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Ultrasound Assessment of Kidney Volume in Patients with Acute Decompensated Heart Failure: A Predictor of Diuretic Resistance
https://repository.lib.tottori-u.ac.jp/records/4862
https://repository.lib.tottori-u.ac.jp/records/486258d73810-668d-4ee5-b14b-c24e10087b9f
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
yam60(3)_135.pdf (1.4 MB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||||
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| 公開日 | 2018-06-22 | |||||||||||||
| タイトル | ||||||||||||||
| タイトル | Ultrasound Assessment of Kidney Volume in Patients with Acute Decompensated Heart Failure: A Predictor of Diuretic Resistance | |||||||||||||
| 言語 | en | |||||||||||||
| 言語 | ||||||||||||||
| 言語 | eng | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | acute decompensated heart failure | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | diuretic resistance | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | kidney volume | |||||||||||||
| キーワード | ||||||||||||||
| 主題 | ultrasound examination | |||||||||||||
| キーワード | ||||||||||||||
| 言語 | en | |||||||||||||
| 主題 | acute decompensated heart failure | |||||||||||||
| キーワード | ||||||||||||||
| 言語 | en | |||||||||||||
| 主題 | diuretic resistance | |||||||||||||
| キーワード | ||||||||||||||
| 言語 | en | |||||||||||||
| 主題 | kidney volume | |||||||||||||
| キーワード | ||||||||||||||
| 言語 | en | |||||||||||||
| 主題 | ultrasound examination | |||||||||||||
| 資源タイプ | ||||||||||||||
| 資源タイプ | journal article | |||||||||||||
| 著者 |
Sugihara, Shinobu
× Sugihara, Shinobu× Kinugasa, Yoshiharu
WEKO
1538
× Takata, Tomoaki× Sugihara, Takaaki× Hosho, Keiko× Imai, Chitose× Ito, Hiromi× Yamada, Kensaku× Kato, Masahiko× Yamamoto, Kazuhiro
WEKO
4288
× Sugihara, Shinobu× Imai, Chitose× Ito, Hiromi× Yamada, Kensaku |
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| 著者所属 | ||||||||||||||
| 値 | Division of Cardiovascular Medicine, Department of Molecular Medicine and Therapeutics, School of Medicine, Tottori University, Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Cardiovascular Medicine, Department of Molecular Medicine and Therapeutics, School of Medicine, Tottori University, Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Medicine and Clinical Science, Department of Multidisciplinary Internal Medicine, School of Medicine, Tottori University Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Clinical Laboratory Medicine, Department of Pathophysiological and Therapeutic Science, School of Medicine, Tottori University Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Department of Clinical Radiology, Tottori University Hospital | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Cardiovascular Medicine, Department of Molecular Medicine and Therapeutics, School of Medicine, Tottori University, Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Cardiovascular Medicine, Department of Molecular Medicine and Therapeutics, School of Medicine, Tottori University, Faculty of Medicine | |||||||||||||
| 著者所属 | ||||||||||||||
| 値 | Division of Cardiovascular Medicine, Department of Molecular Medicine and Therapeutics, School of Medicine, Tottori University, Faculty of Medicine | |||||||||||||
| 抄録 | ||||||||||||||
| 内容記述タイプ | Other | |||||||||||||
| 内容記述 | ［Background］Diuretics are essential for treating acute decompensated heart failure (ADHF), but the response is inconsistent. This study aimed to clarify whether kidney volume as assessed by ultrasound (US) predicts diuretic resistance in patients with ADHF. ［Methods］We enrolled 29 patients with ADHF and 32 controls. Height-adjusted kidney volume was assessed by US. We divided patients into two groups based on the median value of total daily use of furosemide (intravenous dose plus 0.5 × oral dose of furosemide equivalents) during 3 days from admission. ［Results］Patients with ADHF had a significantly smaller left kidney volume than did control subjects (27.7 ± 10.0 vs. 32.8 ± 8.8 mL/m, P < 0.05). Patients in the highdose furosemide group (? 51.7 mg/d) had a significantly lower estimated glomerular filtration rate (eGFR) and a significantly smaller kidney volume than did those in the low-dose furosemide group (eGFR: 43.9 ± 20.4 vs. 60.8± 21.6 mL/min/1.73 m2, left kidney volume: 23.2 ± 5.2vs. 32.6 ± 11.0 mL/m, right kidney volume: 26.5 ± 7.5vs. 32.6 ± 7.9 mL/m, all P < 0.05). Multivariate logistic analysis showed that left kidney volume, but not eGFR,was independently associated with the requirement of high-dose furosemide (odds ratio: 0.856, 95% confidence interval: 0.735?0.997, P < 0.05). ［Conclusion］Kidney volume as assessed by US is a useful predictor of diuretic resistance in patients with ADHF. | |||||||||||||
| 書誌情報 |
Yonago Acta Medica en : Yonago Acta Medica 巻 60, 号 3, p. 135-144, 発行日 2017-09-15 |
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| 出版者 | Tottori University Faculty of Medicine | |||||||||||||
| ISSN | ||||||||||||||
| 収録物識別子タイプ | ISSN | |||||||||||||
| 収録物識別子 | 05135710 | |||||||||||||
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| 収録物識別子タイプ | NCID | |||||||||||||
| 収録物識別子 | AA00892882 | |||||||||||||
| DOI | ||||||||||||||
| 関連タイプ | isIdenticalTo | |||||||||||||
| 識別子タイプ | DOI | |||||||||||||
| 関連識別子 | 10.33160/yam.2017.09.001 | |||||||||||||
| 権利 | ||||||||||||||
| 権利情報 | Yonago Acta medica 編集委員会 | |||||||||||||
| 情報源 | ||||||||||||||
| 関連名称 | Yonago Acta Medica. 2017, 60(3), 135-144 | |||||||||||||
| 関連サイト | ||||||||||||||
| 識別子タイプ | URI | |||||||||||||
| 関連識別子 | http://www.lib.tottori-u.ac.jp/yam/yam/yam60-3/yam-60-135.pdf | |||||||||||||
| 関連名称 | http://www.lib.tottori-u.ac.jp/yam/yam/yam60-3/yam-60-135.pdf | |||||||||||||
| 著者版フラグ | ||||||||||||||
| 出版タイプ | VoR | |||||||||||||
| EISSN | ||||||||||||||
| 値 | 1346-8049 | |||||||||||||
