Expert consensus document on arterial stiffness methodological issues
- Slides: 37
Expert consensus document on arterial stiffness: methodological issues and clinical applications Согласованное мнение экспертов ESC по вопросу артериальной ригидности: методические аспекты и клинические применения European Heart Journal 2006 27(21): 2588 -2605
Sample of Examination Result Indicating ASO (1) Triangular wave PWV is low in ASO. Small pulse amplitude
Зависимость СПВ и CAVI от давления Case 1 ♀ 70 s (Hypertension, Hyperripidemia, Diabetes, Osteoporosis) Case 2 ♂ 60 s (Hypertension, Hyperripidemia, Diabetes) ba. PWV CAVI Systolic Pressure
CAVI and carotid atherosclerosis Area under the ROC curve = 0, 699 Confidence interval = 0, 640 to 0, 754 CAVI= 7, 0 * Sens. 67, 4% ; Spec. 65, 1% CAVI= 9. 0 Sens. 10% ; Spec. 98% CAVI may be considered as predictor of the subclinical carotid atherosclerosis
CAVI: age dependent “nornal” values and “standard” “riskdefining thresholds” (cut-off value) K. Shirai, N. Hiruta et al, J Atheroscler Thromb, 2011; 18: 924 -938.
• Circ J. 2011 Feb 25; 75(3): 698 -702. Epub 2010 Dec 24. Acute and chronic effects of smoking on arterial stiffness. • Kubozono T, Miyata M, et al. • «Острый» эффект курения
CAVI and Aortic Calcification for Dialysis patient 10 CAVI 9. 5 9 8. 5 8 Degree 0 Degree III Degree IV Degree V AACS: aortic arch calcification score( NDT 2003) (Uchino et al. , Mihama Hospital, Chiba)
CAVI and Metabolic Syndrome 11. 0 age≧50 years old、Visceral fat area≧ 100 cm 2 CAVI 10. 5 10. 0 9. 5 10. 05± 0. 7 9. 7± 0. 9 9. 4± 0. 7 9. 0 (Average = Number of Risk Factor Items Average of Control 62. 7 years old) 1 2 Hyper TG(≧150mg/dl) and/or low HDL-C(<40mg/dl) Hypertension (systolic ≧130mmHg and/or diastolic≧80mmHg) Hyper glycemia(fasting gluscose ≧110mg/dl) 3 Toho Sakura Hospital
CAVI and Atherosclerotic Disease p<0. 001 Case: 0. 9≦ABI<1. 3 Age: 55 -75 n=391 p<0. 002 p<0. 05 CAVI p<0. 05 mean±SD Dialysis PTCA ECG Abnormal Diabetes+PTCA + ECG Abnornal Mihama Hospital, Chiba City
Conclusion VS-1500 can measure ABI as well as CAVI 1. ABI: Blockage of vessel Easy to find PAD patient who possible have coexisting diseases. 2. CAVI: Stiffness of vessel Independent from minutes of BP change, easy testing and stable. The result is clearly related to atherosclerosis disease.
- Methodological behaviourism
- Methodological individualism weber
- Positivism behaviorism
- What is methodological integrity
- Methodological background
- Methodological triangulation
- Document examination definition
- Document
- Isotropic material stiffness matrix
- Understeer
- Subchondrial
- Stiffness matrix
- Stiffness matrix for cst element
- Stress strain curve toughness
- Direction cosines of truss element 2 are
- Sulasalazine
- Stiffness matrix method lecture notes
- Truss stiffness matrix
- Moment of inertia
- Stiffness matrix for 4 noded rectangular element
- Axial stifness
- Column stiffness 12ei/l^3
- Bar stiffness matrix
- Morning stiffness
- Presion arterial media normal
- Void blood spatter
- Atrioventricular orifice
- Aeromesenterie
- Sindrome del robo de la subclavia
- Transfer bloodstain
- Respiração kussmaul
- Hipocondrio
- Clasificacion de la presion arterial segun jnc 8
- Hta jnc 9
- Valores normales de gasometria
- Presin arterial
- Venous blood gas normal values
- Blood supply to thoracic wall