• 제목/요약/키워드: Arterial Pressure

검색결과 861건 처리시간 0.03초

심실 중격 결손과 좌심실 유출로 협착을 동반한 대혈관 전위 -동맥 전활술후 좌심실의 트레이닝 1례- (Rapid Left ventricular Training after Arterial Switch Operation in Transposition of Great Arteries with Left Ventricular Outflow Tract Obstruction and ventricular Septal Defect -1 case report-)

  • 조준용;김웅한;김수진;전양빈
    • Journal of Chest Surgery
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    • 제33권3호
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    • pp.252-256
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    • 2000
  • There have been few reports documenting the outcome of arterial swich operations(ASO) in selected patients with transposition of great arteries(TGA) and with left ventricular outflow tract obstruction(LVOTO). In the case of TGA with LVOTO, if the atrial septal defect(ASD) is large and the ventricular septal defect(VSD) is restricive, this deprives the left ventricle(LV) of approporiate preload and could lead to underdevelopment of the ventircular mass and lead poor LV performance after the arterial switch operation, dspite a high pressure in the LV preoperatively. Because an increase in the systolic ventricular pressure is not necessarily paralleled by an increase in ventricular mass, which is also essential for optimal ventricular performance after the operation. We report here a case of rapid LV training after ASO in TGA with unprepared LV (because of large ASD and restrictive VSD) despite a high pressure in the LV(due to LVOTO) preoperatively.

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맥파의 차동값에 의한 디지털 방식의 혈압 추정 기법 (Digital Blood Pressure Estimation with the Differential Value of the Arterial Pulse Waveform)

  • 김보연;장윤석
    • 정보처리학회논문지:컴퓨터 및 통신 시스템
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    • 제5권6호
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    • pp.135-142
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    • 2016
  • 본 연구에서는 디지털 방식으로 측정된 맥파의 파형으로부터 최대 높이와 최소 높이의 차이, 즉 맥파의 차동값을 이용하여 혈압을 측정하는 측정 기법을 제시한다. 이를 위하여 본 연구에서는 적분 방식의 디지털 압력 센서와 블루투스, 스마트폰으로 구성되는 맥파 측정 시스템을 이용하여 맥파 데이터를 수집하였다. 수집된 맥파 데이터들은 고혈압, 정상, 저혈압의 군으로 분류되고, 각 맥파 파형의 최고 값과 최저 값의 개인별 차동값 평균을 도출한다. 맥파 측정시 동시에 혈압계로 측정한 최고혈압과 최저혈압의 값과 맥파 데이터로부터 도출된 차동값의 평균값들을 회귀 분석하면 맥파 차동값과 혈압과의 상관관계인 혈압상관관계식을 도출할 수 있다. 이 혈압상관관계식을 이용하여 임의의 실험자의 맥파 측정을 통한 혈압 추정 실험을 수행한 결과 실험자들의 혈압값들을 용이하게 추정할 수 있었다. 기존의 혈압계를 사용한 측정치에 대하여 제안된 기법은 최저혈압의 경우는 최대 66 %의 오차를 보이므로 그다지 높은 정확성을 보이지 못하지만, 최고혈압의 경우에는 10 % 이하의 오차로 혈압값을 추정할 수 있었다.

강활(羌活)이 가토(家兎) 혈관평골근(家兎 血管平滑筋)의 긴장성(緊張性) 조절(調節)에 미치는 영향(影響) (The Effects of Notopterygii Rhizoma on the Carotid Arterial Tension in Rabbit)

  • 장규태;김장현
    • 대한한방소아과학회지
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    • 제12권1호
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    • pp.163-181
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    • 1998
  • The purpose of this study was to analyze the Rhizoma on the blood pressure, heart rate and to define the mechanism of Notopterygii Rhizoma-induced relaxation in rabbit common carotid arterial contracted by agonists. Method : In order to explore the effect of Notopterygii Rhizoma on the blood pressure and heart rate, Notopterygii Rhizoma extract was injected in vein of rabbit ear. In order to investigate the effect of Notopterygii Rhizoma on norepinephrine(NE)-induced contracted rabbit carotid arterial strips, transverse strips with intact or damaged endothelium were used for the experiment using organ bath. To analyze the mechanism of Notopterygii Rhizoma-induced relaxation, Notopterygii Rhizoma extract infused into NE-induced contracted strips induced by agonists after treatment of methylene blue, propranolol, ouabain and it infused into serotonin, potassium chloride-induced contracted strips. Result : The blood pressure was significantly decreased by Notopterygii Rhizoma, but heart rate was insignificantly. In addition, Notopterygii Rhizoma significantly relaxed the norepinephrine, serotonin, potassium-induced contracted strips with intact endothelium or damaged endothelium. The relaxing effect of Notopterygii Rhizoma In NE-induced contracted strips with damaged endothelium by pretreatment of methylene blue, propranolol was not changed, but Ouabain was significantly decreased. Conclusion : These results were shown that Notopterygii Rhizoma affected the NE -induced contracted smooth muscle without the participation of endothelium, and demonstrated that the mechanism of NotoDtervgii Rhizoma-induced relaxation was the obstruction of receptor-operated Ca2+ channel.

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저산소환경이 방어(Seriola quinqueradiata) 순환계의 산소운반 기능에 미치는 영향 (Cardiorespiratory Regulations in the Japanese Amberjack (Seriola quinqueradiata) Exposed to Acute Hypoxia)

  • 이경선;이시마츠 아츠시;전중균
    • 한국수산과학회지
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    • 제38권2호
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    • pp.106-111
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    • 2005
  • We studied the cardio-respiratory properties in the Japanese amberjack (Seriola quinqueradiata) during acute hypoxia exposure. Fish were exposed to three levels of hypoxia (80, 60 or 50 mmHg) for 60 min at $25^{\circ}C$. Cardiovascular parameters (cardiac output; Q, heart rate; HR, stroke volume; SV, blood pressure; $P_{DA}$) changed little from pre-exposure values during both 80 and 60 mmHg of hypoxia. During 50 mmHg of hypoxia, the fish showed a bradycardia which significantly affected Q, whereas no change in SV. $P_{DA}$ increased transiently. Arterial oxygen partial pressure ($PaO_2$) immediately reduced along with a decrease of the water oxygen partial pressure ($P_WO_2$). Arterial $O_2$ content ($CaO_2$) decreased significantly only after 60 min of 50 mmHg of hypoxia. Arterial pH (pHa) and hematocrit value (Hct) did not change significantly. Comparing the effects of different levels of hypoxia, oxygen delivery to the tissues ($Q\;{\times}\;CaO_2$) should be maintained a constant over a broad range of $P_WO_2$, however, severely depressed below 50 mmHg of hypoxia.

사물탕합죽력(四物湯合竹瀝)이 국소 뇌혈류량과 평균 혈압에 미치는 실험적 연구 (Experimental Study of Samul-tang Extract and Bambusae caulis in liquamen on the Regional Cerebral Blood Flow and Mean Arterial Blood Pressure in Normal Rats)

  • 조영림;정현우
    • 동의생리병리학회지
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    • 제21권6호
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    • pp.1394-1400
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    • 2007
  • This study was designed to investigate the effects of Samul-tang Extract and Bambusae caulis in liquamen(SEB) on the changes in regional cerebral blood flow (rCBF) and mean arterial blood pressure (MABP) in normal rats. The results were as follows ; SBE significantly increased rCBF in a dose-dependent manner, and increased MABP in a dose-dependent manner. This result suggests that SBE significantly increased rCBF by dilating pial arterial diameter. Increase of SBE-induced rCBF was significantly inhibited by pretreatment with indomethacin (1 mg/kg, i.p.), an inhibitor of cyclooxygenase and increase of SBE-induced rCBF was inhibited by pretreatment with methylene blue ($10\;{\mu}g/kg$, i.p.), an inhibitor of guanylate cyclase. Increase of SBE-induced MABP was significantly increased by pretreatment with methylene blue but increase of SBE-induced MABP was decreased by pretreatment with indomethacin. These results suggested that the action of SBE was mediated by cyclooxygenase.

익모초(益母草) 추출액이 국소 뇌혈류량 및 평균혈압에 미치는 영향 (Effects of LEONURI HERBA Extract on the Regional Cerebral Blood Flow and Mean Arterial Blood Pressure in Normal Rats)

  • 배인태;정현우
    • 동의생리병리학회지
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    • 제19권6호
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    • pp.1599-1603
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    • 2005
  • The study was designed to investigate the effects of Leonuri herba extract (LHE) on the change of regional cerebral blood flow (rCBF) and mean arterial blood pressure (MABP) in normal rats, and further to determine the mechanism of action of LHE. The results in normal rats were as follows, LHE significantly increased rCBF in a dose-dependent manner, and MABP did not change in a dose-dependent manner. This results were suggested that LHE significantly increased rCBF by dilating pial arterial diameter. The LHE-induced increase in rCBF was significantly inhibited by Pretreatment with indomethacin(1 mg/kg, i.p.), an inhibitor of cyclooxygenase, and was significantly inhibited by methylene blue($10{\mu}g/kg$, i.p.), an inhibitor of guanylate cyclase. The LHE-induced MABP did not change by pretreatment with indomethacin but was significantly inhibited by methylene blue. This results were suggested that the mechanism of LHE was mediated by cyclooxygenase.

혈위자침(穴位刺鍼)이 백서(白鼠)의 국소뇌혈류량(局所腦血流量)과 혈압(血壓)에 미치는 실험적(實驗的) 효과(效果) (Exterimental Effects of Acupuncture on the Regional Cerebral Blood Flow and Mean Arterial Blood Pressure in Rats)

  • 안영선;박춘하;조명래;윤여충
    • Journal of Acupuncture Research
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    • 제18권5호
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    • pp.147-154
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    • 2001
  • Amun(GV15), Habkook(LI4) and Shinsu(B23) have been used as a meridian point for apoplexy, hypertention, vertigo etc. The effects of GV 15, LI4 and B23 on the vascular system is not known. The purpose of this Study was to investigate the effect of several meridian points on the regional cerebral bloof flow(rCBF), mean arterial blood pressure(BP) in rats. The changes of BP and rCBF were tested Laser-Doppler Flowmetry(LDF). Results : The results of this Study were obtained as follows ; 1. GV15 and LI4 were increased significantly rCBF. 2. GV15, LI4 and B23 were increased BP, but have not significance. Conclusion : This results suggest that GV15 was increased rCBF by increasing pial arterial diameter, and LI4 was increased rCBF by increasing BP.

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목향조기산(木香調氣散) 추출물이 국소 뇌혈류량 및 평균혈압에 미치는 작용기전 (Mechanism of MokhwyangJoki-san Extract on the Regional Cerebral Blood Flow and Mean Arterial Blood Pressure in Normal Rats)

  • 심익현;정현우
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1538-1542
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    • 2006
  • The study was designed to investigate the effects of MokhwyangJoki-san Extract (MJSE) on the change of regional cerebral blood flow (rCBF) and mean arterial blood pressure (MABP) in normal rats, and further to determine the mechanism of MJSE. The results in normal rats were as follows ; MJSE significantly increased rCBF in a dose-dependent manner, and MABP did not change in a dose-dependent manner. This results were suggested that MJSE significantly increased rCBF by dilating pial arterial diameter. The MJSE-induced increase in rCBF was significantly inhibited by pretreatment with methylene blue (10 ${\mu}g/kg$, i.p.), an inhibitor of guanylate cyclase, and was not changed by indomethacin (1 ${\mu}g/kg$, i.p.), an inhibitro of cyclooxygenase. The MJSE-was not changed MABP was decreased by pretreatment with indomethacin but was not changed by methylene blue. This results were suggested that the mechanism of MJSE was mediated by guanylate cyclase.

황견에서 좌측 폐이식수술 및 폐동맥결찰 수술후 폐동맥압 변하에 관한 연구 (The Change of Pulmonary Arterial Pressures after Left Lung Transplantation and Ligation of Right Pulmonary Artery in Dogs)

  • 이두연
    • Journal of Chest Surgery
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    • 제27권5호
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    • pp.345-352
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    • 1994
  • We have performed left lung transplantation followed by ligation of right pulmonary artery in 14 dogs at the Chest Disease Research Institute, Yonsei University College of Medicine from May 1992 to February 1994. Excised left lung was perfused with 1500cc of 4$^{\circ}$C cold Euro-Collin`s[E-C] solution at a pressure of 30cmH2O through main pulmonary artery and preserved in 4$^{\circ}$C cold E-C solution for one hour. Left lung transplantation were proceeded in order of left atrium, left main bronchus, left pulmonary artery and right pulmonary artery ligation as usual method. The femoral artery and pulmonary artery pressures were monitored for more than 5 hours after the transplantations in 14 dogs. Six recipient dogs had elevated mean pulmonary artery pressure to greater than 30mmHg after the left lung transplantation and ligation of right pulmonary artery. The cause of elevated mean pulmonary artery pressure was due to inadequate preservation resulting in ischemic damage to donor lungs in 3 cases, and inadequate surgical techniques in 3 cases. Two recipient dogs without surgical complications died immediate post-operatively due to hemorrhagic shock. The bleeding focuses were LA anastomotic site in one case and femoral artery puncture site in another case. The remaining 6 recipient dogs showed mean pulmonary arterial pressure less than 30mmHg. However, one dog had spontaneous pneumothorax in post-operative 4 days, and another dog had rejection phenomenon in post-operative 5 days which was confirmed by pathologic findings of extracted transplanted lung. One dog succumbed of severe hemoptysis which was due to lung abscess with pin point stenosis of bronchial anastomosis in post-operative 38 days. In conclusion, elevated mean pulmonary arterial pressure greater than 30mmHg in immediate postoperative period can be due to inadequate preservation of extracted lung or poor surgical techniques. And the two dogs succumbed of hemorrhagic shock even though the mean pulmonary arterial pressure was less than 30mmHg. It is thought that careful preservation of the extracted donor lung in 4oC E-C solution and complete surgical techniques are the most important factors early and late complications.

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급성 신성 고혈압 쥐의 전신성 동맥계 및 폐 동맥계에 대한 Angiotensin II의 반응성 (Angiotensin II Reactivity in Systemic and Pulmonary Arterial System of Acute Renal Hypertensive Rats)

  • 이병호;신화섭;허인회;안형수;노정구
    • 약학회지
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    • 제37권6호
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    • pp.605-614
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    • 1993
  • To investigate the endothelial dependence of angiotensin II(A II)-induced responses in the systemic and pulmonary arterial system of acute renal hypertensive rats of 2-kidney, 1-ligation type (RHRs), A II-induced vasocontractile and pressor effects were evaluated in isolated arteries and in vivo, respectively. A II dose-dependently contracted intact thoracic aorta and pulmonary artery (E$_{max}$:40% at 10$^{-7}$M and 80% at 3$\times$10 $^{-8}$M, respectively) from normotensive rats(NRs), which was significantly increased by removal of endothelial cells or pretreatment with EDRF inhibitors. In NRs, A II increased mean systemic and pulmonary arterial pressure(33 and 5.6mmHg at 0.1 $\mu\textrm{g}$/kg, respectively), the effect being significantly increased (P<0.01) by L-NAME(30mg/kg, i.v.). However, A II-induced contraction of intact thoracic aorta and pulmonary artery(E$_{max}$: 33% at 10$^{-7}$M and 93% at 3$\times$10$^{-8}$M, respectively) from RHRs were not changed after endothelial function was disrupted as above; similarly, pressor effects of A II on the systemic and pulmonary arterial pressure in RHRs did not altered by L-NAME. A II tachyphylactic responses for intact thoracic aorta from NRs and RHRs(65 and 87% at 10$^{-8}$M, respectively) were greater than those for pulmonary artery(19 and 19% at 10$^{-8}$M, respectively). Distruption of endothelial function significantly (P<0.01) depressed A II tachyphylaxis for thoracic aorta, but not for pulmonary artery. These results suggest that vascular reactivity to A II is not altered in RHRs, and it is greater for pulmonary arterial system than for systemic arterial system. A II reactivity is EDRF-dependent in both arterial systems of NRs, but EDRF-independent for RHRs. Finally, EDRF is one of the major factors underlying A II tachyphylaxis for thoracic aorta, but not for pulmonary artery.

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