Effectiveness of pulsatility index of carotid Doppler ultrasonography to predict cardiovascular events

2021 ◽  
Author(s):  
Yasuhiro Hitomi ◽  
Nobuyuki Masaki ◽  
Yuki Ishinoda ◽  
Kazuki Kagami ◽  
Risako Yasuda ◽  
...  
Keyword(s):  
Cardiovascular Events ◽  
Pulsatility Index ◽  
Doppler Ultrasonography ◽  
Carotid Doppler

scholarly journals Evaluation and correlation of placental vasculature by three-dimensional power Doppler ultrasonography with umbilical Doppler in normal and IUGR pregnancies

2018 ◽  
Vol 7 (9) ◽  
pp. 3818
Author(s):  
Sumesh Choudhary ◽  
Vineet Mishra ◽  
Rohina Aggarwal ◽  
Kavita Mistry
Keyword(s):  
Gestational Age ◽  
Pulsatility Index ◽  
Doppler Ultrasonography ◽  
Power Doppler ◽  
Three Dimensional ◽  
Flow Index ◽  
P Value ◽  
Power Doppler Ultrasonography ◽  
3D Power Doppler ◽  
Placental Volume

Background: In recent years there have been significant developments in the use of 3D Power Doppler (3DPD) imaging and quantitative 3DPD histogram analysis to estimate both placental volume and intraplacental vasculature. This study is to evaluate the distribution and variation of placental vascular indices according to gestational age and placental volume and position. Co relate the umbilical Doppler indices with placental vascular indices.Methods: From September 2016 to October 2017, three-dimensional (3D)-power Doppler ultrasound was performed in 200 singalton pregnancies from 20 to 40 weeks of gestation. Using the same pre-established settings for all patients, power Doppler was applied to the placenta and placental volume was obtained by the rotational technique (VOCAL). The 3D-power histogram was used to determine the placental vascular indices: vascularization index (VI), flow index (FI) and vascularization-flow index (VFI). Umbilical Doppler was measured on the free loop of umbilical cord. The placental vascular indices were then plotted against gestational age placental volume, position and umbilical Doppler SD ratio, PI and RI. These values were evaluated in IUGR fetus.Results: Analysis of the results showed that the placental vascular indices estimated by 3D-power Doppler ultrasonography presented constant distribution throughout gestation despite the significant increase in placental volume. Placental position at fundal region shows higher value of VI, FI, and VFI. Placental position with relation to VI, FI, and VFI shows statistically significant with p value <0.01. Placental vascular indices VI, FI and VFI when corelated with systolic/ diastolic ratio, pulsatility index and resistive resistance index of umbilical artery shows poor negative correlation, only VI and FI shows statistically significant with SD ratio as p value is <0.01and <0.04. VFI did not show statistically significant as p value is 0.10(NS). With pulsatility index p value is statistically significant is less than<0.01 with vascular indices. Resistive index p value is statistically significant is less than <0.01 for VI and VFI but not significant with FI as p value is 0.06.Conclusions: Doppler ultrasound assists in the evaluation of placental vascularization in normal and IUGR pregnancies, may play an important role in future research on fetoplacental insufficiency.

scholarly journals Effect of meal induced splanchnic arterial vasodilatation on renal arterial haemodynamics in normal subjects and patients with cirrhosis

Gut ◽  
1998 ◽  
Vol 43 (6) ◽  
pp. 843-848 ◽  
Author(s):  
T Iwao ◽  
K Oho ◽  
R Nakano ◽  
M Yamawaki ◽  
T Sakai ◽  
...  
Keyword(s):  
Renal Artery ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Pulsatility Index ◽  
Doppler Ultrasonography ◽  
Normal Subjects ◽  
Haemodynamic Change ◽  
Liquid Meal ◽  
Arterial Circulation ◽  
Arterial Haemodynamics

Aims—To investigate the relation between changes in splanchnic arterial haemodynamics and renal arterial haemodynamics in controls and patients with cirrhosis.Methods—Superior mesenteric artery pulsatility index (SMA-PI) and renal artery pulsatility index (R-PI) were measured using Doppler ultrasonography in 24 controls and 36 patients with cirrhosis. These measurements were repeated 30 minutes after ingestion of a liquid meal or placebo. Sixteen controls and 24 patients received the meal, and eight controls and 12 patients received placebo.Results—In the fasting condition, patients with cirrhosis had a lower SMA-PI (p<0.01) and a greater R-PI (p<0.01) compared with controls. Placebo ingestion had no effect on splanchnic and renal haemodynamics. In contrast, ingestion of the meal caused a notable reduction in SMA-PI (p<0.01, p<0.01) and an increase in R-PI (p<0.01, p<0.01) in controls and patients with cirrhosis. The meal induced haemodynamic change in SMA-PI was inversely correlated with that in R-PI in controls (t=−0.42, p<0.05) and in patients with cirrhosis (t=−0.29, p<0.05).Conclusions—Results support the hypothesis that renal arterial vasoconstriction seen in patients with cirrhosis is one of the kidney’s homoeostatic responses to underfilling of the splanchnic arterial circulation.

Hyperperfusion Syndrome after Carotid Endarterectomy: A Transcranial Doppler Evaluation

Neurosurgery ◽  
1990 ◽  
Vol 26 (1) ◽  
pp. 56-60 ◽  
Author(s):  
Alexandros D. Powers ◽  
Robert R. Smith
Keyword(s):  
Carotid Endarterectomy ◽  
Vascular Resistance ◽  
Postoperative Period ◽  
Transcranial Doppler ◽  
Pulsatility Index ◽  
Doppler Ultrasonography ◽  
Cerebral Vasculature ◽  
Hyperperfusion Syndrome ◽  
Doppler Evaluation ◽  
Flow Velocities

Abstract Transcranial Doppler ultrasonography was used to evaluate 2 patients who developed hyperperfusion syndromes after carotid endarterectomy. During the initial postoperative period, each patient had symptoms that were associated with elevated flow velocities in the ipsilateral cerebral vasculature. In addition, vascular resistance of these vessels was found to be abnormally low, as reflected by the Gosling pulsatility index. As the patients' symptoms improved, flow velocities decreased to normal levels and pulsatilities were noted to increase proportionately. (Neurosurgery 26:56-60, 1990)

scholarly journals B-mode and Doppler Ultrasonography of Accessory Genital Glands and Testes in Male Goats During the Breeding Season

2021 ◽  
Vol 53 (2) ◽  
Author(s):  
Hamed Talaat Elbaz ◽  
Ahmed Mohamed Sharshar ◽  
Ahmed Essam Elweza
Keyword(s):  
Breeding Season ◽  
Pulsatility Index ◽  
Doppler Ultrasonography ◽  
Resistive Index ◽  
Serum Testosterone ◽  
Reproductive Organs ◽  
Accessory Sex Glands ◽  
Spectral Doppler ◽  
Doppler Indices ◽  
Sexually Mature

The aims of the present study were to scan the echogenicity of reproductive organs of bucks during the breeding season. The influence of testosterone on haemodynamic Doppler indices of accessory genital glands of breeding bucks was also examined. Ten clinically healthy, sexually mature, Egyptian Baladi male goats were examined and the testes, tail of epididymis and accessory sex glands imaged using greyscale B-mode, colour Doppler ultrasonography. The spectral Doppler indices (pulsatility index and resistive index) were measured. Blood samples were collected and serum concentrations of testosterone, FSH and LH were determined. The results revealed that the echogenicity of testes, tail of epididymis and accessory genital glands was changed by breeding season. Pulsatility index values of supra-testicular artery, marginal artery, tail of the epididymis, ampulla, vesicular gland, pars disseminata of the prostate and bulbourethral gland were 0.85±0.04, 0.54±0.03, 0.4±0.03, 0.37±0.04, 0.51±0.03, 0.39±0.02 and 0.41±0.04, respectively. The resistive index of the above criteria were 0.51±0.04, 0.37±0.02, 0.3±0.03, 0.27±0.02, 0.31±0.03, 0.32±0.03 and 0.32±0.03, respectively. Serum testosterone concentration was 4.78±0.46 ng/mL. Furthermore, FSH and LH were 3.71±0.43 and 1.8±0.17 mIU/mL, respectively. Interestingly, testosterone clearly deceased the values of the both the pulsatility and resistive indices of the accessory genital glands of breeding bucks. Season modified the echogenicity of testes, epididymis and accessory genital glands. Testosterone regulated the reproductive indices of blood flow of the accessory genital glands of breeding bucks. Thus, this study could serve as a baseline of reference values of Egyptian Baladi male goats during the breeding season to improve reproductive efficiency.

scholarly journals Changes in Doppler indices throughout pregnancy in queens

2020 ◽  
Vol 89 (1) ◽  
pp. 61-67
Author(s):  
Melih Uçmak ◽  
Ozge Turna ◽  
Gamze Evkuran Dal ◽  
Zeynep Günay Uçmak ◽  
Mehmet Can Gündüz
Keyword(s):  
Pulsatility Index ◽  
Doppler Ultrasonography ◽  
Umbilical Artery ◽  
Vena Cava ◽  
Resistance Index ◽  
Invasive Technique ◽  
Delivery Time ◽  
Non Invasive ◽  
The Mean ◽  
Doppler Indices

Doppler ultrasonography (D-USG) is a non-invasive technique that has become an increasingly essential tool in veterinary theriogenology. The aim of this study was to evaluate the changes of Doppler indices in the foetal aorta (FA), foetal vena cava (FVC), umbilical artery (UA), and uteroplacental artery (UPA) in pregnant queens, thereby advancing knowledge about Doppler findings in normal feline pregnancy. The study was conducted with 10 pregnant queens with known gestational age. Doppler ultrasonography was performed every three days beginning from the 21st day to the 60th day of pregnancy. The pulsatility index (PI) and resistance index (RI) of FA, FVC, UA and UPA were recorded during the D-USG examinations. Although a declining trend was seen in the mean RI of FA, a comparison with earlier sampling periods revealed that significant decreases (P < 0.05) did not occur until Days 30 and 60. While PI of FVC was relatively constant, RI varied througout pregnancy. The PI and RI of UPA values were significantly lower (P < 0.05) on Day 60 when compared to the first five sampling periods for PI and the first six sampling periods for RI. The study concludes that the decrease in UA indices is a precursor for delivery time in queens. However, there is a need for further comparative studies involving impaired pregnancies.

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