2023年4月26日水曜日
Validation+of+the+Arteriograph SD
Arterial Stiffness Predicts Mortality in Individuals With Type 1 Diabetes
Tynjälä, Anniina
2020-09
Tynjälä , A , Forsblom , C , Harjutsalo , V , Groop , P-H & Gordin , D 2020 , ' Arterial
Stiffness Predicts Mortality in Individuals With Type 1 Diabetes ' , Diabetes Care , vol.
43 ,
no. 9 , pp. 2266-2271 . https://doi.org/10.2337/dc20-0078
http://hdl.handle.net/10138/320487
https://doi.org/10.2337/dc20-0078
acceptedVersion
Downloaded from Helda, University of Helsinki institutional repository.
This is an electronic reprint of the original article.
This reprint may differ from the original in pagination and typographic detai
2023年4月22日土曜日
2023年4月16日日曜日
A cardiovascular screening using an arteriograph reveals much more than a typical blood pressure or cholesterol test will
Statistics indicate that around 60% of the time in heart attack cases, a standard
cholesterol or blood pressure test won’t have revealed anything out of the ordinary.
Guidelines (published in 2007) from the European Society of Hypertension
recommend measuring arterial stiffness in patients with arterial hypertension (high
blood pressure).
Gordons Chemists are pleased to offer across Northern Ireland a cardiovascular
screening clinic, using a state-of-the-art arteriograph. CardioHealth NI is the first
and only company in Northern Ireland that uses an arteriograph; a session with
CardioHealth NI at one of our cardiovascular screening clinics is priced at only £50.
A cardiovascular screening using an arteriograph reveals much more than a typical
blood pressure or cholesterol test will. By offering this cardiovascular screening
clinic, we allow the patient to have a better understanding of the health of their
arteries. As such they can make the decision to take control of their cardiovascular
health – hopefully reducing the incidence or severity of heart attack, stroke or high
blood pressure.
In addition to identifying underlying health problems, the screening includes
recommendations on diet and natural health solutions. A detailed report allows the
patient to consult with their GP or medical professional in order to seek further
advice and treatment, based on the findings of the screening.
The cardiovascular screening clinic is suitable for anyone aged 16 years and over, or
anyone with a family history of heart disease, kidney disease or diabetes. It’s also
suitable for anyone who drinks alcohol or smokes, is overweight, or participates in
(or is returning to) a sport
Aortic Pulse Wave Velocity Predicts Cardiovascular Events and Mortality in Patients Undergoing Coronary Angiography
HypertensionVolume 77, Issue 2, February 2021; Pages 571-581
https://doi.org/10.1161/HYPERTENSIONAHA.120.15336
ATERIAL STIFFNESS
Aortic Pulse Wave Velocity Predicts Cardiovascular Events and
Mortality in Patients Undergoing Coronary Angiography
A Comparison of Invasive Measurements and Noninvasive Estimates
Bernhard Hametner, Siegfried Wassertheurer, Christopher Clemens Mayer,
Kathrin Danninger, Ronald K. Binder, and Thomas Weber
ABSTRACTAortic pulse wave velocity (PWV) is directly related to arterial stiffness.
Different methods for the determination of PWV coexist.
The aim of this prospective study was to evaluate the prognostic value of
PWV in high-risk patients with suspected coronary artery disease
undergoing invasive angiography and to compare 3 different methods
for assessing PWV. In 1040 patients,
invasive PWV (iPWV) was measured during catheter pullback.
Additionally, PWV was estimated with a model incorporating age,
central systolic blood pressure, and
pulse waveform characteristics obtained
from noninvasive measurements (estimated PWV).
As a third method, PWV was calculated
with a formula solely based on age and blood pressure
(formula-based PWV). Survival analysis
was based on continuous PWV as well as using cutoff values.
After a median follow-up duration of 1565 days,
24% of the patients reached the combined end point
(cardiovascular events or mortality).
Cox proportional hazard ratios per 1 SD were 1.35 for iPWV, 1.37
for estimated PWV, and 1.28 for formula-based PWV (P<0.0001
for all 3 methods) in univariate analysis,
remaining statistically significant after comprehensive multivariable adjustments.
In a model including a modified risk score for coronary artery disease, iPWV
and estimated PWV remained borderline significant.
The net reclassification improvement was significant for iPWV (0.173),
formula-based PWV (0.181), and estimated PWV (0.230).
All 3 methods for the determination of PWV predicted cardiovascular events
and mortality in patients with suspected coronary artery disease.
This indicates that iPWV as well as both noninvasive estimation methods
are suitable for the assessment of arterial stiffness,
bearing in mind their individual characteristics.
Arteriograph- Comprehensive cardiovascular risk assessment in only 3 minutes! - A medical breakthrough in early diagnostics of atherosclerosis!
Arteriograph- Comprehensive cardiovascular risk assessment in only 3 minutes! - A medical
breakthrough in early diagnostics of atherosclerosis!
A big problem today is that many individuals with high risk of cardiovascular diseases otherwise
have normal values; normal blood pressure, blood lipids and resting-EKG. The catastrophe strikes
without any prior warning. The Arteriograph is an evidence based, fast, easy, noninvasive and user
independent way of assessing cardiovascular risk. For the first time one have a good chance of
finding high risk patient before it is too late.
1. Screening of early atherosclerosis among ”healthy” individuals. Only the Arteriograph is useful for this.
The Arteriograph gives an overall picture of the risk of assessing cardiovascular disease.
2. Evaluating the effects of treatments (drugs, nutritional supplements and lifestyle changes etc) on the
vascular functions among patients with established atherosclerosis (CAD, POST MI, STROKE, PAD)
3. Is it not enough to check the blood lipids and blood pressure to prevent atherosclerosis and thereby
strokes? No, 40-60% of patients with stroke or heart attacks do not have any know abnormal values such
as high amount of blood lipids or high blood pressure (Johns Hopkins White Papers, Coronary Heart
Disease - 1998, etc). They also have normal blood glucose values, resting-EKG, are non-smokers and have
a healthy diet. Up until now it has been impossible to find there individuals.
4. Todays metods of assessing cardiovascular risk (SCORE, Framingham) all have limits. They do not take into
account important factors such as lack of physical activity, overweight, psychological factors or previous
cardiovascular circumstances. (Simon, A. and Levenson, J.: May subclinical arterial disease helps to better
detect and treat high-risk asymptomatic individuals? J Hypertension 2005, 23: 1939-1945)
5. In most cases, lowering the blood pressure is not enough to avoid early death. Individuals who can lower
both their arterial stiffness and blood pressure have a much greater chance of a longer life.Circulation
2001;103:987
6. The Arteriograph is mobile and easy to use. The screening is fast, comfortable, harmless and user
independent. It takes only a few minutes and can be described as a computerized blood pressure
measurement.
7. Today´s other available methods are hard to use, expensive, and requires an adequate educated staff. In
the future, the Arteriograph may replace the regular blood pressure measurement as it is just as easy but
gives much more information
PWV, heart rate, and ejection fraction were independent indicators at development of MACE
The Scientific World Journal
Volume 2013 (2013), Article ID 792693, 6 pages
http://dx.doi.org/10.1155/2013/792693
Clinical Study
Evaluation of Arterial Stiffness for Predicting Future
Cardiovascular Events in Patients with ST Segment Elevation
and Non-ST Segment Elevation Myocardial Infarction
Oguz Akkus,
1 Durmus Yildiray Sahin,
2 Abdi Bozkurt,
3 Kamil Nas,
4 Kazım
Serhan Ozcan,
1 Miklós Illyés,
5
Ferenc Molnár,
6
Serafettin Demir,
7 Mücahit
Tüfenk,
3
and Esmeray Acarturk3
1
Sanliurfa Siverek State Hospital, 63600 Sanliurfa, Turkey
2Department of Cardiology, Adana Numune Training and Research Hospital,
Adana, Turkey
3Department of Cardiology, Faculty of Medicine, Cukurova University, Adana,
Turkey
4Department of Radiology, Szent János Hospital, Budapest, Hungary
5Heart Institute, Faculty of Medicine, University of Pécs, Pécs, Hungary
6Department of Hydrodynamic Systems, Budapest University of Technology and
Economics, Budapest, Hungary
7Department of Cardiology, Adana State Hospital, Adana, Turkey
Received 18 August 2013; Accepted 15 September 2013
Academic Editors: H. Kitabata and E. Skalidis
Copyright © 2013 Oguz Akkus et al. This is an open access article distributed
under the Creative Commons Attribution License, which permits unrestricted use,
distribution, and reproduction in any medium, provided the original work is
properly cited.
Abstract
Background. Arterial stiffness parameters in patients who experienced MACE
after acute MI have not been studied sufficiently. We investigated arterial
stiffness parameters in patients with ST segment elevation (STEMI) and non-ST
segment elevation myocardial infarction (NSTEMI). Methods. Ninety-four
patients with acute MI (45 STEMI and 49 NSTEMI) were included in the study.
Arterial stiffness was assessed noninvasively by using TensioMed Arteriograph.
Results. Arterial stiffness parameters were found to be higher in NSTEMI group
but did not achieve statistical significance apart from pulse pressure . There was
no significant difference at MACE rates between two groups. Pulse pressure and
heart rate were also significantly higher in MACE observed group. Aortic pulse
wave velocity (PWV), aortic augmentation index (AI), systolic area index (SAI),
heart rate, and pulse pressure were higher; ejection fraction, the return time (RT),
diastolic reflex area (DRA), and diastolic area index (DAI) were significantly
lower in patients with major cardiovascular events. However, PWV, heart rate,
and ejection fraction were independent indicators at development of MACE.
Conclusions. Parameters of arterial stiffness and MACE rates were similar in
patients with STEMI and NSTEMI in one year followup. The independent
prognostic indicator aortic PWV may be an easy and reliable method for
determining the risk of future events in patients hospitalized with acute MI.
2023年4月9日日曜日
2023年4月2日日曜日
arteriograph measurement
3分間で結果入手、血圧カフ利用で論理的、小型軽量、ウエアラブルーワイヤレス、複合何台でも同じ場所で測定、人工知能や電子カルテ対応、欧州標準、世界特許、低価格、メディカルテクニカ 研究用
ワイヤレス動脈硬化解析計
3分間で結果入手、血圧カフ利用で論理的、小型軽量、ウエアラブルーワイヤレス、複合何台でも同じ場所で測定、人工知能や電子カルテ対応、欧州標準、世界特許、低価格、メディカルテクニカ 研究用
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