Bio


Cardiologist in Japan.
Research interest: precision medicine in cardiovascular disease. Genomics, Exposomics.

Honors & Awards


  • Young Investigator Award, The 21st Annual Scientific meeting of the Japanese Heart Failure Society (Oct 2017)
  • Young Investigator Award (1st prize), The 24th Annual Scientific meeting of the Japanese Heart Failure Society (Oct 2020)
  • Young Investigator’s Award (2nd place), Japanese Circulation Society 2021 Meeting (Mar 2021)

Professional Education


  • Doctor of Philosophy, University Of Tokyo (2021)
  • Doctor of Medicine, University Of Tokyo (2013)
  • Ph.D., The University of Tokyo, Medicine (2021)
  • M.D., The University of Tokyo, Medicine (2013)

Stanford Advisors


All Publications


  • Deep learning-based age estimation from chest X-rays indicates cardiovascular prognosis. Communications medicine Ieki, H., Ito, K., Saji, M., Kawakami, R., Nagatomo, Y., Takada, K., Kariyasu, T., Machida, H., Koyama, S., Yoshida, H., Kurosawa, R., Matsunaga, H., Miyazawa, K., Ozaki, K., Onouchi, Y., Katsushika, S., Matsuoka, R., Shinohara, H., Yamaguchi, T., Kodera, S., Higashikuni, Y., Fujiu, K., Akazawa, H., Iguchi, N., Isobe, M., Yoshikawa, T., Komuro, I. 2022; 2 (1): 159

    Abstract

    In recent years, there has been considerable research on the use of artificial intelligence to estimate age and disease status from medical images. However, age estimation from chest X-ray (CXR) images has not been well studied and the clinical significance of estimated age has not been fully determined.To address this, we trained a deep neural network (DNN) model using more than 100,000 CXRs to estimate the patients' age solely from CXRs. We applied our DNN to CXRs of 1562 consecutive hospitalized heart failure patients, and 3586 patients admitted to the intensive care unit with cardiovascular disease.The DNN's estimated age (X-ray age) showed a strong significant correlation with chronological age on the hold-out test data and independent test data. Elevated X-ray age is associated with worse clinical outcomes (heart failure readmission and all-cause death) for heart failure. Additionally, elevated X-ray age was associated with a worse prognosis in 3586 patients admitted to the intensive care unit with cardiovascular disease.Our results suggest that X-ray age can serve as a useful indicator of cardiovascular abnormalities, which will help clinicians to predict, prevent and manage cardiovascular diseases.

    View details for DOI 10.1038/s43856-022-00220-6

    View details for PubMedID 36494479

    View details for PubMedCentralID PMC9734197

  • Population-specific and trans-ancestry genome-wide analyses identify distinct and shared genetic risk loci for coronary artery disease NATURE GENETICS Koyama, S., Ito, K., Terao, C., Akiyama, M., Horikoshi, M., Momozawa, Y., Matsunaga, H., Ieki, H., Ozaki, K., Onouchi, Y., Takahashi, A., Nomura, S., Morita, H., Akazawa, H., Kim, C., Seo, J., Higasa, K., Iwasaki, M., Yamaji, T., Sawada, N., Tsugane, S., Koyama, T., Ikezaki, H., Takashima, N., Tanaka, K., Arisawa, K., Kuriki, K., Naito, M., Wakai, K., Suna, S., Sakata, Y., Sato, H., Hori, M., Sakata, Y., Matsuda, K., Murakami, Y., Aburatani, H., Kubo, M., Matsuda, F., Kamatani, Y., Komuro, I. 2020; 52 (11): 1169-+

    Abstract

    To elucidate the genetics of coronary artery disease (CAD) in the Japanese population, we conducted a large-scale genome-wide association study of 168,228 individuals of Japanese ancestry (25,892 cases and 142,336 controls) with genotype imputation using a newly developed reference panel of Japanese haplotypes including 1,781 CAD cases and 2,636 controls. We detected eight new susceptibility loci and Japanese-specific rare variants contributing to disease severity and increased cardiovascular mortality. We then conducted a trans-ancestry meta-analysis and discovered 35 additional new loci. Using the meta-analysis results, we derived a polygenic risk score (PRS) for CAD, which outperformed those derived from either Japanese or European genome-wide association studies. The PRS prioritized risk factors among various clinical parameters and segregated individuals with increased risk of long-term cardiovascular mortality. Our data improve the clinical characterization of CAD genetics and suggest the utility of trans-ancestry meta-analysis for PRS derivation in non-European populations.

    View details for DOI 10.1038/s41588-020-0705-3

    View details for Web of Science ID 000575347300002

    View details for PubMedID 33020668

  • Impact of Pulmonary Artery-to-Aorta Ratio by CT on the Clinical Outcome in Heart Failure JOURNAL OF CARDIAC FAILURE Ieki, H., Nagatomo, Y., Tsugu, M., Mahara, K., Iguchi, N., Isobe, M., Yoshikawa, T. 2019; 25 (11): 886-893

    Abstract

    Previous studies have indicated that the ratio of pulmonary artery (PA) to ascending aorta (Ao) diameter as measured by computed tomography (PA/Ao) is strongly associated with pulmonary artery pressure. However, the clinical significance of PA/Ao in heart failure (HF) has not been fully characterized. We sought to investigate the prognostic impact of PA/Ao in HF.Based on the prospective registry of patients admitted to our institution due to acute decompensated HF (ADHF), the records of the consecutive 761 patients admitted between 2011 and 2016 were reviewed. Thoracic computed tomography data during the hospital stays were obtained from 447 patients (median 78 (70-84) years of age; male, 62.2%). The diameters of PA and Ao were measured at the level of PA bifurcation. The subjects were divided into the H group (PA/Ao ≥ 1.0) and the L group (PA/Ao < 1.0) according to the PA/Ao values. The cutoff value was derived from receiver operating curve analysis.There were no significant differences in age, sex or body mass index between the H and L groups. The H group was associated with significantly larger left atrial dimension (LAD), higher tricuspid regurgitation peak gradient (TRPG) and E/e' (LAD, H, 48 (42-55) mm vs L, 45 (39-50) mm, P < 0.001; TRPG, H, 34 (26-48) mm Hg vs L, 28 (22-38) mm Hg, P < 0.001; E/e', H, 23.3 (42-55) vs L, 18.4 (13.9-25), P < 0.001). Length of hospital stay was significantly longer in the H group than in the L group (H, 19 (14-32) days vs L, 16 (12-23) days, P < 0.001). In-hospital mortality was significantly higher in the H group compared with the L group (H, 5.4% vs L, 1.2%, P = 0.02). Age, sex, LAD and TRPG were independently associated with PA/Ao. The primary endpoint, defined as the composite of all-cause death and ADHF rehospitalization during a median of 479 days after discharge, was significantly more common in the H group (P < 0.001, log-rank test). PA/Ao was independently associated with the primary endpoint, even after adjusting for the other confounding factors (P = 0.002).PA/Ao is a reliable marker for the prediction of the outcome of patients with ADHF.

    View details for DOI 10.1016/j.cardfail.2019.05.005

    View details for Web of Science ID 000501939800006

    View details for PubMedID 31100468

  • Complete Resolution of Left Ventricular Outflow Tract Obstruction After Spontaneous Mitral Valve Chordal Rupture in a Patient With Hypertrophic Cardiomyopathy. CASE (Philadelphia, Pa.) Ieki, H., Mahara, K., Nagatomo, Y., Iguchi, N., Takayama, M., Isobe, M. 2019; 3 (3): 103-106

    Abstract

    • Spontaneous mitral chordal rupture is a complication in hypertrophic cardiomyopathy (HCM). • Mitral chordal rupture in HCM causes deterioration in heart failure. • Symptoms improved when left ventricular outflow tract (LVOT) obstruction disappeared. • Mitral valve has a role in LVOT obstruction and systolic anterior motion.

    View details for DOI 10.1016/j.case.2019.03.001

    View details for PubMedID 31286088

    View details for PubMedCentralID PMC6588837