within the reference range. A total of 35 cats of different breeds were enrolled in this study. The HCM group (n=22) was cats diagnosed as HCM without left atrial enlargement and with normal TDI measurements. HCM cats were further divided into a segmental hypertrophy (S-HCM) group and a diffuse hypertrophy (D-HCM) group. The control group consisted of 13 clinically healthy cats. No cats in any group showed any clinical symptoms. Conventional echocardiography, TDI, and global and segmental STE indices were evaluated and compared between groups. Only the longitudinal strain rate during early diastole was significantly decreased in both HCM groups, even in all segments including those without hypertrophy in S-HCM group. This study suggests that STE parameters are the more sensitive variables compared with conventional TDI parameters to detect early myocardial diastolic dysfunction in cats with HCM.

1 April 2010 in American Journal of Veterinary Research
Verified
Journal Article
Closed access
HTHiroshi Takano
Hiroshi Takano
YFYoko Fujii
Yoko Fujii
RIRyokichi Ishikawa
Ryokichi Ishikawa
TATakuma Aoki
Takuma Aoki
YWYoshito Wakao
Yoshito Wakao
Objective—To assess differences in left ventricular contractile indices among dogs of 3 body sizes via 2-D speckle-tracking echocardiography (STE) and to determine body weight–independent systolic variables. Animals—37 clinically normal adult dogs. Procedures—Dogs were allocated into 3 groups on the basis of body weight: small (< 7 kg), medium (7 to 20 kg), and large (> 20 kg). Right parasternal short-axis echocardiographic views were acquired to measure conventional M-mode variables (left ventricular internal diameter at end diastole, left ventricular internal diameter at end systole, and fractional shortening [FS]) and STE indices (peak systolic strain, peak systolic strain rate, synchrony time index [STI], peak systolic apical rotation, peak systolic basal rotation, peak apical twisting rate, and peak systolic torsion). Values were compared among the 3 groups. Results—STE indices, except for peak systolic radial strain (SRad), peak systolic basal rotation, and STI, were significantly decreased in large dogs, compared with values for small and medium dogs. No significant difference was detected in stroke index, peak systolic SRad, and peak systolic basal rotation among the 3 groups. The STI in large dogs was significantly increased, compared with that of medium dogs. Conclusions and Clinical Relevance—Results revealed that decreased systolic indices in large dogs should not be interpreted as signs of decreased systolic function. Increased STI in large dogs may contribute to decreased FS. Because peak systolic SRad was not affected by body weight, peak systolic SRad might be a better variable than FS for assessing systolic function.

1 December 2009 in Journal of Veterinary Cardiology
Verified
Journal Article
Closed access
YFYoko Fujii
Yoko Fujii
TATakuma Aoki
Takuma Aoki
HTHiroshi Takano
Hiroshi Takano
RIRyokichi Ishikawa
Ryokichi Ishikawa
YWYoshito Wakao
Yoshito Wakao

1 January 2004 in Journal of Veterinary Medical Science
Verified
Journal Article
Open access
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HMHiroo Madarame
Hiroo Madarame
KSKanako Sato
Kanako Sato
KOKikumi Ogihara
Kikumi Ogihara
TIToru Ishibashi
Toru Ishibashi
YFYoko Fujii
Yoko Fujii
YWYoshito Wakao
Yoshito Wakao
A primary cardiac fibrosarcoma in the right atrium of a 6-year-old Chihuahua dog is described. At necropsy, there was a firm, whitish and spherical mass in the right atrium. Histopathologically, the mass had moderate cellularity composed of spindle-shaped cells with scattered multinucleated giant cells. The tumor cells were arranged in interwoven bundles and sheets in the collagenous stroma. No metastases were observed. Ultrastructurally, the tumor cells mainly consisted of fibroblasts. Multinucleated giant cells did not have any certain organelles that would indicate a higher order of differentiation. Primary cardiac sarcomas in dogs are extremely rare.

13 December 2011 in Journal of Veterinary Internal Medicine
Verified
Journal Article
Open access
PDF file
YFYoko Fujii
Yoko Fujii
YNY. Nishimoto
Y. Nishimoto
HSH. Sunahara
H. Sunahara
HTH. Takano
H. Takano
TAT. Aoki
T. Aoki
Background Right‐to‐left (R‐L) shunt caused by patent foramen ovale (PFO) concurrent with pulmonic stenosis (PS) is considered common, although there is a lack of published evidence. Objectives To investigate the prevalence of R‐L shunt caused by a PFO in dogs with PS. Animals Thirty‐one client‐owned dogs with PS, without obvious extracardiac disease detected on the clinical examinations. Methods Case control study: R‐L shunt probably caused by PFO was diagnosed when IV injected microbubbles appeared at the left atrial level with an intact atrial septum on echocardiography (bubble‐positive dogs). The severity of PS concurrent tricuspid regurgitation (TR), relative thickness of the right ventricle, and relative right atrial area were compared between bubble‐positive and bubble‐negative dogs. Results The prevalence of R‐L shunts caused by PFO was 39% (12 of 31 cases). The instantaneous pressure gradient (PG) across the pulmonic valve and relative thickness of the right ventricle were significantly increased in bubble‐positive compared with those in bubble‐negative dogs. None of the dogs with mild or moderate PS (pressure gradient < 80 mm Hg, n = 2) demonstrated R‐L shunt. The prevalence of TR in bubble‐positive dogs was significantly higher than that in bubble‐negative dogs. Discussion and Clinical Relevance Patent foramen ovale PFO with R‐L shunt was more common in dogs with very severe PS and absent in dogs with mild PS.