吾嬬医院(あずまいいん、Azuma Clinic)
     

                    May you be healthy and be happier
 
吾嬬医院 場所 一般診療 専門分野 院長略歴業績

                              2004年11月1日更新

沿革  楊卓若恵は、台湾台中林内市の開業医の長女として誕生する。
戦前来日し、東京女子医学専門学校を卒業後、一時母国に戻るが、
昭和39年吾嬬町東に賛恵医院を開設した。 当初は産院、小児科として出発した。
夫楊俊哲は、台湾台南大内郷の旧家の長男として誕生する。先祖は清朝時代に福建省より台湾に渡り、嘉儀より大内まで楊家の土地を歩いて行けるほどの豪農となったという。
台南の小学校を卒業後来日し、東京市立一中(現九段中学)を経て慶應義塾大学医学部を卒業、米国留学、済生会宇都宮病院勤務後妻の医院を援助し、内科主体となる。俊哲の姉4人全員が東京女子医学專門学校を卒業後、母国あるいは日本で開業し、その子弟も母国、米国、日本で医業を成している。
平成12年8月1日院長、長男志成により吾嬬医院として再出発し現在に至る。
基本方針  近隣地域住民患者さんを対象とした内科診療所です。
院長は、循環器内科を専門としてきましたが、基本的には家庭医としての
姿勢を貫いております。要請により、在宅医療にも応じております。
すみだ医師会学術担当理事として、進歩する医学知識を会員間に広め、
区民との対話を通じて、地域医療の発展に寄与する場を設けております。
一方、
国立病院東京医療センターで循環器科非常勤医を勤め、自ら研鑚しております。
日本心電図学会主催によるJ-RHYTHM研究参加施設です。
11月から65歳以上の墨田区民を対象としたインフルエンザ予防接種がが始まりました。それ以外の方にもワクチンを用意しております。
また、限られた対象ではありますが、ワクチンを接種していない方の同居する家族がインフルエンザを発症した際、発症予防としてタミフルカプセルの使用が認められましたが、自費診療となります。
10月14日より木曜午前中は、国立病院東京医療センターより、応援医師が診察します。
Every weekday except Wednesday afternoon  I take care of outpatients 
in Azuma Clinic. Wednesday afternoon I have an office for outpatients 
in  cardiovascular medicine in National Tokyo Medical Center  as a cardiologist. Both of English and Japanese are available in my clinic.
If you have any troubles with your health do not hesitate to ask me any
questions.
院長 揚  志成 内科、循環器科
Shisei Yo Internal Medicine, Cardiovascular Medicine   
非常勤医 水曜午後 国立病院東京医療センター総合内科医師
木曜午前 国立病院東京医療センター循環器科医師

 

診療時間 午前 8:30-12:00 午後16:00-19:00
A.M. P.M.
木曜 9:00-12:00  水曜 14:00-17:00
休診 土曜午後、日曜祭日
Closed  PM  on Saturday
A.M. and P.M. on Sunday, holiday
設備  胸部X線、胃十二指腸透視、注腸透視
Plain  X-ray, Fluoroscope to examine upper and lower digestive tract
心電図、Holter 心電図、24時間血圧測定器、電気的除細動器
Electrocardiography, Holter ECG, Electrical defibrillator
心エコー図(カラードップラー法)、腹部エコー、頚動脈エコー
Cardiac, abdominal, cervical ultra-sonography including B-M mode, including doppler method
処方 原則として院外処方ですが、緊急時や乳幼児には院内で処方します。

                           Copyright (C) 2000 Azuma Clinic. All rights reserved.

                           お問い合わせは、 mailto:shiseiyo@fc4.so-net.ne.jp            

                                                           
Google


メディカルテクニカ

emailcontact

画像例は下記をご参照願います。

http://www.din.or.jp/~meditekn/medi_hp/
上記の一番下部に解説付きで、応用例を掲載
http://www.din.or.jp/~meditekn/medi_hp/duna/
ラブテック社製マスターステップの使用例掲載
http://www.din.or.jp/~meditekn/medi_hp/duna2/
医大検査室での使用例、画面例及び記録例も掲載
http://www.din.or.jp/~meditekn/medi_hp/remoterunning12ecgs/
ソニーの超小型パソコンを利用したランニング仕様の用途例
http://www.din.or.jp/~meditekn/medi_hp/aerobicacc/
米国循環器学会で推奨された心臓病患者への心臓リハビリ法としてのエアロビックの効能についての発表
http://www.din.or.jp/~meditekn/medi_hp/gtec/
出力のRR間隔データの解析例、これは別売のソフトウエアとなります。
http://www.din.or.jp/~meditekn/medi_hp/stressdata/
負荷試験での重要な医学的指標、米国心臓病学会のスタンダードとして発布
http://www.din.or.jp/~meditekn/medi_hp/labtechholter/ ラブテックパソコンホルタのご紹介
http://www.din.or.jp/~meditekn/medi_hp/labtech1/
ラブテック社製品としてのパソコン式の利用価値 等を掲載しております
最新Pedcath8 PedCath PedCath 導入理由書 PedCath 佐野シャント PedCath 川崎病 PedCath Network PedCath HIPAA PedCath
Examples of Images
先天性心疾患資料 Pedcath Examples of Images Pedcathの品目 PedCath 品目一覧 PedCath アトラスの本のご案内
アルテリオグラフ25 モバイル12誘導心電計 ワイヤレス12誘導心電計 ワイヤレス血圧心電計 ラブテックホルター心電計
複合機能医療機 Caretaker(研究用) Pedcath8(研究用) ワイヤレス医療機器 パラマテックホルター
Shimmer Sensing(研究用 Cardioview(研究用) Telemedicine(研究用) パソコン式医療機器(研究用) 頭蓋酸素飽和度
自律神経(研究用) Cardionics(シムレ―タ等) 研究用電子聴診器 輸入代行 薬事申請書類代行
非観血血圧付き心電図ホルタの文献   負荷心電図検査の医学文献      エアロビックの効果   心電・血圧ホルタ記録器
ブルーツース     デュナ   デュナの実例     遠隔同時表示    ラブテック製品    Labtech products


PCの機能が向上し、Descrete Wavelet 手法が、お求めやすい低価格で

実現し、心房のP波を自動検出できるようになりました、

心房細動の自動解析能をお試し賜われれば幸いです


Labtech社は、当社独自の方法による

P波自動検出と心房細動自動解析手法

T Wave Alternans 解析手法を開発し、当社ホルターに搭載。
VectraCardiology,Heart Rate Variability ,TWA オルタナンス
Turbulence、3D可変表示、Spectral Analysis等が装備

ケアテイカ

非観血相対血圧・連続・ポータブル・ウエアラブル・一拍毎解析出力付き

httpswww.ncbi.nlm.nih.govpmcarticlesPMC5361833

 

BMC Anesthesiol. 2017; 17: 48.

Published online 2017 Mar 21. doi: 10.1186/s12871-017-0337-z

PMCID: PMC5361833

PMID: 28327093

Continuous Non-invasive finger cuff CareTaker® comparable to invasive intra-arterial pressure in patients undergoing major intra-abdominal surgery

Irwin Gratz,1 Edward Deal,1 Francis Spitz,1 Martin Baruch,2 I. Elaine Allen,3 Julia E. Seaman,4 Erin Pukenas,1 and Smith Jean1

Author information Article notes Copyright and License information Disclaimer

This article has been cited by other articles in PMC.

 

Associated Data

Data Availability Statement

The datasets generated during and analysed for the current study are available from the corresponding author on reasonable request.

 

Abstract

Background

Despite increased interest in non-invasive arterial pressure monitoring, the majority of commercially available technologies have failed to satisfy the limits established for the validation of automatic arterial pressure monitoring by the Association for the Advancement of Medical Instrumentation (AAMI). According to the ANSI/AAMI/ISO 81060–2:2013 standards, the group-average accuracy and precision are defined as acceptable if bias is not greater than 5 mmHg and standard deviation is not greater than 8 mmHg. In this study, these standards are used to evaluate the CareTaker® (CT) device, a device measuring continuous non-invasive blood pressure via a pulse contour algorithm called Pulse Decomposition Analysis.

Methods

A convenience sample of 24 patients scheduled for major abdominal surgery were consented to participate in this IRB approved pilot study. Each patient was monitored with a radial arterial catheter and CT using a finger cuff applied to the contralateral thumb. Hemodynamic variables were measured and analyzed from both devices for the first thirty minutes of the surgical procedure including the induction of anesthesia. The mean arterial pressure (MAP), systolic and diastolic blood pressures continuously collected from the arterial catheter and CT were compared. Pearson correlation coefficients were calculated between arterial catheter and CT blood pressure measurements, a Bland-Altman analysis, and polar and 4Q plots were created.

Results

The correlation of systolic, diastolic, and mean arterial pressures were 0.92, 0.86, 0.91, respectively (p<0.0001 for all the comparisons). The Bland-Altman comparison yielded a bias (as measured by overall mean difference) of −0.57, −2.52, 1.01 mmHg for systolic, diastolic, and mean arterial pressures, respectively with a standard deviation of 7.34, 6.47, 5.33 mmHg for systolic, diastolic, and mean arterial pressures, respectively (p<0.001 for all comparisons). The polar plot indicates little bias between the two methods (90%/95% CI at 31.5°/52°, respectively, overall bias=1.5°) with only a small percentage of points outside these lines. The 4Q plot indicates good concordance and no bias between the methods.

Conclusions

In this study, blood pressure measured using the non-invasive CT device was shown to correlate well with the arterial catheter measurements. Larger studies are needed to confirm these results in more varied settings. Most patients exhibited very good agreement between methods. Results were well within the limits established for the validation of automatic arterial pressure monitoring by the AAMI.

Keywords: Non-Invasive, CareTaker, Central blood pressure, Finger cuff, Intra-Arterial pressure


Tensiomed 社 Arteriograph 24 血管脈波検査装置

ご注意:中心血圧と関連機能は検証が必要です、

Central blood pressure: current evidence

and clinical importance

Carmel M. McEniery1*, John R. Cockcroft2, Mary J. Roman3,

Stanley S. Franklin4, and Ian B.Wilkinson1

1Clinical Pharmacology Unit, University of Cambridge, Addenbrookes Hospital, Box 110, Cambridge CB22QQ, UK; 2Department of Cardiology,Wales Heart Research Institute, Cardiff

CF14 4XN, UK; 3Division of Cardiology,Weill Cornell Medical College, New York, NY 10021, USA; and 4University of California, UCI School of Medicine, Irvine, CA 92697-4101, USA

Received 29 April 2013; revised 27 November 2013; accepted 17 December 2013; online publish-ahead-of-print 23 January 2014

and central pressure. Therefore, basing treatment decisions on central, rather than brachial pressure, is likely to have important implications

for the future diagnosis and management of hypertension. Such a paradigm shift will, however, require further, direct evidence that selectively

targeting central pressure, brings added benefit, over and above that already provided by brachial artery pressure.

Central pressure Blood pressure Anti-hypertensive treatment Cardiovascular risk

Introduction

The brachial cuff sphygmomanometer was introduced into medical

practice well over 100 years ago, enabling the routine, non-invasive,

measurement of arterial blood pressure. Life insurance companies

were among the first to capitalize on the information provided by

cuff sphygmomanometry, by observing that blood pressure in

largely asymptomatic individuals relates to future cardiovascular

riskobservations that are nowsupported by a wealth of epidemiological

data.1 The most recent Global Burden of Disease report2

identified hypertension as the leading cause of death and disability

worldwide. Moreover, data from over 50 years of randomized controlled

trials clearly demonstrate that lowering brachial pressure,

in hypertensive individuals, substantially reduces cardiovascular

events.1,3 For these reasons, measurement of brachial blood pressure

has become embedded in routine clinical assessment throughout the

developed world, and is one of the most widely accepted surrogate

measures for regulatory bodies.

The major driving force for the continued use of brachial blood

pressure has been its ease of measurement, and the wide variety of

devices available for clinical use. However, we have known for over

half a century that brachial pressure is a poor surrogate for aortic

pressure, which is invariably lower than corresponding brachial

values. Recent evidence suggests that central pressure is also more

strongly related to future cardiovascular events4 7 than brachial

pressure, and responds differently to certain drugs.8,9 Appreciating

this provides an ideal framework for understanding the much publicized

inferiority of atenolol and some other beta-blockers,10 compared

with other drug classes, in the management of essential

hypertension. Although central pressure can now be assessed noninvasively

with the same ease as brachial pressure, clinicians are unlikely

to discard the brachial cuff sphygmomanometer without

robust evidence that cardiovascular risk stratification, and monitoring

response to therapy, are better when based on central rather

than peripheral pressure. Central pressure assessment and accuracy

will also have to be standardized, as it has been for brachial pressure

assessment with oscillometric devices. This review will discuss our

current understanding about central pressure and the evidence

required to bring blood pressure measurement, and cardiovascular

risk assessment into the modern era.

Physiological concepts

Arterial pressure varies continuously over the cardiac cycle, but in

clinical practice only systolic and diastolic pressures are routinely

reported. These are invariably measured in the brachial artery

using cuff sphygmomanometrya practice that has changed little

over the last century. However, the shape of the pressure waveform

* Corresponding author. Tel: +44 1223 336806, Fax: +44 1223 216893, Email: cmm41@cam.ac.uk

Published on behalf of the European Society of Cardiology. All rights reserved. &The Author 2014. For permissions please email: journals.permissions@oup.com

European Heart Journal (2014) 35, 17191725 doi:10.1093/eurheartj/eht565

 

Pressure measured with a cuff and sphygmomanometer in the brachial artery is accepted as an important predictor of future cardiovascular risk.However, systolic pressure varies throughout the arterial tree, such that aortic (central) systolic pressure is actually lower than corresponding brachial values, although this difference is highly variable between individuals. Emerging evidence now suggests that central pressure is better related to future cardiovascular events than is brachial pressure. Moreover, anti-hypertensive drugs can exert differential effects on brachial and central pressure. Therefore, basing treatment decisions on central, rather than brachial pressure, is likely to have important implications for the future diagnosis and management of hypertension. Such a paradigm shift will, however, require further, direct evidence that selectively targeting central pressure, brings added benefit, over and above that already provided by brachial artery pressure.As discussed earlier, a full synthesis of the available evidence concerning

central pressure and the risk of future cardiovascular events is now required. However, it will also be necessary to determine the clinical relevance of differences between brachial and central pressure

for the individual patient, especially given the relatively high correlation between the two. Emerging data support the prognostic superiority of both 24-h ambulatory blood pressure monitoring

(ABPM)79 81 andhomemonitoring81 in comparison with office measurements. Interestingly, a recent study82 demonstrated that 24-h ambulatory cuff pressures were comparable with office central pressure

measurements in the prediction of risk, although the significance of this study awaits confirmation.83 As yet, there are no data comparing the predictive value ofhomemonitoring vs. central pressure in the

prediction of risk. Ultimately, it will be necessary to evaluate the prognostic value of 24-h ambulatory central pressure.With the recent development of ambulatory central pressure systems,84,85 this is now

possible and it may be reasonable to hypothesize that 24-h central, rather than brachial ABPM would be superior in terms of risk prediction.