Correlation between Recovery Times of Lower Limb Ischemia after Walking Exercise as Measured by Near-infrared Spectroscopy and Prognosis of Cardiovascular Events in Patients with Arteriosclerosis Obliterans

We estimated the correlation between recovery time (RT) of lower limb ischemia after walking exercise as measured by near-infrared spectroscopy (NIRS) and prognosis of cardiovascular ischemic events in patients with arteriosclerosis obliterans (ASO). Twenty-two patients were examined and the mean fo...

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Published inMyakkangaku = The Journal of Japanese College of Angiology Vol. 52; no. February; pp. 123 - 127
Main Authors Saiki, Naozumi, Takae, Hisahito, Shigematsu, Hiroshi, Koizumi, Nobusato, Watanabe, Yoshiko, Obitsu, Yukio
Format Journal Article
LanguageJapanese
Published Japanese College of Angiology 2012
Subjects
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ISSN0387-1126
1880-8840
DOI10.7133/jca.52.123

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Abstract We estimated the correlation between recovery time (RT) of lower limb ischemia after walking exercise as measured by near-infrared spectroscopy (NIRS) and prognosis of cardiovascular ischemic events in patients with arteriosclerosis obliterans (ASO). Twenty-two patients were examined and the mean follow-up period was 9.2±2.1 years. The patients in whom cardiovascular events occurred (group E: n=10; 45.5%) and those in whom cardiovascular events did not occur (group N: n=12; 55.5%) showed no significant difference in RT, but the RT in the lower limb of patients with severe ischemia was longer in group E than in group N (208.1±37.0 sec vs. 146.8±33.8 sec). RT measured by NIRS may be useful as a prognostic predictor of cardiovascular events in patients with ASO.
AbstractList We estimated the correlation between recovery time (RT) of lower limb ischemia after walking exercise as measured by near-infrared spectroscopy (NIRS) and prognosis of cardiovascular ischemic events in patients with arteriosclerosis obliterans (ASO). Twenty-two patients were examined and the mean follow-up period was 9.2±2.1 years. The patients in whom cardiovascular events occurred (group E: n=10; 45.5%) and those in whom cardiovascular events did not occur (group N: n=12; 55.5%) showed no significant difference in RT, but the RT in the lower limb of patients with severe ischemia was longer in group E than in group N (208.1±37.0 sec vs. 146.8±33.8 sec). RT measured by NIRS may be useful as a prognostic predictor of cardiovascular events in patients with ASO.
Author Koizumi, Nobusato
Takae, Hisahito
Watanabe, Yoshiko
Shigematsu, Hiroshi
Saiki, Naozumi
Obitsu, Yukio
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  organization: Second Department of Surgery (Vascular Surgery), Tokyo Medical University, Tokyo, Japan
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  fullname: Obitsu, Yukio
  organization: Vascular Surgery Department, International University of Health and Welfare Mita Hospital, Tokyo, Japan
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Cites_doi 10.1161/CIRCULATIONAHA.106.173994
10.1093/ije/20.2.384
10.2337/dc06-0182
10.1001/jama.2010.1923
10.1093/ije/25.6.1172
10.1161/01.CIR.0000049640.46039.52
10.1046/j.1365-201X.1998.0324e.x
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References_xml – reference: 1)Hirsch AT, Haskal ZJ, Hertzer NR, et al: ACC/AHA 2005 Practice guidelines for the management of patients with peripheral arterial disease (lower extremity, renal, mesenteric, and abdominal aortic): Executive summary-A collaborative report from the American Association for Vascular Surgery/Society for Vascular Surgery, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, Society of Interventional Radiology, and the ACC/AHA task force on practice guidelines (Writing committee to develop guidelines for the management of patients with peripheral arterial disease). Circulation 2006; 113: 1474-1547
– reference: 9)Studenski S, Perera S, Patel K, et al: Gait speed and survival in older adults. JAMA 2011; 305: 50-58
– reference: 3)Leng GC, Lee AJ, Fowkes FG, et al: Incidence, natural history and cardiovascular events in symptomatic and asymptomatic peripheral arterial disease in the general population. Int J Epidemiol 1996; 25: 1172-1181
– reference: 4)Mehler PS, Coll JR, Estacio R, et al: Intensive blood pressure control reduces the risk of cardiovascular events in patients with peripheral arterial disease and type 2 diabetes. Circulation 2003; 107: 753-756
– reference: 6)市来正隆:近赤外線分光法による肢機能評価の意義間歇性跛行肢に対する機能的評価と近赤外線分光法を利用した効率的な歩行運動療法.脈管学 2010; 50: 449-454
– reference: 7)Kime R, Im J, Moser D, et al: Noninvasive determination of exercise-induced vasodilation during bicycle exercise using near infrared spectroscopy. Med Sci Monit 2009; 15: CR89-CR94
– reference: 8)Mohler ER, Lech G, Supple GE, et al: Impaired exercise-induced blood volume in type 2 diabetes with or without peripheral arterial disease measured by continuous-wave near-infrared spectroscopy. Diabetes Care 2006; 29: 1856-1859
– reference: 2)Fowkes FG, Housley E, Cawood EH, et al: Edinburgh Artery Study: prevalence of asymptomatic and symptomatic peripheral arterial disease in the general population. Int J Epidemiol 1991; 20: 384-392
– reference: 5)Delp MD, Laughlin MH: Regulation of skeletal muscle perfusion during exercise. Acta Physiol Scand 1998; 162: 411-419
– ident: 1
  doi: 10.1161/CIRCULATIONAHA.106.173994
– ident: 2
  doi: 10.1093/ije/20.2.384
– ident: 8
  doi: 10.2337/dc06-0182
– ident: 9
  doi: 10.1001/jama.2010.1923
– volume: 50
  start-page: 449
  issn: 0387-1126
  issue: 4
  year: 2010
  ident: 6
– ident: 3
  doi: 10.1093/ije/25.6.1172
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  doi: 10.1161/01.CIR.0000049640.46039.52
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  doi: 10.1046/j.1365-201X.1998.0324e.x
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Snippet We estimated the correlation between recovery time (RT) of lower limb ischemia after walking exercise as measured by near-infrared spectroscopy (NIRS) and...
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SubjectTerms atherothrombosis
cardiovascular disease
near-infrared spectroscopy
peripheral artery disease
prognosis
Title Correlation between Recovery Times of Lower Limb Ischemia after Walking Exercise as Measured by Near-infrared Spectroscopy and Prognosis of Cardiovascular Events in Patients with Arteriosclerosis Obliterans
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