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Novel Arterial Vascular Volume Elastic Modulus with Automated Oscillometric Approach Accurately Detected Endothelial and Endothelial Independent Vascular Function in CKD

https://repo.qst.go.jp/records/65725
https://repo.qst.go.jp/records/65725
f7b162d2-85d8-4507-842a-e11f8274e8fd
Item type 会議発表用資料 / Presentation(1)
公開日 2015-08-14
タイトル
タイトル Novel Arterial Vascular Volume Elastic Modulus with Automated Oscillometric Approach Accurately Detected Endothelial and Endothelial Independent Vascular Function in CKD
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_c94f
資源タイプ conference object
アクセス権
アクセス権 metadata only access
アクセス権URI http://purl.org/coar/access_right/c_14cb
著者 Yoshinaga, Keiichiro

× Yoshinaga, Keiichiro

WEKO 647380

Yoshinaga, Keiichiro

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Tomiyama, Yuuki

× Tomiyama, Yuuki

WEKO 647381

Tomiyama, Yuuki

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Fujii, Satoshi

× Fujii, Satoshi

WEKO 647382

Fujii, Satoshi

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Nishio, Saori

× Nishio, Saori

WEKO 647383

Nishio, Saori

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Naoko, Matsuoka

× Naoko, Matsuoka

WEKO 647384

Naoko, Matsuoka

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Noriki, Ochi

× Noriki, Ochi

WEKO 647385

Noriki, Ochi

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Chietsugu, Katoh

× Chietsugu, Katoh

WEKO 647386

Chietsugu, Katoh

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Mamiko, Inoue

× Mamiko, Inoue

WEKO 647387

Mamiko, Inoue

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Nishida, Mutumi

× Nishida, Mutumi

WEKO 647388

Nishida, Mutumi

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M., Ito Yoichi

× M., Ito Yoichi

WEKO 647389

M., Ito Yoichi

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Tamaki, Nagara

× Tamaki, Nagara

WEKO 647390

Tamaki, Nagara

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吉永 恵一郎

× 吉永 恵一郎

WEKO 647391

en 吉永 恵一郎

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抄録
内容記述タイプ Abstract
内容記述 Background: Simple and automated vascular function measurements are desirable for atherosclerosis risk assessments. Vascular elastic modulus (VE) is uninfluenced by blood pressure and is potentially linked to vascular function. Recently, we developed a novel modality of automated oscillometric method to measure a brachial artery´s VE and estimated arterial cross sectional area (eA). We aimed to investigate whether VE and eA response to nitroglycerin (NTG) reflected endothelial and endothelial independent dysfunction related to chronic kidney disease (CKD). Methods: 13 moderate-to-severe CKD (mean estimated glomerular filtration rate [eGFR]: 29.3±25.7 mL/min/1.73m2) and 15 controls were studied. Rest VE and eA response to NTG were measured by novel automated oscillometric detector. eA was estimated using pressure-volume curves and VE was defined as follows [VE=ΔPressure/ (100XΔarea/Area) mmHg/%]. Ultrasound measurements of flow mediated vasodilatation (FMD) and NTG were used as standard.Results: CKD had lower FMD than control (4.97±3.24 vs 9.03±2.98 %, P=0.002) and attenuated VE (1.09±0.25 vs 0.83±0.17 mmHg/%, P=0.003). Rest Ve was negatively correlated with %FMD(r=-0.43, P=0.02). Percent eA increase after NTG was correlated with %vascular diameter increase with ultrasound(r=0.51, P=0.005). However, there was no difference in %NTG(P=0.16) with ultrasound or %eA change (P=0.34) between the two groups.Conclusions: This new automated vascular function measurement using oscillometric measurement reliably detected endothelial dysfunction related to CKD and has potential to detect endothelial independent vasodilator response.
会議概要(会議名, 開催地, 会期, 主催者等)
内容記述タイプ Other
内容記述 第79回日本循環器学会学術集会
発表年月日
日付 2015-04-26
日付タイプ Issued
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