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Effectiveness of 2-dimensional shear wave elastography for noninvasive and reliable estimation of right atrial pressure in dogs with induced volume overload
Title: | Effectiveness of 2-dimensional shear wave elastography for noninvasive and reliable estimation of right atrial pressure in dogs with induced volume overload |
Authors: | Tamura, Masahiro Browse this author | Ohta, Hiroshi Browse this author →KAKEN DB | Osuga, Tatsuyuki Browse this author | Takiguchi, Mitsuyoshi Browse this author →KAKEN DB |
Keywords: | 2D-SWE | canine | right atrial pressure | SWV |
Issue Date: | 10-Apr-2023 |
Publisher: | John Wiley & Sons |
Journal Title: | Journal of Veterinary Internal Medicine |
Publisher DOI: | 10.1111/jvim.16705 |
Abstract: | BackgroundTwo-dimensional shear wave elastography (2D-SWE) provides information on hepatic elastic modulus as shear wave velocity (SWV). Hypothesis/ObjectivesTo assess SWV using 2D-SWE in dogs with induced volume overload, investigate the relationship between this information and right atrial pressure (RAP) measured by invasive right heart catheterization, and also evaluate the difference in SWV before and after diuretic administration. AnimalsSix healthy beagles. MethodsProspective experimental study. Right heart catheterization and 2D-SWE were performed in 6 anesthetized beagles at baseline and after the induction of volume overload. Volume overload was induced by IV hydroxyethyl starch 70/0.5 infusion (100 mL/kg/h). Furosemide (4-6 mg/kg, IV) was administered, and the SWVs were measured. ResultsShear wave velocity showed a significant gradual increase during acute volume overload compared to baseline. SWV was significantly positively correlated with RAP (P < .0001, rho = 0.9729). The area under the curve of SWV to predict RAP at >10, >15, and >20 mm Hg was 0.9896 (95% confidence interval [95% CI], 0.9690-1.000), 0.9907 (95% CI, 0.9701-1.000), and 0.9722 (95% CI, 0.9280-1.000), respectively. The SWV after diuretic use decreased significantly. Conclusions and Clinical ImportanceTwo-dimensional shear wave elastography might be useful for noninvasive and reliable estimation of RAP in dogs with acute volume overload and has potential as a quantitative biomarker for evaluating therapeutic response in dogs with right sided congestive heart failure. |
Type: | article |
URI: | http://hdl.handle.net/2115/89338 |
Appears in Collections: | 獣医学院・獣医学研究院 (Graduate School of Veterinary Medicine / Faculty of Veterinary Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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