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2016 Fiscal Year Final Research Report

A new index by wave motion analysis for quantitative evaluation of pulmonary arteriole obstruction in the diagnosis and treatment of pulmonary arterial hypertension.

Research Project

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Project/Area Number 26461625
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Pediatrics
Research InstitutionOsaka Medical College

Principal Investigator

NEMOTO SHINTARO  大阪医科大学, 医学部, 教授 (20237811)

Project Period (FY) 2014-04-01 – 2017-03-31
Keywords肺高血圧 / 肺循環 / 肺小動脈 / 閉塞病変 / 波動解析 / 位相差 / 圧―血流同時測定ワイヤー / 心臓カテーテル検査
Outline of Final Research Achievements

Quantitative evaluation of pulmonary arteriole obstruction is a key in the diagnosis and treatment of pulmonary arterial hypertension but has not been established. Phase difference between the change of blood pressure and flow velocity by wave motion analysis, expressed as θ, could be used as a new parameter representing the obstruction. Theoretically, θ is 0° without any obstruction and contrarily θ is 90°under total obstruction in peripheral artery. This was confirmed by simultaneous measurement of change in pressure and flow velocity in a pulsatile simulation circuit by changing degree of obstruction. Furthermore, θ calculated using data from clinical heart catheterization was well correlated with clinical symptoms and conventional parameters of pulmonary circulation. Therefore, the θcould be a plausible new parameter in evaluating the degree of the obstruction.

Free Research Field

心臓血管外科

URL: 

Published: 2018-03-22  

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