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Elevated Brachial-Ankle Pulse Wave Velocity Is Associated with Left Ventricular Hypertrophy in Hypertensive Patients after Stroke

https://hiroshima.repo.nii.ac.jp/records/2008981
https://hiroshima.repo.nii.ac.jp/records/2008981
edc0dc45-eb6a-4f93-8b44-2f045286ce97
名前 / ファイル ライセンス アクション
TohokuJExpMed_220_177.pdf TohokuJExpMed_220_177.pdf (314.6 KB)
Item type デフォルトアイテムタイプ_(フル)(1)
公開日 2023-03-18
タイトル
タイトル Elevated Brachial-Ankle Pulse Wave Velocity Is Associated with Left Ventricular Hypertrophy in Hypertensive Patients after Stroke
言語 en
作成者 Masugata, Hisashi

× Masugata, Hisashi

en Masugata, Hisashi

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Senda, Shoichi

× Senda, Shoichi

en Senda, Shoichi

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Hoshikawa, Jun

× Hoshikawa, Jun

en Hoshikawa, Jun

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Murao, Koji

× Murao, Koji

en Murao, Koji

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Hosomi, Naohisa

× Hosomi, Naohisa

en Hosomi, Naohisa

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Okuyama, Hiroyuki

× Okuyama, Hiroyuki

en Okuyama, Hiroyuki

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Inukai, Michio

× Inukai, Michio

en Inukai, Michio

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Himoto, Takashi

× Himoto, Takashi

en Himoto, Takashi

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Nakatsuka, Yoichi

× Nakatsuka, Yoichi

en Nakatsuka, Yoichi

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Imai, Masanobu

× Imai, Masanobu

en Imai, Masanobu

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Noma, Takahisa

× Noma, Takahisa

en Noma, Takahisa

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Kohno, Masakazu

× Kohno, Masakazu

en Kohno, Masakazu

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Goda, Fuminori

× Goda, Fuminori

en Goda, Fuminori

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アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
権利情報 Copyright (c) 2010 東北ジャーナル刊行会
主題
主題Scheme Other
主題 hypertension
主題
主題Scheme Other
主題 Stroke
主題
主題Scheme Other
主題 brachial-ankle pulse wave velocity
主題
主題Scheme Other
主題 Echocardiography
主題
主題Scheme Other
主題 left ventricular hypertrophy
主題
主題Scheme NDC
主題 490
内容記述
内容記述 Brachial-ankle pulse wave velocity (baPWV) is widely used as a marker of arterial stiffness, but there are no data regarding the usefulness of measuring baPWV in hypertensive patients after stroke. The purpose of this study was to examine the clinical significance of baPWV by assessing its correlation with echocardiographic parameters in hypertensive patients after stroke. The study enrolled 61 hypertensives after stroke (24 patients with cerebral infarction and 37 with cerebral hemorrhage) and 61 age-matched hypertensives without stroke. Left ventricular (LV) hypertrophy was evaluated by measuring LV mass index (LVMI) and relative wall thickness (RWT), and LV diastolic function was evaluated by measuring peak early mitral annular velocities (E') using echocardiography. Concentric LV hypertrophy showing increased RWT (0.50 ± 0.12) was observed in hypertensives after stroke, but not in hypertensives without stroke. In hypertensives after stroke, elevated baPWV correlated with age (r = 0.60, p < 0.001), systolic blood pressure (r = 0.56, p < 0.001), increased LVMI (r = 0.47, p < 0.001), and decreased E' (r = -0.40, p = 0.002). Multiple regression analysis showed that age (β coefficient = 0.43, p < 0.001), systolic blood pressure (β coefficient = 0.40, p < 0.001), and LVMI (β coefficient = 0.25, p = 0.008) were independent determinants of elevated baPWV. In conclusion, elevated baPWV is more closely associated with LV hypertrophy than with LV diastolic dysfunction. Elevated baPWV is independently associated with the severity of LV hypertrophy adjusted with systolic blood pressure and age in hypertensive patients after stroke.
言語 en
出版者
出版者 Tohoku University Medical Press
言語
言語 eng
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
関連情報
識別子タイプ DOI
関連識別子 10.1620/tjem.220.177
関連情報
識別子タイプ DOI
関連識別子 http://dx.doi.org/10.1620/tjem.220.177
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0040-8727
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AA00863920
開始ページ
開始ページ 177
書誌情報 Tohoku Journal of Experimental Medicine
Tohoku Journal of Experimental Medicine

巻 220, 号 3, p. 177-182, 発行日 2010
旧ID 30404
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