Forearm venous distensibility in relation to severity of symptoms and hemodynamic data in patients with congestive heart failure.
スポンサーリンク
概要
- 論文の詳細を見る
The distensibility of the forearm veins in 24 patients with congestive heart failure was studied by occlusion plethysmography. Relationships between forearm venous distensibility and symptoms, hemodynamic data obtained by right heart catheterization and plasma levels of vasoactive hormones were evaluated. Forearm venous pressure (VP) and volume change (ΔV) were measured simultaneously by the venous occlusion technique with strain gauge plethysmography. The relationship between venous pressure and volume change was fitted by the equation VP=c∗exp.(k∗ΔV) (r=0.98±0.01) and the venous stiffness constant (k) was calculated. Venous volume change at a venous pressure of 20mmHg (V20) was also measured as another index of venous compliance. The pressure-volume curve of the peripheral veins shifted leftward on the volume axis and the stiffness constant (k) increased as the New York Heart Association functional class grade increased. Mean pulmonary arterial pressure and pulmonary vascular resistance were closely related to k (r=0.74, p<0.001; r=0.73, p<0.001, respectively), and less closely to V20 (r=-0.56, p<0.004; r=-0.59, p<0.002, respectively). K and V20 were also related to stroke index (r=-0.57, p<0.004; r=0.44, p<0.03, respectively) and stroke work index (r=-0.47, p<0.02; r=0.45, p<0.03, respectively). K was also related to heart rate (r=0.55, p<0.007), pulmonary capillary wedge pressure (r=0.54, p<0.02), right atrial pressure (r=0.51, p<0.02), cardiac index (r=-0.45, p<0.03), and systemic vascular resistance (r=0.45, p<0.03). Both indexes were related to the plasma level of norepinephrine (r=0.64, p<O.008; r=-0.52, p<0.04, respectively). We concluded that the venous tone was related to the severity of heart failure, especially to the symptoms, pulmonary arterial pressure and plasma concentration of norepinephrine, and that the venous stiffness constant, k, was a better parameter with which to assess peripheral venous tone.
- International Heart Journal刊行会の論文
著者
-
Iizuka Masahiko
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
-
Serizawa Takashi
Second Department of Internal Medicine
-
Momomura Shin-ichi
Second Department of Internal Medicine, University of Tokyo
-
Sugimoto Tsuneaki
Second Department Of Internal Medicine Faculty Of Medicine Toyama Medical And Pharmaceutical Univers
-
Sato Hiroshi
Second Department Of Internal Medicine And Department Of Biology Shiga University Of Medical Science
-
IKENOUCHI Hiroshi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
-
MOMOMURA Shin-ichi
Second Department of Internal Medicine, Faculty of Medicine, University of Tokyo
関連論文
- -120-FACTORS THAT EXACERBATE ANGINA PECTORIS AFTER ABRUPT WITHDRAWAL OF ANTIANGINAL DRUGS
- MYOCARDIAL ISCHEMIA DERING DAILY ACTIVITIES IN PATIENTS WITH ISCHEMIC HEART DISEASE(IHD):IT'S RELATION TO HEART RATE(HR)CHANGES AND CIRCADIAN VARIATION
- Characteristic Effects of α1-β_1,2-Adrenergic Blocking Agent, Carvedilol, on [Ca^2+]_i in Ventricular Myocytes Compared With Those of Timolol and Atenolol
- -1242-ROLE OF INTRACELLULAR CALCIUM STORES IN PHASIC CONTRACTIONS OF CANINE CORONARY ARTERY : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -0763-RELATIONSHIP BETWEEN HOT-TIP TEMPERATURE AND CORONARY LUMINAL CHANGES EXAMINED BY TEMPERATURE CONTROLLED LASER ANGIOPLASTY SYSTEM
- -0471-PERCUTANEOUS CARDIOMYOTOMY AND VALVULOTOMY WITH CARDIOSCOPIC GUIDANCE
- -394-PERCUTANEOUS ENDOMYOCARDIAL BIOPSY WITH ANGIOSCOPIC GUIDANCE : Cardiomyopathy : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -190-AUGMENTATIVE EFFECTS OF EVANS BLUE ON THE CORONARY VASOCONTRACTION INDUCED BY ERGONOVINE : Coronary Circulation : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -20- PREVENTIVE EFFECTS OF UROKINASE, HEPARIN, ASPIRIN AND BATROXOBIN ON EXPERIMENTAL CANINE CORONARY THROMBOSIS : Coronary Circulation : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 51th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- FIBERSCOPIC OBSERVATION OF EXPERIMENTAL THROMBOSIS AND THROMBOLYSIS : Ischemic Heart Disease (III) : FREE COMMUNICATIONS (III) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- FIBEROPTIC OBSERVATION OF THROMBOSIS AND THROMBOLYSIS IN HUMAN CORONARY ARTERY : Ischemic Heart Disease (III) : FREE COMMUNICATIONS (III) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- ENHANCEMENT OF VOLTAGE SENSITIVE CALCIUM CHANNEL ACTIVITY IN SPONTANEOUSLY HYPERTENSIVE RATS : Hypertension : 53 Annual Scientific Meeting, Japanese Circulation Society
- PRODUCTION OF PROSTACYCLIN (PGI_2) AND THROMBOXANE A_2 (TXA_2) IN AORTIC STRIPS OF DOCA-SALT HYPERTENSIVE RATS : Hypertension (I) : FREE COMMUNICATIONS (I) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -P197- CARDIOTOXIC EFFECTS OF SELENODIGLUTATHIONE IN MICE
- Effect of a Calcium Sensitizer (MCI-154) on the Movement of Reconstituted Thin Filament in Vitro
- Coupling Between Actomyosin ATPase Cycle and Creatine Kinase Cycle Facilitates the Actomyosin Sliding in Vitro
- Genetic Analysis of Dilated Cardiomyopathy : HLA and immunoglobulin genes may confer susceptibility : MOLECULAR ANALYSIS OF THE PATHOPHYSIOLOGY OF CARDIOMYPATHY
- Skeletal Muscle Deoxygenation During Exercise Assessed by Near-Infrared Spectroscopy and its Relation to Expired Gas Analysis Parameters
- VENTILATORY THRESHOLD AND SKELETAL MUSCLE OXYGENATION DURING EXERCISE EVALUATED BY NEAR-INFRARED SPECTROSCOPY
- o-8. Periphereal nerve regeneration using irradiated homografts
- AN EXPERIMENTAL STUDY ON THE CHARACTERISTICS OF VENTRICULAR EXTRASYSTOLE SUSCEPTIBLE TO VENTRICULAR FIBRILLATION : Arrhythmia・Electrophysiology : PROCEEDINGS OF THE 44th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -461-PREVENTIVE EFFECTS OF CORONARY VASODILATORS ON LASER-INDUCED CORONARY VASOSPASM : Ischemic Heart Disease I : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 53th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- Analysis of the promoter of human bilirubin UDP-glucuronosyltransferase gene (UGT1^*1) in relevance to Gilbert's syndrome
- Successful endoscopic injection sclerotherapy for duodenal varices
- -261-MORPHOLOGICAL CHANGES IN CANINE AND HUMAN CORONARY SMOOTH MUSCLE CELLS ASSOCIATED WITH 3, 4-DIAMINOPYRIDINE INDUCED PHASIC CONTRACTIONS IN VITRO
- Analysis of bilirubin uridine 5'-diphosphate (UDP)-glucuronosyltransferase gene mutations in seven patients with Crigler-Najjar syndrome type II
- -507- PROSTAGLANDIN SYSTEM IN THE HEART, VASCULAR WALL AND KIDNEY OF YOUNG SPONTANEOUSLY HYPERTENSIVE RAT
- -P143- PATHOMORPHOLOGIC STUDY ON EXPERIMENTAL CANINE MYOCARDIAL INFARCTION
- -P141- MORPHOLOGICAL CHANGES IN THE CANINE COMMON CAROTID ARTERY INDUCED BY VASOSPASM
- -327- EFFECTS OF TMB-8, AN INTRACELLULAR Ca^ ANTAGONIST, ON THE RELAXATION IMPAIRMENT OF ISCHEMIC MYOCARDIUM
- -244- EFFECTS OF TRANSLUMINAL ANGIOPLASTY (TA) ON OCCLUSIVE CANINE ARTERIAL THROMBOSIS : A FIBEROPTIC STUDY : PTCA, CABG : FREE COMMUNICATIONS(II) : PROCEEDINGS OF THE 51th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- EFFECTS OF RAT ATRIAL EXTRACT ON URINARY EXCRETION OF SODIUM AND PROSTAGLANDIN E_2 : Circulation Control : V : 48 Annual Scientific Meeting, Japanese Circulation Society
- NON-INVASIVE DETECTION OF THE PREEXCITATION SITE IN WOLFF-PARKINSON-WHITE SYNDROME : AN EXPERIMENTAL STUDY : Electrocardiography・Vectircarduigraphy I : PROCEEDINGS OF THE 44th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- THE EFFECTS OF BAY-K8644, A Ca CHANNEL STIMULANT, ON CARDIOGENIC SHOCK : AN EXPERIMENTAL STUDY : Ischemic Heart Disease (VI) : FREE COMMUNICATIONS (VI) : PROCEEDINGS OF THE 49th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -100- SUPERSENSITIVITY OF CANINE CORONARY SMOOTH MUSCLES TO CATECHOLAMINES IN THE PRESENCE OF 3,4-DIAMINOPYRIDINE (DAP), A POTASSIUM CHANNEL BLOCKER : Pulmonary Circulation, Papillary Circulation : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 51th ANNUAL S
- EFFECT OF H_2 RECEPTOR STIMULATION ON LEFT VENTRICULAR FUNCTION IN AN EXPERIMENTAL MODEL OF CONGESTNE HEART FAILURE : Heart Failure, Cardiovascular Drugs (I) : IV : 48 Annual Scientific Meeting, Japanese Circulation Society
- Effects of α-Human Atrial Natriuretic Polypeptide (α-hANP) on the Main Regulatory Mechanisms for Blood Pressure and Body Fluid Volume in Rats : THE 14th CONFERENCE ON THE PATHOGENESIS OF HYPERTENSION
- Cardiovascular Effects of Ketanserin in Conscious Rabbits
- Left Ventricular Function and Power Distribution during Ejection Period in Patients with Cardiac Diseases
- Two Cases of Complex A-V Interference-Dissociation
- Observations upon Some Aspects of A-V Conduction in Advanced A-V Block
- Multiplicity of mutation in UDP-glucuronosyltransferase 1^*1 gene in Gilbert's syndrome
- 79. The Mechanism of Increased Renin Secretion Caused by Isoproterenol and Norepinephrine
- Long-term Clinical Effect of Calcium Inhibitors in Hypertrophic Cardiomyopathy Compared to the Effect of Beta-blocking Agents : A Preliminary Report with Special Reference to the Beneficial Effect of Nifedipine on Angina Pectoris
- Variable Prognosis in Congestive Cardiomyopathy : Role of Left Ventricular Function, Alcoholism, and Pulmonary Thrombosis
- Effects of Mesencephalic Stimulation on Resistance and Capacitance Vessels in Extremity of the Dog
- Comparison of Vasoconstrictor Responses in Functionally Different Organs Induced by Stimulation of Mesencephalic Pressor Area
- A Vectorcardiographic Study of WPW Syndrome
- An Analytical Study on Aberrant Ventricular Conduction : Part I. A General Rule
- Significance of fat stains in serial sections from Epon-embedded tissue samples for electron microscopy in renal diseases
- Increased Renin Release Evoked by Mesencephalic Stimulation in the Dog
- Hemodynamic Effect of a β-Adrenergic Blocker (Propranolol) in Tilted Position
- Effects of the Electrical Stimulation of the Central Gray Stratum of the Midbrain on the Blood and Myocardial Catecholamine
- Postural Changes in Blood Distribution and Its Relation to the Change in Cardiac Output
- Tetraprenylacetone promotes healing process of ethanol-induced gastric damage in the rat.
- Reduction of Thrombogenicity with Argon Laser Angioplasty. Comparison with Balloon Angioplasty.:Comparison with Balloon Angioplasty
- Acute hemodynamic effects of alpha human atrial natriuretic polypeptide in patients with congestive heart failure.
- Beneficial effects of coenzyme Q10 on impaired left ventricular performance in streptozotocin diabetic rats.
- Response of intracellular Ca2+ transients in cultured vascular smooth muscle cells to angiotensin II, vasopressin, acetylcholine and atrionatriuretic peptide.
- Lack of venodilative activity of alpha human atrial natriuretic polypeptide in patients with congestive heart failure.
- Hemodynamic effect of bunitrolol on patients with ischemic heart disease. Comparison with propranolol.:Comparison with Propranolol
- Rapid progression of an aortic lesion in a patient with aortitis syndrome.
- Nephrogenous cyclic GMP production during NaCl loading and ANP infusion.
- Plasma concentration of atrial natriuretic polypeptide in patients with atrial tachycardia.
- Blood pressure, renal and endocrine responses to .ALPHA.-human atrial natriuretic polypeptide in healthy volunteers.
- Forearm venous distensibility in relation to severity of symptoms and hemodynamic data in patients with congestive heart failure.
- Myocardial contractility and contraction duration are unrelated in the left ventricle with moderate pressure-overload hypertrophy.
- Significance of left atrial pressure and left ventricular relaxation as determinants of left ventricular early diastolic filling flow in man.
- Effects of chronic administration of atrial natriuretic polypeptide on glomerular lesions in spontaneously hypertensive rats.
- Alterations of Calcium Channels in Vascular Smooth Muscle Cells from Spontaneously Hypertensive Rats.
- Phasic contractions of canine and human coronary arteries induced by potassium channel blockers.
- Relations of Vascular Calcium Channels with Blood Pressure and Endothelium in Hypertension and with Aging.
- Effects of Unilateral Pulmonary Artery or Vein Disten-sion with a Balloon on the Pulmonary and Femoral Arterial Pressures in Anesthetized Dogs
- Loss of Vasoreactivity by Laser Thermal Energy or Argon Laser Irradiation.
- A decrease in plasma factor which stimulates prostaglandin I2 synthesis in patients with acute myocardial infarction.
- Effects of a thromboxane A2 synthetase inhibitor on ventricular fibrillation threshold during coronary artery occlusion and reperfusion.
- Electrocardiographic and Vectorcardiographic Changes Produced by Electrical Stimulation of the Cardiac Nerves
- The Effects of Dobutamine, Propranolol and Nitroglycerin on an Experimental Canine Model of Congestive Heart Failure.
- Changes in Coronary Blood Flow by Stimulation of Central Nervous System
- Necropsy finding in a patient with apical hypertrophic cardiomyopathy.
- A Quantitative Estimation of Electric Current Due to Myocardial Injury.
- Changes in Cardiac Rate and Rhythm Produced by Electrical Stimulation of the Brain Stem of Dogs