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Hemodialysis-Induced P-Wave Signal-Averaged Electrocardiogram Alterations Are Indicative of Vulnerability to Atrial Arrhythmias
http://hdl.handle.net/10091/16846
http://hdl.handle.net/10091/1684672a8eaba-c45b-46c5-8203-4eaa003ba39d
名前 / ファイル | ライセンス | アクション |
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H24Kou923_Shimada.pdf (350.0 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2013-03-26 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Hemodialysis-Induced P-Wave Signal-Averaged Electrocardiogram Alterations Are Indicative of Vulnerability to Atrial Arrhythmias | |||||
言語 | ||||||
言語 | eng | |||||
DOI | ||||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.1253/circj.CJ-11-1000 | |||||
関連名称 | 10.1253/circj.CJ-11-1000 | |||||
キーワード | ||||||
主題 | Atrial fibrillation, Hemodialysis, P-wave signal-averaged electrocardiogram | |||||
資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | journal article | |||||
著者 |
Shimada, Kentaro
× Shimada, Kentaro× Tomita, Takeshi× Kamijo, Yuji× Higuchi, Makoto× Ito, Kenichi× Koizumi, Yoichi× Yamamoto, Kazuya× Aizawa, Kazunori× Koshikawa, Megumi× Kasai, Hiroki× Izawa, Atsushi× Miyashita, Yusuke× Kumazaki, Setsuo× Koyama, Jun× Ikeda, Uichi |
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出版者 | ||||||
出版者 | JAPANESE CIRCULATION SOC | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | CIRCULATION JOURNAL. 76(3):612-617 (2012) | |||||
書誌情報 |
CIRCULATION JOURNAL 巻 76, 号 3, p. 612-617, 発行日 2012-03 |
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内容記述 | ||||||
内容記述タイプ | Other | |||||
内容記述 | 信州大学博士(医学)・学位論文・平成24年1月30日授与(甲第923号)・嶋田健太郎 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Background: Atrial fibrillation (AF) is the most common supraventricular arrhythmia, often occurring during hemodialysis (HD). Prolongation of the total filtered P-wave duration (PWD) and reduction of the root mean square voltages for the last 20 ms of the P wave (RMS20) on a P-wave signal-averaged electrocardiogram (P-SAECG) are predictors of AF. We investigated whether HD induces alterations of P-SAECG, and determined the influential factors. Methods and Results: Thirty-three end-stage kidney disease patients (66.7 +/- 12.6 years, 23 males) undergoing maintenance HD were enrolled in this study. Digital ambulatory P-SAECG monitoring and laboratory examination of serum proteins and ions were carried out before, during, and after the HD sessions. Data were analyzed by multiple regression analysis. PWD was significantly prolonged, and RMS20 significantly reduced, during HD. These values recovered after completion of HD. Multiple regression analysis showed that prolongation of PWD significantly correlated with HD duration and the rate of removal of body fluid. On the other hand, RMS20 significantly correlated with HD duration and blood urea nitrogen variation. Conclusions: HD resulted in prolongation of PWD and reduction of RMS20, indicating the vulnerability of HD patients to AF. These P-SAECG changes correlated with HD duration and the rate of removal of the body fluid. These findings underline the importance of the control of dialysis variables in the prevention of atrial arrhythmias following HD. (Circ J 2012; 76: 612-617) | |||||
資源タイプ(コンテンツの種類) | ||||||
内容記述タイプ | Other | |||||
内容記述 | Article | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1346-9843 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA11591968 | |||||
PubMed | ||||||
識別子タイプ | PMID | |||||
関連識別子 | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed&term=22240596 | |||||
関連名称 | 22240596 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
WoS | ||||||
表示名 | Web of Science | |||||
URL | http://gateway.isiknowledge.com/gateway/Gateway.cgi?&GWVersion=2&SrcAuth=ShinshuUniv&SrcApp=ShinshuUniv&DestLinkType=FullRecord&DestApp=WOS&KeyUT=000300922900018 |