Impedance cardiographic analysis on systemic performances of right atrium under anesthesia.
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概要
- 論文の詳細を見る
This report investigates the right atrial component of the impedance cardiogram (IC) to quantitatively assess right atrial performance under spontaneous respiration, different degrees of the Valsalva maneuver, epidural anesthesia and intravenous administration of vasopressors. In this study, a dog model served to demonstrate the correlation between impedance cardiographic change waveforms, and the enlarged waveforms of right atrial pressure (RaP) and diameter (RaD). A clinical study was then carried out on surgical patients in the recovery room to provide quantitative data on cardiodynamic correlations between the "A wave" of IC and clinical indices of right atrial function obtained by electromechanical analysis of RaP. In conclusion, impedance cardiography is a non-invasive method which simultaneously gives information about variation in venous return and/or changes in cardiac performance due to right atrial contraction and cardiac output. We believe that it is a valuable monitoring tool for ongoing determinations of cardiac function with venous return mechanism.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Yamasaki Toru
Department Of Applied Biological Science Kagawa University
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Ueda Naoyuki
Department Of Preventive Medicine Faculty Of Medical Sciences Kyushu University
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Goto Shunsuke
Department Of Respiratory Disease Kishiwada City Hospital
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Takagi Toshiaki
Department Of Physics Tohoku University
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Yamamoto Hiroshi
Departmemt Of Chemical Engineering University Of Tokyo
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MUTEKI TAKESUKE
Department of Anesthesiology, Kurume University School of Medicine
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TAYAMA FUMITAKA
Department of Anesthesiology, Kurume University School of Medicine
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SAKANASHI KENICHI
Department of Anesthesiology, Kurume University School of Medicine
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SHINOZAKI MASAHIRO
Department of Anesthesiology, Kurume University School of Medicine
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YAMASHITA TOKUJIRO
Department of Anesthesiology, Kurume University School of Medicine
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TAKAGI TOSHIAKI
Department of Anesthesiology, Kurume University School of Medicine
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TAKAGI TOSHIAKI
Department of Physics, University of Occupational and Environmental Health
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YAMASAKI TORU
Department of Anesthesiology, Kurume University School of Medicine
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GOTO SHUNSUKE
Department of Anesthesiology, Kurume University School of Medicine
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UEDA NAOYUKI
Department of Anesthesiology, Kurume University School of Medicine
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YAMAMOTO HIROSHI
Department of Anesthesiology, Kurume University School of Medicine
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