1. A Pilot Estimation of Ventricular-Arterial Coupling Using a Vascular Screening Device (VaSeraⓇ).
- Author
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Kanyinda Kayembe, David, Koji Hosokawa, Yurie Obata, Tetsuro Isada, Hiroko Shigemi, and Kenji Shigemi
- Subjects
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INTRACLASS correlation , *ARTERIAL diseases , *HEART assist devices - Abstract
Background: Non-invasive cardiovascular assessment has become an alternative to invasive techniques. VaSeraⓇ, a vascular screening device, measures arterial stiffness with the cardio-ankle vascular index (CAVI); it also measures cardiophysiological variables of ejection time (ET) and pre-ejection period (PEP). We aimed to apply the parameters obtained by VaSeraⓇ to estimate heart function based on left ventricular end-systolic elastance/arterial elastance (Ees/Ea) and to assess the minimal required number of measurements for estimation. Methods: We conducted an experimental laboratory study for healthy volunteers. Using the previously established formula, the Ees/Ea value of each participant was estimated using ET and PEP values measured by VaSeraⓇ. The intraclass correlation coefficient (ICC) assessed the minimum required number of measurements. Concordance correlation coefficient (CCC) and Bland and Altman analysis assessed variation of Ees/Ea estimation against the trimmed average. Results: A total of 660 measurements from 132 participants were included. The Ees/Ea estimates from the VaSeraⓇ were 1.5 [1.2, 1.9]. The ICC for Ees/Ea was 0.71 (95% confidence interval: 0.65-0.77), suggesting that four measurements were required. The CCC between the trimmed average of Ees/Ea and the mean of four Ees/Ea estimates was 0.99. Bland and Altman analysis showed excellent agreement for the mean of four Ees/Ea estimates and the trimmed average of Ees/Ea. Conclusions: For screening of heart failure, the Ees/Ea estimated using non-invasive vascular-stiffness assessment device would be tolerable and four sequential measurements were required. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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