The Experts below are selected from a list of 12 Experts worldwide ranked by ideXlab platform
Suixin Liang - One of the best experts on this subject based on the ideXlab platform.
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Role of systolic blood pressure gradient of limb test in diagnosing neonatal Aorta Anomaly
Chinese Journal of Applied Clinical Pediatrics, 2017Co-Authors: Yi-fei Wang, Shaoru He, Suixin LiangAbstract:Objective To determine the effectiveness of systolic blood pressure gradient between the right arm and the right leg(SBPG) tests in the diagnosis of neonatal Aorta Anomaly(AoA). Methods The SBPG of infants suspected of having critical congenital heart diseases were collected prospectively, who were admitted to Guangdong General Hospital from January 2013 to December 2015.The results of SBPG test were compared with those of echocardiography or cardiac computed tomography (golden standard). The rates of true positive, true negative, false positive, false negative were calculated under cutoff values of 5 mmHg(1 mmHg=0.133 kPa), 10 mmHg, 15 mmHg and 20 mmHg, respectively.Receiver operating characteristic (ROC) curves was used to compare tests of different cutoff and the areas under the ROC curve were also calculated. Results Among 664 enrolled infants, 67 cases were confirmed by golden standard test.The systolic blood pressure in the right arm, the legs and SBPG in AoA group and non-AoA group were (88.0±20.4) mmHg vs.(73.4±9.3) mmHg (P 0.05) and (22.6±17.8) mmHg vs.(2.3±4.8) mmHg(P
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role of systolic blood pressure gradient of limb test in diagnosing neonatal Aorta Anomaly
Chinese Journal of Applied Clinical Pediatrics, 2017Co-Authors: Yi-fei Wang, Shaoru He, Suixin LiangAbstract:Objective To determine the effectiveness of systolic blood pressure gradient between the right arm and the right leg(SBPG) tests in the diagnosis of neonatal Aorta Anomaly(AoA). Methods The SBPG of infants suspected of having critical congenital heart diseases were collected prospectively, who were admitted to Guangdong General Hospital from January 2013 to December 2015.The results of SBPG test were compared with those of echocardiography or cardiac computed tomography (golden standard). The rates of true positive, true negative, false positive, false negative were calculated under cutoff values of 5 mmHg(1 mmHg=0.133 kPa), 10 mmHg, 15 mmHg and 20 mmHg, respectively.Receiver operating characteristic (ROC) curves was used to compare tests of different cutoff and the areas under the ROC curve were also calculated. Results Among 664 enrolled infants, 67 cases were confirmed by golden standard test.The systolic blood pressure in the right arm, the legs and SBPG in AoA group and non-AoA group were (88.0±20.4) mmHg vs.(73.4±9.3) mmHg (P 0.05) and (22.6±17.8) mmHg vs.(2.3±4.8) mmHg(P<0.01), respectively.In these patients, 31 cases(46.3%), 31 cases(46.3%), 27 cases(40.3%) and 21 cases(31.3%) were diagnosed of AoA, and 36 cases(53.7%), 36 cases(53.7%), 40 cases(59.7%), and 46 cases(68.7%) were missed by SBPG tests of 5 mmHg, 10 mmHg, 15 mmHg and 20 mmHg, respectively (P<0.01). The rates of true negative among those groups were 94.1%, 99.5%, 99.7% and 100.0%, and the areas under ROC curve were 0.656, 0.722, 0.695 and 0.657, respectively (P<0.01). Conclusions Almost half of AoA infants could be screened out by SBPG test.The cutoff of 10 mmHg could probably be used to screen potential AoA infants, with higher true positive rate and lower false positive rate. Key words: Blood pressure; Coarctation of the Aorta; Interrupted aortic arch; Aorta anormaly; Diagnosis; Congenital heart disease
Yi-fei Wang - One of the best experts on this subject based on the ideXlab platform.
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Role of systolic blood pressure gradient of limb test in diagnosing neonatal Aorta Anomaly
Chinese Journal of Applied Clinical Pediatrics, 2017Co-Authors: Yi-fei Wang, Shaoru He, Suixin LiangAbstract:Objective To determine the effectiveness of systolic blood pressure gradient between the right arm and the right leg(SBPG) tests in the diagnosis of neonatal Aorta Anomaly(AoA). Methods The SBPG of infants suspected of having critical congenital heart diseases were collected prospectively, who were admitted to Guangdong General Hospital from January 2013 to December 2015.The results of SBPG test were compared with those of echocardiography or cardiac computed tomography (golden standard). The rates of true positive, true negative, false positive, false negative were calculated under cutoff values of 5 mmHg(1 mmHg=0.133 kPa), 10 mmHg, 15 mmHg and 20 mmHg, respectively.Receiver operating characteristic (ROC) curves was used to compare tests of different cutoff and the areas under the ROC curve were also calculated. Results Among 664 enrolled infants, 67 cases were confirmed by golden standard test.The systolic blood pressure in the right arm, the legs and SBPG in AoA group and non-AoA group were (88.0±20.4) mmHg vs.(73.4±9.3) mmHg (P 0.05) and (22.6±17.8) mmHg vs.(2.3±4.8) mmHg(P
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role of systolic blood pressure gradient of limb test in diagnosing neonatal Aorta Anomaly
Chinese Journal of Applied Clinical Pediatrics, 2017Co-Authors: Yi-fei Wang, Shaoru He, Suixin LiangAbstract:Objective To determine the effectiveness of systolic blood pressure gradient between the right arm and the right leg(SBPG) tests in the diagnosis of neonatal Aorta Anomaly(AoA). Methods The SBPG of infants suspected of having critical congenital heart diseases were collected prospectively, who were admitted to Guangdong General Hospital from January 2013 to December 2015.The results of SBPG test were compared with those of echocardiography or cardiac computed tomography (golden standard). The rates of true positive, true negative, false positive, false negative were calculated under cutoff values of 5 mmHg(1 mmHg=0.133 kPa), 10 mmHg, 15 mmHg and 20 mmHg, respectively.Receiver operating characteristic (ROC) curves was used to compare tests of different cutoff and the areas under the ROC curve were also calculated. Results Among 664 enrolled infants, 67 cases were confirmed by golden standard test.The systolic blood pressure in the right arm, the legs and SBPG in AoA group and non-AoA group were (88.0±20.4) mmHg vs.(73.4±9.3) mmHg (P 0.05) and (22.6±17.8) mmHg vs.(2.3±4.8) mmHg(P<0.01), respectively.In these patients, 31 cases(46.3%), 31 cases(46.3%), 27 cases(40.3%) and 21 cases(31.3%) were diagnosed of AoA, and 36 cases(53.7%), 36 cases(53.7%), 40 cases(59.7%), and 46 cases(68.7%) were missed by SBPG tests of 5 mmHg, 10 mmHg, 15 mmHg and 20 mmHg, respectively (P<0.01). The rates of true negative among those groups were 94.1%, 99.5%, 99.7% and 100.0%, and the areas under ROC curve were 0.656, 0.722, 0.695 and 0.657, respectively (P<0.01). Conclusions Almost half of AoA infants could be screened out by SBPG test.The cutoff of 10 mmHg could probably be used to screen potential AoA infants, with higher true positive rate and lower false positive rate. Key words: Blood pressure; Coarctation of the Aorta; Interrupted aortic arch; Aorta anormaly; Diagnosis; Congenital heart disease
Shaoru He - One of the best experts on this subject based on the ideXlab platform.
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Role of systolic blood pressure gradient of limb test in diagnosing neonatal Aorta Anomaly
Chinese Journal of Applied Clinical Pediatrics, 2017Co-Authors: Yi-fei Wang, Shaoru He, Suixin LiangAbstract:Objective To determine the effectiveness of systolic blood pressure gradient between the right arm and the right leg(SBPG) tests in the diagnosis of neonatal Aorta Anomaly(AoA). Methods The SBPG of infants suspected of having critical congenital heart diseases were collected prospectively, who were admitted to Guangdong General Hospital from January 2013 to December 2015.The results of SBPG test were compared with those of echocardiography or cardiac computed tomography (golden standard). The rates of true positive, true negative, false positive, false negative were calculated under cutoff values of 5 mmHg(1 mmHg=0.133 kPa), 10 mmHg, 15 mmHg and 20 mmHg, respectively.Receiver operating characteristic (ROC) curves was used to compare tests of different cutoff and the areas under the ROC curve were also calculated. Results Among 664 enrolled infants, 67 cases were confirmed by golden standard test.The systolic blood pressure in the right arm, the legs and SBPG in AoA group and non-AoA group were (88.0±20.4) mmHg vs.(73.4±9.3) mmHg (P 0.05) and (22.6±17.8) mmHg vs.(2.3±4.8) mmHg(P
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role of systolic blood pressure gradient of limb test in diagnosing neonatal Aorta Anomaly
Chinese Journal of Applied Clinical Pediatrics, 2017Co-Authors: Yi-fei Wang, Shaoru He, Suixin LiangAbstract:Objective To determine the effectiveness of systolic blood pressure gradient between the right arm and the right leg(SBPG) tests in the diagnosis of neonatal Aorta Anomaly(AoA). Methods The SBPG of infants suspected of having critical congenital heart diseases were collected prospectively, who were admitted to Guangdong General Hospital from January 2013 to December 2015.The results of SBPG test were compared with those of echocardiography or cardiac computed tomography (golden standard). The rates of true positive, true negative, false positive, false negative were calculated under cutoff values of 5 mmHg(1 mmHg=0.133 kPa), 10 mmHg, 15 mmHg and 20 mmHg, respectively.Receiver operating characteristic (ROC) curves was used to compare tests of different cutoff and the areas under the ROC curve were also calculated. Results Among 664 enrolled infants, 67 cases were confirmed by golden standard test.The systolic blood pressure in the right arm, the legs and SBPG in AoA group and non-AoA group were (88.0±20.4) mmHg vs.(73.4±9.3) mmHg (P 0.05) and (22.6±17.8) mmHg vs.(2.3±4.8) mmHg(P<0.01), respectively.In these patients, 31 cases(46.3%), 31 cases(46.3%), 27 cases(40.3%) and 21 cases(31.3%) were diagnosed of AoA, and 36 cases(53.7%), 36 cases(53.7%), 40 cases(59.7%), and 46 cases(68.7%) were missed by SBPG tests of 5 mmHg, 10 mmHg, 15 mmHg and 20 mmHg, respectively (P<0.01). The rates of true negative among those groups were 94.1%, 99.5%, 99.7% and 100.0%, and the areas under ROC curve were 0.656, 0.722, 0.695 and 0.657, respectively (P<0.01). Conclusions Almost half of AoA infants could be screened out by SBPG test.The cutoff of 10 mmHg could probably be used to screen potential AoA infants, with higher true positive rate and lower false positive rate. Key words: Blood pressure; Coarctation of the Aorta; Interrupted aortic arch; Aorta anormaly; Diagnosis; Congenital heart disease
Shreya Sharma - One of the best experts on this subject based on the ideXlab platform.
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BILATERAL ABNORMALITIES IN THE COURSE OF RENAL VEINS AND SUPERNUMERARY LEFT RENAL ARTERY: A CASE REPORT -
International journal of current research and review, 2020Co-Authors: Preksha Sharma, Sangita Chauhan, Seema Gupta, Shreya SharmaAbstract:Introduction: A precise knowledge of variations in origin and course of both renal and gonadal vessels is of utmost importance during diagnostic and operative abdominal surgical procedures. Methods: A variation was found in the gonadal vein and renal artery during routine dissection of a formaline fixed adult male cadaver in the department of Anatomy, SMS Medical college, Jaipur, Rajasthan. Results: Following variations were found during the routine dissection – • Double gonadal veins were found on both the sides. • Three renal arteries were found on the left side arising from the abdominal Aorta. Anomaly in other system was not obvious. Conclusions: In the present case supernumerary renal arteries were found on the left side which took origin from the lateral aspect of abdominal Aorta and double gonadal vessels were found on both the sides. The pair of gonadal veins on the left side drained into lateral aspect of inferior vena cava whereas on the right side the pair of gonadal veins drained into Inferior Vena Cava, one on the anterior aspect and the other on its posterior aspect.Very less incidences of anomalous renal arteries and gonadal vessels have been reported so far. Anomalous renal artery has clinical implication in nephrotomy procedure and renal transplants whereas variation in gonadal vessels has shown its importance in the treatment of syndrome of pelviureteral junction.
Preksha Sharma - One of the best experts on this subject based on the ideXlab platform.
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BILATERAL ABNORMALITIES IN THE COURSE OF RENAL VEINS AND SUPERNUMERARY LEFT RENAL ARTERY: A CASE REPORT -
International journal of current research and review, 2020Co-Authors: Preksha Sharma, Sangita Chauhan, Seema Gupta, Shreya SharmaAbstract:Introduction: A precise knowledge of variations in origin and course of both renal and gonadal vessels is of utmost importance during diagnostic and operative abdominal surgical procedures. Methods: A variation was found in the gonadal vein and renal artery during routine dissection of a formaline fixed adult male cadaver in the department of Anatomy, SMS Medical college, Jaipur, Rajasthan. Results: Following variations were found during the routine dissection – • Double gonadal veins were found on both the sides. • Three renal arteries were found on the left side arising from the abdominal Aorta. Anomaly in other system was not obvious. Conclusions: In the present case supernumerary renal arteries were found on the left side which took origin from the lateral aspect of abdominal Aorta and double gonadal vessels were found on both the sides. The pair of gonadal veins on the left side drained into lateral aspect of inferior vena cava whereas on the right side the pair of gonadal veins drained into Inferior Vena Cava, one on the anterior aspect and the other on its posterior aspect.Very less incidences of anomalous renal arteries and gonadal vessels have been reported so far. Anomalous renal artery has clinical implication in nephrotomy procedure and renal transplants whereas variation in gonadal vessels has shown its importance in the treatment of syndrome of pelviureteral junction.
