PREDICTABILITY OF LEFT HEART DYSFUNCTION FROM RIGHT HEART PERFORMANCE : Cardiac Index-Venous Pressure Plots and Cardiac Index-Mean Pulmonary Artery Wedge Pressure Plots at Rest and Their Shift During Dynamic Exercise
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概要
- 論文の詳細を見る
In an attempt to examine the extent to which the right heart performance can predict the left heart performance in heart diseases primarily affecting the left heart, we recorded cardiac index-venous pressure (CI-VP) plot and cardiac index-mean pulmonary artery wedge pressure (CI-PAW) plot at rest and investigated the shift of CI-VP plot and CI-PAW plot that occurred during mild dynamic exercise of the lower limbs. Six patients had normal heart function and 20 patients had heart disease primarily affecting the left heart. The sensitivity, specificity, positive predictive value and negative predictive value in the estimation of the left heart function with ΔCI/ΔVP were 80%, 100%, 89% and 100%, respectively, when ΔCI/PAW was regarded as the golden standard for the estimation of the left heart function. The sensitivity, specificity, positive predictive value and negative predictive value in estimating the left heart function with ΔCI/ΔRA were 86%, 93%, 92% and 86%, respectively. When the left heart function was estimated by ΔVP alone without measuring ΔCI, the sensitivity, specificity positive predictive value and negative predictive value were 40%, 100%, 73% and 100%, respectively. In short, it was possible to predict the left heart dysfunction with ΔCI/ΔVP or ΔCI/ΔRA, in the presence of the right heart dysfunction. It was also possible to predict a steep heart slope from normal ΔCL/ΔVP with error of 2/18 (11%), when steep left heart slope was predicted, based on the presence of steep right heart slop. In comparison, ΔVP alone was a less sensitive index of the performance of the left heart.
- 社団法人日本循環器学会の論文
- 1989-03-20
著者
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Suzuki Takahiko
Toyohashi Heart Center
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Fujiwara Hisayoshi
岐阜大学 第2内科
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YASUDA YUKIO
Central Institute for Experimental Animals
-
Suzuki Takahiko
2nd Department Of Internal Medicine Gifu University
-
Gotoh Kohshi
The Second Department Of Internal Medicine Gifu University School Of Medicine
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HIRAKAWA SENRI
The Second Department of Internal Medicine, Gifu University School of Medicine
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SUZUKI TAKAHIKO
The Second Department of Internal Medicine, Gifu University School of Medicine
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YASUDA YO
The Second Department of Internal Medicine, Gifu University School of Medicine
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OHSUMI YUKIO
The Second Department of Medicine Gifu University School of Medicine
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YAGI Yasuo
The Second Department of Internal Medicine,Gifu University School of Medicine
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HORIE KAZUKO
The Second Department of Internal Medicine, Gifu University School of Medicine
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GOTOH KOSHI
The Second Department of Internal Medicine, Gifu University School of Medicine
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FUJIWARA HIDEKI
The Second Department of Internal Medicine, Gifu University School of Medicine
-
Yasuda Y
The Second Department Of Internal Medicine Gifu University School Of Medicine
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Ohsurni Yukio
Second Department Of Internal Medicine Gifu University School Of Medicine
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Ohsumi Yukio
Department Of Cardiology Hashima City Hospital
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Hirakawa S
The 2^<nd> Department Of Internal Medicine Gifu University School Of Medicine
-
Hirakawa Senri
The Second Department Of Internal Medicine Gifu University School Of Medicine
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Suzuki Takahiko
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Yagi Yasuo
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Yasuda Yo
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Osumi Yukio
Second Department Of Internal Medicine Gifu University School Of Medicine
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Ohsumi Yukio
The Second Department Of Internal. Medicine Gifu University School Of Medicine
-
Goto Koshi
The Second Department Of Internal. Medicine Gifu University School Of Medicine
-
Fujiwara Hideki
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Suzuki Takehiko
Toyohashi Heart Center
-
Hirakawa Senri
2nd. Dept. Of Intern. Med Gifu Univ. School Of Med
-
Horie Kazuko
The Second Department Of Internal Medicine Gifu University School Of Medicine
-
Goto Koshi
The Second Department Of Medicine Gifu University School Of Medicine
-
Hirakawa Senri
岐阜大学 第2内科
-
Hirakawa Senri
Second Department Of Internal Medicine Gifu University School Of Medicine.
-
Suzuki Takehiko
The 2nd Department Of Lnternal Medicine Gifu University School Of Medicine
-
Fujiwara Hideki
The 2nd Dept Of Intern. Med. Gifu Univ. School Of Med
-
Hirakawa Senri
The 2 Depart. Of Intern. Med. Gifu Univesity Of Med.
-
Goto Koji
The 2 Depart. Of Intern. Med. Gifu Univesity Of Med.
-
Yasuda Yo
岐阜大学 第2内科
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