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心血管风险增加的受试者的动态血管壁特性及其可重复性。

Dynamic vessel wall properties and their reproducibility in subjects with increased cardiovascular risk.

作者信息

van den Berkmortel F, Wollersheim H, van Langen H, Thien T

机构信息

Department of Medicine, University Hospital Nijmegen, The Netherlands.

出版信息

J Hum Hypertens. 1998 Jun;12(6):345-50. doi: 10.1038/sj.jhh.1000603.

Abstract

OBJECTIVE

To determine reproducibility figures of dynamic arterial wall properties such as cross-sectional compliance (CC) and distensibility (DC) in subjects with increased cardiovascular risk, in comparison with healthy adults.

METHODS

A total of 34 persons were divided into three groups with varying cardiovascular risk factors. Diameters (D) and diameter changes (deltaD) during the heart cycle of both common carotid (CCA) and right common femoral (CFA) arteries were measured by a vessel wall movement detector system. Blood pressures (BP) were recorded non-invasively by a semi-automated oscillometric device. CC (=piD(deltaD/2deltaP) in unit mm2/kPa) and DC (=2deltaD/D)/deltaP in unit 10(-3)/kPa) were calculated from the above-mentioned parameters. Measurements were performed twice during one visit and twice again with a time interval of at least 3 days to determine intra-observer intra- and intersession variability.

RESULTS

Reproducibility figures of CC and DC of the CCA varied between 8 and 12%, and between 13 and 22% for the CFA. Intra-observer intra- and intersession variability were similar in the three groups.

CONCLUSIONS

In our studies the reproducibility of dynamic vascular wall properties determined by ultrasound was good. Despite differences in the absolute values for CC and DC in groups with increased cardiovascular risk, mean reproducibility figures remained at a similar level (8-12%) as in healthy volunteers.

摘要

目的

与健康成年人相比,确定心血管风险增加的受试者动态动脉壁特性(如横截面积顺应性(CC)和扩张性(DC))的可重复性数据。

方法

总共34人被分为三组,每组具有不同的心血管危险因素。通过血管壁运动检测系统测量颈总动脉(CCA)和右股总动脉(CFA)在心动周期中的直径(D)和直径变化(deltaD)。通过半自动示波装置无创记录血压(BP)。根据上述参数计算CC(单位为mm2/kPa,=πD(deltaD/2deltaP))和DC(单位为10(-3)/kPa,=2deltaD/D)/deltaP)。在一次就诊期间进行两次测量,并且在至少3天的时间间隔后再次进行两次测量,以确定观察者内和测量期间的变异性。

结果

CCA的CC和DC的可重复性数据在8%至12%之间变化,CFA的可重复性数据在13%至22%之间变化。三组中观察者内和测量期间的变异性相似。

结论

在我们的研究中,通过超声测定的动态血管壁特性的可重复性良好。尽管心血管风险增加组中CC和DC的绝对值存在差异,但平均可重复性数据仍与健康志愿者处于相似水平(8 - 12%)。

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