Non-Invasive Central Venous Pressure Measurement Using Enclosed-Zone Central Venous Pressure (ezCVPTM)
Background:Central venous pressure (CVP) is measured to assess intravascular fluid status. Although the clinical gold standard for evaluating CVP is invasive measurement using catheterization, the use of catheterization is limited in a clinical setting because of its invasiveness. We developed novel...
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| Veröffentlicht in: | Circulation Journal 2020/06/25, Vol.84(7), pp.1112-1117 |
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| creator | Hidaka, Takayuki Sumimoto, Yoji Dohi, Yoshihiro Morimoto, Haruka Susawa, Hitoshi Nitta, Kazuhiro Ishibashi, Ken Kurisu, Satoru Fukuda, Yukihiro Hashimoto, Haruki Matsui, Shogo Kishimoto, Shinji Kajikawa, Masato Maruhashi, Tatsuya Ukawa, Teiji Goto, Chikara Nakashima, Ayumu Noma, Kensuke Tsuji, Toshio Kihara, Yasuki Higashi, Yukihito |
| description | Background:Central venous pressure (CVP) is measured to assess intravascular fluid status. Although the clinical gold standard for evaluating CVP is invasive measurement using catheterization, the use of catheterization is limited in a clinical setting because of its invasiveness. We developed novel non-invasive technique, enclosed-zone (ezCVPTM) measurement for estimating CVP. The purpose of this study was to assess the feasibility of ezCVP and the relationship between ezCVP and CVP measured by a catheter.Methods and Results:We conducted 291 measurements in 97 patients. Linear regression analysis revealed that ezCVP was significantly correlated with CVP (r=0.65, P10 mmHg were 0.59, 0.96 and 14.8 with a cut-off value of 11.9 and 0.79, 0.97 and 26.3 with a cut-off value of 12.7.Conclusions:These findings suggest that ezCVP measurement is feasible and useful for assessing CVP. |
| doi_str_mv | 10.1253/circj.CJ-20-0129 |
| format | Article |
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Although the clinical gold standard for evaluating CVP is invasive measurement using catheterization, the use of catheterization is limited in a clinical setting because of its invasiveness. We developed novel non-invasive technique, enclosed-zone (ezCVPTM) measurement for estimating CVP. The purpose of this study was to assess the feasibility of ezCVP and the relationship between ezCVP and CVP measured by a catheter.Methods and Results:We conducted 291 measurements in 97 patients. Linear regression analysis revealed that ezCVP was significantly correlated with CVP (r=0.65, P<0.0001). The Bland-Altman analysis showed that ezCVP had an underestimation bias of −2.5 mmHg with 95% limits of agreement of −14.1 mmHg and 9.6 mmHg for CVP (P<0.0001). The areas under the curves of receiver operating curve with ezCVP to detect the CVP ≥12 cmH2O (8.8 mmHg) and CVP >10 mmHg were 0.81 or 0.88, respectively. The sensitivity, specificity and positive likelihood ratio of ezCVP for the CVP ≥8.8 mmHg and CVP >10 mmHg were 0.59, 0.96 and 14.8 with a cut-off value of 11.9 and 0.79, 0.97 and 26.3 with a cut-off value of 12.7.Conclusions:These findings suggest that ezCVP measurement is feasible and useful for assessing CVP.</description><identifier>ISSN: 1346-9843</identifier><identifier>ISSN: 1347-4820</identifier><identifier>EISSN: 1347-4820</identifier><identifier>DOI: 10.1253/circj.CJ-20-0129</identifier><identifier>PMID: 32418957</identifier><language>eng</language><publisher>Japan: The Japanese Circulation Society</publisher><subject>Aged ; Aged, 80 and over ; Blood Pressure Determination ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - physiopathology ; Catheterization, Central Venous ; Central Venous Pressure ; ezCVP ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Oscillometric method ; Oscillometry ; Predictive Value of Tests ; Prospective Studies ; Reproducibility of Results ; Upper Extremity - blood supply</subject><ispartof>Circulation Journal, 2020/06/25, Vol.84(7), pp.1112-1117</ispartof><rights>2020 THE JAPANESE CIRCULATION SOCIETY</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c578t-caef371d2d031be6301d46a06f5cb0170e1e34b52fdcc4a17208e6e05dddbad3</citedby><cites>FETCH-LOGICAL-c578t-caef371d2d031be6301d46a06f5cb0170e1e34b52fdcc4a17208e6e05dddbad3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32418957$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hidaka, Takayuki</creatorcontrib><creatorcontrib>Sumimoto, Yoji</creatorcontrib><creatorcontrib>Dohi, Yoshihiro</creatorcontrib><creatorcontrib>Morimoto, Haruka</creatorcontrib><creatorcontrib>Susawa, Hitoshi</creatorcontrib><creatorcontrib>Nitta, Kazuhiro</creatorcontrib><creatorcontrib>Ishibashi, Ken</creatorcontrib><creatorcontrib>Kurisu, Satoru</creatorcontrib><creatorcontrib>Fukuda, Yukihiro</creatorcontrib><creatorcontrib>Hashimoto, Haruki</creatorcontrib><creatorcontrib>Matsui, Shogo</creatorcontrib><creatorcontrib>Kishimoto, Shinji</creatorcontrib><creatorcontrib>Kajikawa, Masato</creatorcontrib><creatorcontrib>Maruhashi, Tatsuya</creatorcontrib><creatorcontrib>Ukawa, Teiji</creatorcontrib><creatorcontrib>Goto, Chikara</creatorcontrib><creatorcontrib>Nakashima, Ayumu</creatorcontrib><creatorcontrib>Noma, Kensuke</creatorcontrib><creatorcontrib>Tsuji, Toshio</creatorcontrib><creatorcontrib>Kihara, Yasuki</creatorcontrib><creatorcontrib>Higashi, Yukihito</creatorcontrib><title>Non-Invasive Central Venous Pressure Measurement Using Enclosed-Zone Central Venous Pressure (ezCVPTM)</title><title>Circulation Journal</title><addtitle>Circ J</addtitle><description>Background:Central venous pressure (CVP) is measured to assess intravascular fluid status. Although the clinical gold standard for evaluating CVP is invasive measurement using catheterization, the use of catheterization is limited in a clinical setting because of its invasiveness. We developed novel non-invasive technique, enclosed-zone (ezCVPTM) measurement for estimating CVP. The purpose of this study was to assess the feasibility of ezCVP and the relationship between ezCVP and CVP measured by a catheter.Methods and Results:We conducted 291 measurements in 97 patients. Linear regression analysis revealed that ezCVP was significantly correlated with CVP (r=0.65, P<0.0001). The Bland-Altman analysis showed that ezCVP had an underestimation bias of −2.5 mmHg with 95% limits of agreement of −14.1 mmHg and 9.6 mmHg for CVP (P<0.0001). The areas under the curves of receiver operating curve with ezCVP to detect the CVP ≥12 cmH2O (8.8 mmHg) and CVP >10 mmHg were 0.81 or 0.88, respectively. The sensitivity, specificity and positive likelihood ratio of ezCVP for the CVP ≥8.8 mmHg and CVP >10 mmHg were 0.59, 0.96 and 14.8 with a cut-off value of 11.9 and 0.79, 0.97 and 26.3 with a cut-off value of 12.7.Conclusions:These findings suggest that ezCVP measurement is feasible and useful for assessing CVP.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Blood Pressure Determination</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Cardiovascular Diseases - physiopathology</subject><subject>Catheterization, Central Venous</subject><subject>Central Venous Pressure</subject><subject>ezCVP</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Oscillometric method</subject><subject>Oscillometry</subject><subject>Predictive Value of Tests</subject><subject>Prospective Studies</subject><subject>Reproducibility of Results</subject><subject>Upper Extremity - blood supply</subject><issn>1346-9843</issn><issn>1347-4820</issn><issn>1347-4820</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kDlPxDAQhS0E4u6pUEoovIyPxEmJIq4VV7FQ0FiOPYGssg7YWST49WTZBSqaeSPN955Gj5ADBiPGU3Fim2Cno3JMOVBgvFgj20xIRWXOYf17z2iRS7FFdmKcAvAC0mKTbAkuWV6kapvUt52nV_7dxOYdkxJ9H0ybPKLv5jG5DxjjPGByg2ahs-GcPMTGPydn3rZdREefOv-_7wg_y8f7yc3xHtmoTRtxf6W7ZHJ-Nikv6fXdxVV5ek1tqvKeWoO1UMxxB4JVmAlgTmYGsjq1FTAFyFDIKuW1s1YapjjkmCGkzrnKOLFLjpaxr6F7m2Ps9ayJFtvWeBwe01yCFCoDBQMKS9SGLsaAtX4NzcyED81AL8rV3-Xqcqw56EW5g-VwlT6vZuh-DT9tDsD5EpjG3jzjL2BC39gWV4m51Gox_pL_gBcTNHrxBcIHkNo</recordid><startdate>20200625</startdate><enddate>20200625</enddate><creator>Hidaka, Takayuki</creator><creator>Sumimoto, Yoji</creator><creator>Dohi, Yoshihiro</creator><creator>Morimoto, Haruka</creator><creator>Susawa, Hitoshi</creator><creator>Nitta, Kazuhiro</creator><creator>Ishibashi, Ken</creator><creator>Kurisu, Satoru</creator><creator>Fukuda, Yukihiro</creator><creator>Hashimoto, Haruki</creator><creator>Matsui, Shogo</creator><creator>Kishimoto, Shinji</creator><creator>Kajikawa, Masato</creator><creator>Maruhashi, Tatsuya</creator><creator>Ukawa, Teiji</creator><creator>Goto, Chikara</creator><creator>Nakashima, Ayumu</creator><creator>Noma, Kensuke</creator><creator>Tsuji, Toshio</creator><creator>Kihara, Yasuki</creator><creator>Higashi, Yukihito</creator><general>The Japanese Circulation Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20200625</creationdate><title>Non-Invasive Central Venous Pressure Measurement Using Enclosed-Zone Central Venous Pressure (ezCVPTM)</title><author>Hidaka, Takayuki ; Sumimoto, Yoji ; Dohi, Yoshihiro ; Morimoto, Haruka ; Susawa, Hitoshi ; Nitta, Kazuhiro ; Ishibashi, Ken ; Kurisu, Satoru ; Fukuda, Yukihiro ; Hashimoto, Haruki ; Matsui, Shogo ; Kishimoto, Shinji ; Kajikawa, Masato ; Maruhashi, Tatsuya ; Ukawa, Teiji ; Goto, Chikara ; Nakashima, Ayumu ; Noma, Kensuke ; Tsuji, Toshio ; Kihara, Yasuki ; Higashi, Yukihito</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c578t-caef371d2d031be6301d46a06f5cb0170e1e34b52fdcc4a17208e6e05dddbad3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Blood Pressure Determination</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Cardiovascular Diseases - physiopathology</topic><topic>Catheterization, Central Venous</topic><topic>Central Venous Pressure</topic><topic>ezCVP</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Oscillometric method</topic><topic>Oscillometry</topic><topic>Predictive Value of Tests</topic><topic>Prospective Studies</topic><topic>Reproducibility of Results</topic><topic>Upper Extremity - blood supply</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hidaka, Takayuki</creatorcontrib><creatorcontrib>Sumimoto, Yoji</creatorcontrib><creatorcontrib>Dohi, Yoshihiro</creatorcontrib><creatorcontrib>Morimoto, Haruka</creatorcontrib><creatorcontrib>Susawa, Hitoshi</creatorcontrib><creatorcontrib>Nitta, Kazuhiro</creatorcontrib><creatorcontrib>Ishibashi, Ken</creatorcontrib><creatorcontrib>Kurisu, Satoru</creatorcontrib><creatorcontrib>Fukuda, Yukihiro</creatorcontrib><creatorcontrib>Hashimoto, Haruki</creatorcontrib><creatorcontrib>Matsui, Shogo</creatorcontrib><creatorcontrib>Kishimoto, Shinji</creatorcontrib><creatorcontrib>Kajikawa, Masato</creatorcontrib><creatorcontrib>Maruhashi, Tatsuya</creatorcontrib><creatorcontrib>Ukawa, Teiji</creatorcontrib><creatorcontrib>Goto, Chikara</creatorcontrib><creatorcontrib>Nakashima, Ayumu</creatorcontrib><creatorcontrib>Noma, Kensuke</creatorcontrib><creatorcontrib>Tsuji, Toshio</creatorcontrib><creatorcontrib>Kihara, Yasuki</creatorcontrib><creatorcontrib>Higashi, Yukihito</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Circulation Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hidaka, Takayuki</au><au>Sumimoto, Yoji</au><au>Dohi, Yoshihiro</au><au>Morimoto, Haruka</au><au>Susawa, Hitoshi</au><au>Nitta, Kazuhiro</au><au>Ishibashi, Ken</au><au>Kurisu, Satoru</au><au>Fukuda, Yukihiro</au><au>Hashimoto, Haruki</au><au>Matsui, Shogo</au><au>Kishimoto, Shinji</au><au>Kajikawa, Masato</au><au>Maruhashi, Tatsuya</au><au>Ukawa, Teiji</au><au>Goto, Chikara</au><au>Nakashima, Ayumu</au><au>Noma, Kensuke</au><au>Tsuji, Toshio</au><au>Kihara, Yasuki</au><au>Higashi, Yukihito</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Non-Invasive Central Venous Pressure Measurement Using Enclosed-Zone Central Venous Pressure (ezCVPTM)</atitle><jtitle>Circulation Journal</jtitle><addtitle>Circ J</addtitle><date>2020-06-25</date><risdate>2020</risdate><volume>84</volume><issue>7</issue><spage>1112</spage><epage>1117</epage><pages>1112-1117</pages><issn>1346-9843</issn><issn>1347-4820</issn><eissn>1347-4820</eissn><abstract>Background:Central venous pressure (CVP) is measured to assess intravascular fluid status. Although the clinical gold standard for evaluating CVP is invasive measurement using catheterization, the use of catheterization is limited in a clinical setting because of its invasiveness. We developed novel non-invasive technique, enclosed-zone (ezCVPTM) measurement for estimating CVP. The purpose of this study was to assess the feasibility of ezCVP and the relationship between ezCVP and CVP measured by a catheter.Methods and Results:We conducted 291 measurements in 97 patients. Linear regression analysis revealed that ezCVP was significantly correlated with CVP (r=0.65, P<0.0001). The Bland-Altman analysis showed that ezCVP had an underestimation bias of −2.5 mmHg with 95% limits of agreement of −14.1 mmHg and 9.6 mmHg for CVP (P<0.0001). The areas under the curves of receiver operating curve with ezCVP to detect the CVP ≥12 cmH2O (8.8 mmHg) and CVP >10 mmHg were 0.81 or 0.88, respectively. The sensitivity, specificity and positive likelihood ratio of ezCVP for the CVP ≥8.8 mmHg and CVP >10 mmHg were 0.59, 0.96 and 14.8 with a cut-off value of 11.9 and 0.79, 0.97 and 26.3 with a cut-off value of 12.7.Conclusions:These findings suggest that ezCVP measurement is feasible and useful for assessing CVP.</abstract><cop>Japan</cop><pub>The Japanese Circulation Society</pub><pmid>32418957</pmid><doi>10.1253/circj.CJ-20-0129</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Blood Pressure Determination Cardiovascular Diseases - diagnosis Cardiovascular Diseases - physiopathology Catheterization, Central Venous Central Venous Pressure ezCVP Feasibility Studies Female Humans Male Middle Aged Oscillometric method Oscillometry Predictive Value of Tests Prospective Studies Reproducibility of Results Upper Extremity - blood supply |
| title | Non-Invasive Central Venous Pressure Measurement Using Enclosed-Zone Central Venous Pressure (ezCVPTM) |
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