サイズは重要ですか? 心臓のサイズと機能のスケーリングの臨床的応用は,体サイズに係る
Frederick E Dewey1, David Rosenthal, Daniel J Murphy
1Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA.
Circulation
|April 30, 2008
まとめ
大人の心血管の測定は,小児科と同様に,体サイズに合わせて修正する必要があります. 体のサイズに合わせて調整することで,成人における心血管疾患の診断と治療が改善されます.
科学分野:
- 心血管生理学 心血管の生理学
- アロメトリー・アロメトリー
- バイオメディカルエンジニアリング
背景:
- 心血管の構造と機能のスケールは,種によって体のサイズが異なります.
- 体のサイズ矯正は小児科では標準的ですが,大人の場合はしばしば見過ごされます.
- 大人の体の大きさの大きな変動は,サイズ調整された心血管の評価を必要とします.
研究 の 目的:
- 心血管医学における体格の重要な役割を検討する.
- 心血管の測定に身体のサイズが及ぼす混乱を例示するためです.
- 心血管のパラメータをスケールするための証拠とアプリケーションを提示する.
主な方法:
- 心血管スケーリングに関する既存の文献のレビュー.
- 体のサイズによる混同効果の分析.
- 機能パラメータをスケールするための理論的,実験的証拠の提示.
主要な成果:
- 大人の現在のスケーリングの慣行には限界があります.
- 適切にスケールされたパラメータは,診断と治療の意思決定を改善することができます.
- ハイパートロフィック心筋病変症や閉塞性心不全のような特定の疾患状態は,スケールされたパラメータから利益を得ます.
結論:
- 体のサイズは,大人の心血管医学における重要な要因です.
- 体のサイズ修正の欠如は,心血管疾患の認識と治療に悪影響を及ぼす可能性があります.
- 大人のための規範的なスケール関係を確立するには,大規模な研究が必要です.
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