| Item type |
デフォルトアイテムタイプ（フル）(1) |
| 公開日 |
2014-07-18 |
| タイトル |
|
|
タイトル |
[原著]僧帽弁狭窄症における超音波断層法および心臓カテーテル検査法で求めた僧帽弁口面積の対比 |
|
言語 |
ja |
| タイトル |
|
|
タイトル |
Correlation between the eachocardiographically and the hemodynamically derived mitral valve areas in mitral stenosis |
|
言語 |
en |
| 作成者 |
川根, 浩三
長嶺, 文雄
砂川, 隆二
宮城, 茂
上原, 直樹
伊礼, 基治
三村, 悟郎
古謝, 景春
当山, 真人
宮城, 康夫
上里, 忠興
国吉, 幸男
儀間, 朝次
Kawane, Kozo
Nagamine, Fumio
Sunakawa, Ryugi
Miyagi, Shigeru
Uehara, Naoki
Irei, Motoharu
Mimura, Goro
Koja, Kageharu
Toyama, Masato
Miyagi, Yasuo
Uesato, Tadaoki
Kuniyoshi, Yukio
Gima, Choji
|
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 権利情報 |
|
|
言語 |
ja |
|
権利情報 |
琉球医学会 |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
2-dimentional echocardiography was known to achieve a quantitive assessment of mitral valve area. However, several factors which were proper gain setting, correct localization of the mitral valve orifice and appropriated drawing of the perceived orifice were pointed out for accurate echocardiographic measurement of mitral valve orifice. Taking such factors into consideration, we measured the mitral valve areas echocardiographically in 31 patients with mitral stenosis and compared them with cardiac cathetelization data. There was a good correlation between the echocardiographically and the hemodynamically derived mitral valve areas, but the correlation was less good than previously reported (r=0.86). There were eleven patients who had been commissurotomied. Four patients of them were diagnosed to have restenosis of mitral valve and other seven patients were judged to have had good operative results. In this post-operative group, the correlation between the echocardiographically and the hemodynamically measured mitral valve areas was good, as that in non-operated group. However, wide difference of the calculated valve areas by two methods were founded in an individual patient with good operative result. Eleven patients had severe calcified mitral valve. The mitral orifice areas were successfully measured in all these patients. In this group, there was better correlation between the echocardiographically and the hemodynamically calculated mitral valve areas than in total patients (r=0.963). There was a good correlation between the diastolic decent rate (DDR) and the hemodynamically derived mitral valve areas (r=0.749). However, among the patients with small mitral orifice area less than 2cm^2 poor correlation between the DDRs and the cathetelization valve areas was obtained (r=0.345). 2-dimentional echocardiography is an accurate noninvasive method to measure the mitral valve area in patient with mitral stenosis, but there appear to be potential limitations ascribed to the very echocardiographic and hemodynamic methods to get better correlation than that of previous reports. |
| 内容記述 |
|
|
内容記述タイプ |
Other |
|
内容記述 |
論文 |
| 出版者 |
|
|
出版者 |
琉球大学医学部 |
|
言語 |
ja |
| 出版者 |
|
|
出版者 |
Faculty of Medicine, University of the Ryukyus |
|
言語 |
en |
| 言語 |
|
|
言語 |
jpn |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
ISSN |
|
収録物識別子 |
0285-9270 |
| 収録物識別子 |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AN00250763 |
| 収録物名 |
|
|
収録物名 |
琉球大学保健学医学雑誌＝Ryukyu University Journal of Health Sciences and Medicine |
|
言語 |
ja |
| 書誌情報 |
巻 4,
号 1,
p. 47-54
|
v4p47.pdf
