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KMID : 1137820080290020151
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의공학회지
2008 Volume.29 No. 2 p.151 ~ p.158
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A suggestion of Aortic wall Stiffness Evaluation Technique Independent on Changeable Blood Pressure : Aortic Distensibility Index
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Seo Jee-Hye
Choi Dong-Ho
Wu Zhuqing
Rienmueller Rainer
Lee Jong-min
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Abstract
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To evaluate aortic wall stiffness without influence of different background blood pressure, a new technique was developed and verified. At eight swine descending aortae, volume-pressure measurement was performed using custom-made system. Based on averaged pressure-volume curve, aortic distensibility index was formulated to evaluate aortic wall stiffness regardless of variable blood pressure and aortic size. The variability of aortic distensibility index by pressure change was compared with other parameters for wall stiffness evaluation. Subsequently, the aortic distensibility index was calculated at 100 contrast-enhanced EBCT data sets of normal volunteers in regular health screening program. The measured aortic distensibility index was compared with age, coronary calcium score, and aortic calcium score. Between 50 and 360 mmHg of blood pressure, the coefficient of variance of aortic distensibility index was 22.00% as comparing with 88.99% of classical compliance. Based on age, aortic distensibility index showed correlation coefficient of 0.55, whereas classical compliance showed 0.26. The correlation coefficient with modified aortic calcification was 0.43. Linear regression study revealed statistical significance of correlation coefficients. The aortic distensibility index, the method to evaluate aortic wall stiffness free from variable blood pressure and aortic size, was developed and verified with significant practical feasibility.
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KEYWORD
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aortic stiffness, descending aorta, compliance, pressure volume measurement
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