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On the basis of the relationship between venous pressure and compliance, it was hypothesized that the cross-sectional morphology of the IVC, which was obtained using three-dimensional echocardiography, might estimate CVP more accurately compared with standard grading by 2DE.\nMethods\nSixty consecutive patients who underwent right-heart catheterization studies were prospectively enrolled. Echocardiography was performed \u003c24 hours before catheterization. From three-dimensional data sets, a cross-section of the IVC was determined that was perpendicular to the long-axis reference of the IVC. Short diameter (SD), long diameter (LD), the ratio of SD to LD (S/L) as the sphericity index, and area were measured on this cross-sectional IVC image.\nResults\nCVP correlated moderately with SD (r = 0.69, P \u003c .001), strongly with S/L (r = 0.75, P \u003c .001), and modestly with area (r = 0.47, P \u003c .001) but not with LD (r = 0.24, P = .17). The largest areas under the curve by receiver operating characteristic analyses to detect CVP \u2265 10 mm Hg were 0.98 (95% CI, 0.97\u20131.0; P \u003c .001) for S/L, 0.83 for SD (95% CI, 0.74\u20130.94; P \u003c .001), and 0.70 for area (95% CI, 0.56\u20130.84; P = .02). If a cutoff value of 0.69 for S/L was used, the sensitivity, specificity, and accuracy to detect CVP \u2265 10 mm Hg were 0.94, 0.95, and 0.95 and for CVP grading by 2DE were 0.59, 0.98, and 0.85, respectively. Estimations of CVP were more accurately reclassified using S/L rather than grading by 2DE (net reclassification improvement, 0.38; 95% CI, 0.31\u20130.44; P \u003c .001).\nConclusions\nS/L of an IVC cross-section measured using three-dimensional echocardiography may be a reliable parameter to estimate CVP compared with standard grading by 2DE.", "subitem_description_type": "Abstract"}]}, "item_5_publisher_27": {"attribute_name": "\u51fa\u7248\u8005", "attribute_value_mlt": [{"subitem_publisher": "Elsevier"}]}, "item_5_relation_10": {"attribute_name": "PubMed\u756a\u53f7", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "28065586", "subitem_relation_type_select": "PMID"}}]}, "item_5_relation_11": {"attribute_name": "DOI", "attribute_value_mlt": [{"subitem_relation_type_id": {"subitem_relation_type_id_text": "10.1016/j.echo.2016.12.002", "subitem_relation_type_select": "DOI"}}]}, "item_5_rights_12": {"attribute_name": "\u6a29\u5229", "attribute_value_mlt": [{"subitem_rights": "\u00a9 2016. 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Estimation of Central Venous Pressure Using the Ratio of Short to Long Diameter from Cross-Sectional Images of the Inferior Vena Cava
http://hdl.handle.net/2241/00146746
0b852cfe-2df1-4bdd-a3ca-235c3547d811
名前 / ファイル | ライセンス | Actions | |
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item type | Journal Article(1) | |||||
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公開日 | 2017-07-11 | |||||
タイトル | ||||||
タイトル | Estimation of Central Venous Pressure Using the Ratio of Short to Long Diameter from Cross-Sectional Images of the Inferior Vena Cava | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
タイプ | journal article | |||||
著者 |
Seo, Yoshihiro
× Seo, Yoshihiro× Iida, Noriko× Yamamoto, Masayoshi× Machino-Ohtsuka, Tomoko× Ishizu, Tomoko× Aonuma, Kazutaka |
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著者別名 |
瀬尾, 由広
× 瀬尾, 由広× 山本, 昌良× 石津, 智子× 青沼, 和隆 |
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抄録 | ||||||
内容記述 | Background Long-axis images of the inferior vena cava (IVC) have limitations as surrogates for IVC morphology in grading central venous pressure (CVP) by two-dimensional echocardiography (2DE), because of the various cross-sectional morphologies and the translational motion of the IVC induced by sniffing. On the basis of the relationship between venous pressure and compliance, it was hypothesized that the cross-sectional morphology of the IVC, which was obtained using three-dimensional echocardiography, might estimate CVP more accurately compared with standard grading by 2DE. Methods Sixty consecutive patients who underwent right-heart catheterization studies were prospectively enrolled. Echocardiography was performed <24 hours before catheterization. From three-dimensional data sets, a cross-section of the IVC was determined that was perpendicular to the long-axis reference of the IVC. Short diameter (SD), long diameter (LD), the ratio of SD to LD (S/L) as the sphericity index, and area were measured on this cross-sectional IVC image. Results CVP correlated moderately with SD (r = 0.69, P < .001), strongly with S/L (r = 0.75, P < .001), and modestly with area (r = 0.47, P < .001) but not with LD (r = 0.24, P = .17). The largest areas under the curve by receiver operating characteristic analyses to detect CVP ≥ 10 mm Hg were 0.98 (95% CI, 0.97–1.0; P < .001) for S/L, 0.83 for SD (95% CI, 0.74–0.94; P < .001), and 0.70 for area (95% CI, 0.56–0.84; P = .02). If a cutoff value of 0.69 for S/L was used, the sensitivity, specificity, and accuracy to detect CVP ≥ 10 mm Hg were 0.94, 0.95, and 0.95 and for CVP grading by 2DE were 0.59, 0.98, and 0.85, respectively. Estimations of CVP were more accurately reclassified using S/L rather than grading by 2DE (net reclassification improvement, 0.38; 95% CI, 0.31–0.44; P < .001). Conclusions S/L of an IVC cross-section measured using three-dimensional echocardiography may be a reliable parameter to estimate CVP compared with standard grading by 2DE. |
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書誌情報 |
Journal of the American Society of Echocardiography 巻 30, 号 5, p. 461-467, 発行日 2017-05 |
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ISSN | ||||||
収録物識別子 | 0894-7317 | |||||
書誌レコードID | ||||||
収録物識別子 | AA10709494 | |||||
PubMed番号 | ||||||
関連識別子 | ||||||
関連識別子 | 28065586 | |||||
DOI | ||||||
関連識別子 | ||||||
関連識別子 | 10.1016/j.echo.2016.12.002 | |||||
権利 | ||||||
権利情報 | © 2016. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/ | |||||
著者版フラグ | ||||||
値 | author | |||||
出版者 | ||||||
出版者 | Elsevier |