中国と米国の狭間で 27Oct20
Labtech Resting and Stress Test ECG solutions
医療機器関連製品への散歩6
ラブテック社ホルター心電計
透析患者の生体モニタリング
第5回 日本腎臓リハビリテーション学会
イブニングセミナー２
共催 第5回 日本腎臓リハビリテーション学会・株式会社 グッドケア
水口 潤 先生
川島病院 院長
峰島 三千男 先生
東京女子医科大学病院 臨床工学科 教授
齊藤 正和 先生
榊原記念病院 理学療法科 科長
座長／
演者／
演者／
日時／
会場／
2015年3月21日（土） 17：00～18：00
都市センターホテル 6F 606会場
第5回 日本腎臓リハビリテーション学会
イブニングセミナー２
共催 第5回 日本腎臓リハビリテーション学会・株式会社 グッドケア
水口 潤 先生
川島病院 院長
峰島 三千男 先生
東京女子医科大学病院 臨床工学科 教授
齊藤 正和 先生
榊原記念病院 理学療法科 科長
座長／
演者／
演者／
日時／
会場／
2015年3月21日（土） 17：00～18：00
都市センターホテル 6F 606会場
「12誘導心電図の持たらす効用」の研究ご賛同者募集
心電図の計測の簡便化をＩＣＴを用いて技術面から検証、効用を検討する、
1、何処でも、何時でも、誰でも、測定可能
2、測定すると、センターで記憶、
3、何処でも、何時でも、誰でも、呼出せる
4、二重三重の測定が避けられる
5、他の方法や診断や投薬や処置などのより適性を保証する、
6、病診連携がより適性化される、
7、再来の場合、過去との対比で、より適性化が図れる、
8、医療機器の有効利用が期待できる、
9、複数の専門医がほとんど同時に診断できる、例えば、冠動脈、不整脈、心臓外科、
高血圧、腎臓、透析、脳血管、肺、呼吸、血管外科、集中治療、救急、麻酔など、
10、投薬の適性化、あるいは、創薬の一助のデータの提供、
11、在宅ネットとの連携が期待できる、
メディカルテクニカまで、
Email gelertduna@gmail.com 電話048-929-0168
Hypertension Research (2011) 34, 202–208; doi:10.1038/hr.2010.196; published online 21 October 2010
Can arterial stiffness parameters be measured in the sitting position?
Jens Nürnberger1, Rene Michalski2, Tobias R Türk2, Anabelle Opazo Saez1, Oliver Witzke2 and Andreas Kribben2
1. 1Department of Nephrology and Dialysis, HELIOS Kliniken Schwerin, Wismarsche Straße, Schwerin, Germany
2. 2Department of Nephrology, University Hospital Essen, University Essen-Duisburg, Hufelandstraße, Essen, Germany
Correspondence: Dr J Nürnberger, Department of Nephrology, HELIOS Kliniken Schwerin, Wismarsche Straße 393-397, Schwerin 19049, Germany. E-mail: jens.nuernberger@uni-due.de
Received 2 May 2010; Revised 25 July 2010; Accepted 31 July 2010; Published online 21 October 2010.
Top of page
Abstract
Despite the introduction of arterial stiffness measurements in the European recommendation, pulse wave velocity (PWV) and augmentation index (AI) are still not used routinely in clinical practice. It would be of advantage if such measurements were done in the sitting position as is done for blood pressure. The aim of this study was to evaluate whether there is a difference in stiffness parameters in sitting vs. supine position. Arterial stiffness was measured in 24 healthy volunteers and 20 patients with cardiovascular disease using three different devices: SphygmoCor (Atcor Medical, Sydney, Australia), Arteriograph (TensioMed, Budapest, Hungary) and Vascular Explorer (Enverdis, Jena, Germany). Three measurements were performed in supine position followed by three measurements in sitting position. Methods were compared using correlation and Bland–Altman analysis. There was a significant correlation between PWV in supine and sitting position (Arteriograph: P<0.0001, r=0.93; Vascular Explorer; P<0.0001, r=0.87). There were significant correlations between AI sitting and AI supine using Arteriograph (P<0.0001, r=0.97), Vascular Explorer (P<0.0001, r=0.98) and SphygmoCor (P<0.0001, r=0.96). When analyzed by Bland–Altman, PWV and AI measurements in supine vs. sitting showed good agreement. There was no significant difference in PWV obtained with the three different devices (Arteriograph 7.5±1.6 m s−1, Vascular Explorer 7.3±0.9 m s−1, SphygmoCor 7.0±1.8 m s−1). AI was significantly higher using the Arteriograph (17.6±15.0%) than Vascular Explorer and SphygmoCor (10.2±15.1% and 10.3±18.1%, respectively). The close agreement between sitting and supine measurements suggests that both PWV and AI can be reliably measured in the sitting position.
Keywords:
arterial stiffness; augmentation index; PWV; pluse wave velocity
Can arterial stiffness parameters be measured in the sitting position?
Jens Nürnberger1, Rene Michalski2, Tobias R Türk2, Anabelle Opazo Saez1, Oliver Witzke2 and Andreas Kribben2
1. 1Department of Nephrology and Dialysis, HELIOS Kliniken Schwerin, Wismarsche Straße, Schwerin, Germany
2. 2Department of Nephrology, University Hospital Essen, University Essen-Duisburg, Hufelandstraße, Essen, Germany
Correspondence: Dr J Nürnberger, Department of Nephrology, HELIOS Kliniken Schwerin, Wismarsche Straße 393-397, Schwerin 19049, Germany. E-mail: jens.nuernberger@uni-due.de
Received 2 May 2010; Revised 25 July 2010; Accepted 31 July 2010; Published online 21 October 2010.
Top of page
Abstract
Despite the introduction of arterial stiffness measurements in the European recommendation, pulse wave velocity (PWV) and augmentation index (AI) are still not used routinely in clinical practice. It would be of advantage if such measurements were done in the sitting position as is done for blood pressure. The aim of this study was to evaluate whether there is a difference in stiffness parameters in sitting vs. supine position. Arterial stiffness was measured in 24 healthy volunteers and 20 patients with cardiovascular disease using three different devices: SphygmoCor (Atcor Medical, Sydney, Australia), Arteriograph (TensioMed, Budapest, Hungary) and Vascular Explorer (Enverdis, Jena, Germany). Three measurements were performed in supine position followed by three measurements in sitting position. Methods were compared using correlation and Bland–Altman analysis. There was a significant correlation between PWV in supine and sitting position (Arteriograph: P<0.0001, r=0.93; Vascular Explorer; P<0.0001, r=0.87). There were significant correlations between AI sitting and AI supine using Arteriograph (P<0.0001, r=0.97), Vascular Explorer (P<0.0001, r=0.98) and SphygmoCor (P<0.0001, r=0.96). When analyzed by Bland–Altman, PWV and AI measurements in supine vs. sitting showed good agreement. There was no significant difference in PWV obtained with the three different devices (Arteriograph 7.5±1.6 m s−1, Vascular Explorer 7.3±0.9 m s−1, SphygmoCor 7.0±1.8 m s−1). AI was significantly higher using the Arteriograph (17.6±15.0%) than Vascular Explorer and SphygmoCor (10.2±15.1% and 10.3±18.1%, respectively). The close agreement between sitting and supine measurements suggests that both PWV and AI can be reliably measured in the sitting position.
Keywords:
arterial stiffness; augmentation index; PWV; pluse wave velocity
