The Simultaneous Assessment of Aortic Valve Area and Coronary Artery Stenosis Using 16-Slice Multidetector-Row Computed Tomography in Patients With Aortic Stenosis Comparison With Echocardiography
スポンサーリンク
概要
- 論文の詳細を見る
Background Recent advancements in 16-slice multidetector-row computed tomography (16-slice MDCT) provide for non-invasive assessment of not only coronary artery disease (CAD), but also myocardial properties and the anatomy of the whole heart. The purpose of the present study was to investigate whether the aortic valve area (AVA) in patients with aortic stenosis (AS) assessed by 16-slice MDCT corresponds to echocardiographic assessment and to evaluate simultaneously the clinical accuracy in detecting CAD with 16-slice MDCT. Methods and Results The AVA of 29 consecutive AS patients with transthoracic echocardiography (TTE) and 16-slice MDCT were analyzed. The AVA was estimated by means of the continuity equation method in 2-dimensional echocardiography (DE) and the quantitative planimetric method after multi-planar reformation in 16-slice MDCT. Concomitantly, the severity of the coronary artery stenosis was assessed by 16-slice MDCT. In the present study, the AVA assessed by TTE and 16-slice MDCT was 1.34±0.32cm^2 and 1.38±0.32cm^2, respectively. Regression analysis showed that the AVA in patients with AS determined by 16-slice MDCT correlated well with those determined by 2-DE (r=0.96, p<0.001). Significant coronary artery stenosis of more than 50% diameter reduction was present in 48% of the study population. Conclusions In patients with AS, the analysis of the severity of the AVA by 16-slice MDCT provides a feasible and accurate estimation with the concomitant evaluation of CAD.
- 社団法人日本循環器学会の論文
- 2007-09-20
著者
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IMANISHI Toshio
Department of Cardiovascular Medicine, Wakayama Medical University
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Yoshida Kaoru
Department Of Cardiology Kawasaki Medical School
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Yoshikawa J
Department Of Medicine Cardiovascular Division Osaka Ekisaikai Hospital
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Yoshiyama M
Department Of Internal Medicine And Cardiology Osaka City University Medical School
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Miyashita K
Department Of Cardiovascular Surgery National Cardiovascular Center
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Yamaguchi Junichi
Division Of Cardiology Saitama Prefecture Cardiovascular And Respiratory Center
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Shimada Kenei
Osaka Ekisaikai Hospital
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Shimada Kenei
Department Of Internal Medicine And Cardiology Osaka City University School Of Medicine
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Shimada Kenei
Department Of Cardiology Osaka City General Hospital
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Jissho Satoshi
Department Of Medicine Cardiovascular Division Osaka Ekisaikai Hospital
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Shimada Kenei
ベルランド総合病院 循環器内科
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Shimada Kenei
Department Of Cardiology Osaka Ekisaikai Hospital
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Yoshikawa Junichi
大阪掖済会病院 循環器科
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Kitakaze Masafumi
Department Of Cardiology National Cardiovascular Center
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Shimada Kenei
Department Of Medicine Cardiovascular Division Osaka Ekisaikai Hospital
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Shimada Kenei
Department Of Cardivascular Medicine Osaka Ekisaikai Hospital
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Miyatake Kunio
Department Of Cardiovascular Surgery National Cardiovascular Center
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Hasegawa T
Department Of Cardiology Osaka City University Graduate School Of Medicine
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Tanaka Hidemasa
The Division of Cardiovascular Medicine, Osaka Ekisaikai Hospital
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Shimada Kenei
The Division of Cardiovascular Medicine, Osaka Ekisaikai Hospital
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Yoshida Ken
The Division of Cardiovascular Medicine, Osaka Ekisaikai Hospital
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Jissho Satoshi
The Division of Cardiovascular Medicine, Osaka Ekisaikai Hospital
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Yoshikawa Junichi
The Division of Cardiovascular Medicine, Osaka Ekisaikai Hospital
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Yoshiyama Minoru
The Department of Internal Medicine and Cardiology, Osaka City University Medical School
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Yamaguchi Junichi
Kanto Medical Center NTT-EC
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Shimeno Kenji
Department Of Internal Medicine And Cardiology Osaka City University Graduate School Of Medicine
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Miyatake Kunio
国立病院機構大阪南医療センター 循環器科
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MINATOYA Kenji
National Cardiovascular Center
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Yoshida Kiyoshi
Division Of Cardiology Kawasaki Medical School
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Miyatake Kunio
Hiroshima General Hospital
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Sakata Konomi
Actmce1
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Miyashita Kotaro
Department Of Cardiology National Cardiovascular Center
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Hasegawa Takao
Department Of Internal Medicine And Cardiology Osaka Ekisaikai Hospital
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Hasegawa Takao
Internal Medicine And Cardiology Osaka City University
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Shiratori Kenichi
Juntendo University Shizuoka Hospital
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Miyatake Kunio
Department Of Cardiology National Cardiovascular Center
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Miyatake Kunio
National Hospital Organization Osaka Minami Medical Center
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Yamaguchi Junichi
NTT East Japan Kanto Hospital
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Kusumoto Miyako
Cardiac Division National Cardiovascular Center
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Yoshikawa Junichi
Department Of Cardiovascular Medicine Osaka City University Graduated School Of Medicine
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Iwasaka Toshiji
Second Department Of Internal Medicine Division Of Cardiology Kansai Medical University
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Motegi Katsuhiko
Division Of Cardiology Department Of Internal Medicine And Division Of Cardiac Sugery
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Shimamura Kunihiro
Department Of Cardiovascular Medicine Wakayama Medical University
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Yoshioka Kunihiro
Actmce1 Trial Investigators
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Maeda Kumiko
Department Of Medicine Osaka Ekisaikai Hospital
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Miyatake Kunio
Hospital Osaka
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Miyamoto Koji
Department Of Cardiology National Cardiovascular Center
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YOSHIKAWA Junichi
The Department of Cardiology, Kobe Municipal Central Hospital
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Yoshiyama Minoru
The Department of Cardiovascular Internal Medicine, Osaka City University
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