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A research for establishing non-invasive circulatory monitoring using the index of cardiovascular coupling

Research Project

Project/Area Number 14571457
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Anesthesiology/Resuscitation studies
Research InstitutionKyoto Prefectural University of Medicine

Principal Investigator

HAYASHI Kazuko  Kyoto Prefectural University of Medicine, Anesthesiology, Assistant Professor, 医学研究科, 助手 (40285276)

Co-Investigator(Kenkyū-buntansha) SUGIMACHI Masaru  National Cardiovascular Research Center, Cardiovascular Dynamics, Chief Researcher, 循環動態機能部, 室長 (40250261)
Project Period (FY) 2002 – 2003
Project Status Completed (Fiscal Year 2003)
Budget Amount *help
¥4,100,000 (Direct Cost: ¥4,100,000)
Fiscal Year 2003: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2002: ¥2,900,000 (Direct Cost: ¥2,900,000)
KeywordsVentricular Arterial Coupling / Ees / Ea / Transfer Function / second order response / 4-element model / Augmentation Index / Efficiency of ventricular ejection / Ejection Fraction / システム同定 / 特性インピーダンス / コンプライアンス / 末梢血管抵抗 / Augmentation Index / 脈波伝搬速度 / 動脈硬化 / 非浸襲的循環モニター
Research Abstract

We compared Ees/Ea with other general circulatory monitoring, and made clear the significance of Ees/Ea as circulatory monitoring. In myocardial infarction group, Ees/Ea value was significantly smaller (0.87±0.07), in comparison with hypertension group (1.46±0.29) and healthy group (2.17±0.29). On the other hand, as for augmentation index and pulse wave velocity, the significant difference was not recognized between myocardial infarction group and hypertension group. Thus, it was suggested that the integrated cardiovascular function, which was not provided from other indexes, can be measured with present methods. Furthermore, Ees/Ea measured by the present method correlated with the ejection fraction measured by an echocardiography (R=0.79; RMSE=0.08). In addition, the normal Ees/Ea range measured by the present method, agreed to a reported range measured by conventional methods. In the child group, Ees/Ea was slightly larger than the adult group, although the significant difference was not observed. Thus, the Ees/Ea measurement by this calculation method is expected to become the superior index, which distinguishes the cardiovascular function. In a study of monitoring Ees/Ea from periphery radial arterial pressure, we used 4 elements (arterial compliance, peripheral resistance, aortic characteristic impedance, inertia) for arterial vascular system, and examined the nature of pressure transmitting by 4 elements. As a result, aortic waveform was estimated from radial arterial pressure with the model transfer function which satisfied the circulatory dynamics. This study was an important strategy to estimate aortic pressure waveform from periphery radial arterial pressure waveform under various circulatory dynamics, which is important for on-line estimation of cardiovascular performance.

Report

(3 results)
  • 2003 Annual Research Report   Final Research Report Summary
  • 2002 Annual Research Report
  • Research Products

    (16 results)

All Other

All Publications (16 results)

  • [Publications] Kazuko Hayashi: "The analysis of pressure wave transmission using the second-order response model."Circ Cont. 24. 239-248 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] 林 和子, 重見研司: "4要素2次応答モデルを用いた橈骨動脈圧波形歪みの解析"麻酔. 52(9). 1011-1020 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kazuko Hayashi, Kenji Shigemi: "Left Ventricular Mechano-Energetic Performance in Patients with Cardiovascular Disease Is Clinically Measured."Anesthesiology. 99. A596 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kazuko Hayashi, Kenji Shigemi, Toshiki Mizobe: "A Physical Model Based Study of Pressure Wave Transfer from Aorta to Radial Artery"Anesthesiology. 99. A530 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hayashi K, Shigemi K, Mizobe T: "Federation of European Physiological Societies International Proceedings Division(Philippe POUJEOL AND Ole Petersen, editors.)"MONDUZZI EDITORE. 39-44 (2003)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kazuko Hayashi, Shigemi Kenji: "Analysis of radial artery pressure wave-forms using 4 element model."Masui. 52:9. 1011-1020 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kazuko Hayashi: "The analysis of pressure wave transmission using the second-order response model."Circ Cont. 24. 239-248 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Hayashi K, Shigemi K, Mizobe T: "A Physiological Model Based Study of Pressure Wave Transmission."Federation of European Physiological Societies, MONDUZZI EDITORE International Proceedings Division. 39-44 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kazuko Hayashi, Kenji Shigemi: "Left Ventricular Mechano-Energetic Performance in Patients with Cardiovascular Disease Is Clinically Measured"Anesthesiology. 99. A596 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kazuko Hayashi, Kenji Shigemi, Toshiki Mizobe: "A Physical Model Based Study of Pressure Wave Transfer from Aorta to Radial Artery"Anesthesiology. 99. A530 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2003 Final Research Report Summary
  • [Publications] Kazuko Hayashi: "The analysis of pressure wave transmission using the second-order response"Circ Cont. 24. 239-248 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 林 和子, 重見研司: "4要素2次応答モデルを用いた橈骨動脈圧波形歪みの解析"麻酔. 52(9). 1011-1020 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kazuko Hayashi: "Left Ventricular Mechano-Energetic Performance in Patients with"Anesthesiology. 99. A596 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kazuko Hayashi, Kenji Shigemi, Toshiki Mizobe: "A Physical Model Based Study of Pressure Wave Transfer from Aorta to Radial Artery"Anesthesiology. 99. A530 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Hayashi K, Shigemi K, Mizobe T: "Federation of European Physiological Societies"MONDUZZI EDITORE, Philippe Poujeol and Ole Petersen, editors.. 39-44 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 林 和子: "Fontan循環のモデルを用いた検討"麻酔と集中治療テクノロジー. (In press). (2003)

    • Related Report
      2002 Annual Research Report

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Published: 2002-04-01   Modified: 2016-04-21  

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