頸動脈エコーにおける前方循環系の収縮期加速時間に影響を及ぼす因子

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  • Evaluation of the factors that prolong the acceleration time of the common and internal carotid arteries

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The acceleration time (AcT) ratio may be used to diagnose stenosis of the internal carotid artery (ICA). However, no study has evaluated the factors influencing AcT, other than stenosis of the ICA or common carotid artery (CCA), or aortic valve stenosis (AS). To elucidate the factors contributing to the prolongation of AcT, we evaluated 47 patients without severe stenosis of the CCA and ICA. A linear-array probe was set in the CCA 2 cm proximal to the carotid bulb and a convex-array probe was set in the ICA 3 cm distal to the origin of the ICA to measure the Doppler waveform. The AcT ratio was calculated as the ipsilateral AcT of the ICA / AcT of the CCA. We also performed echocardiography to evaluate AS, aortic regurgitation (AR), and ejection fraction (EF). Multiple regression analysis identified AS as a significant determinant of AcT. However, no significant correlations were found between the AcT ratio and AR, EF value, age, sex, and laterality. In our study, AS was the only significant factor related to the prolongation of AcT; other aortic valve diseases did not influence the AcT ratio.

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