WordNet

an individual or group or structure or other entity regarded as a structural or functional constituent of a whole; "the reduced the number of units and installations"; "the word is a basic linguistic unit"
a single undivided natural thing occurring in the composition of something else; "units of nucleic acids" (同)building_block
an organization regarded as part of a larger social group; "the coach said the offensive unit did a good job"; "after the battle the soldier had trouble rejoining his unit" (同)social unit
a single undivided whole; "an idea is not a unit that can be moved from one brain to another"
feel concern or interest; "I really care about my work"; "I dont care"
the work of providing treatment for or attending to someone or something; "no medical care was required"; "the old car needs constant attention" (同)attention, aid, tending
attention and management implying responsibility for safety; "he is in the care of a bodyguard" (同)charge, tutelage, guardianship
activity involved in maintaining something in good working order; "he wrote the manual on car care" (同)maintenance, upkeep
a cause for feeling concern; "his major care was the illness of his wife"
provide care for; "The nurse was caring for the wounded" (同)give care
a motor vehicle with four wheels; usually propelled by an internal combustion engine; "he needs a car to get to work" (同)auto, automobile, machine, motorcar
where passengers ride up and down; "the car was on the top floor" (同)elevator car
the compartment that is suspended from an airship and that carries personnel and the cargo and the power plant (同)gondola
a wheeled vehicle adapted to the rails of railroad; "three cars had jumped the rails" (同)railcar, railway car, railroad car
(botany) the trumpet-shaped or cup-shaped outgrowth of the corolla of a daffodil or narcissus flower
one or more circles of light seen around a luminous object
a long cigar with blunt ends
(anatomy) any structure that resembles a crown in shape
surrounding like a crown (especially of the blood vessels surrounding the heart); "coronary arteries"

PrepTutorEJDIC

《集合的に》『構成単位』;(学習の)『単元』;(全体を構成する)部門,部隊 / (特定用途の)設備[一式],器具[一そろい] / (測定基準としての)『単位』;(…の)単位《+of+名》,(…する)単位《+for doing》 / 正の最小整数(1)
〈U〉『心配』,気がかり,悩み / 〈C〉《しばしば複数形で》心配事,苦労の種 / 〈U〉『細心の注意』,十二分の用心 / 〈U〉(…の)『世話』,監督,保護《+『for(of)+名』》 / 〈C〉関心事,気を配るべきこと / 『気にする』,心配する,関心がある / …『したいと思う』,欲する,好む
『自動車』(automobile)電車(streetcar) / 《米》(鉄道の)『車両』;客車,貨車 / (気球などの)かご;(エレベーターの)箱
コロナ(皆既日食のときに見える光冠) / (太陽・月などの)かさ
冠状動脈の / 心臓の / 冠状動脈血栓(けっせん)症(coronary thrombosis)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2015/02/20 23:02:29」(JST)

wiki en

Door leading to a CCU in Thailand.

A coronary care unit (CCU) or cardiac intensive care unit (CICU) is a hospital ward specialized in the care of patients with heart attacks, unstable angina, cardiac dysrhythmia and (in practice) various other cardiac conditions that require continuous monitoring and treatment.

Characteristics

The main feature of coronary care is the availability of telemetry or the continuous monitoring of the cardiac rhythm by electrocardiography. This allows early intervention with medication, cardioversion or defibrillation, improving the prognosis. As arrhythmias are relatively common in this group, patients with myocardial infarction or unstable angina are routinely admitted to the coronary care unit. For other indications, such as atrial fibrillation, a specific indication is generally necessary, while for others, such as heart block, coronary care unit admission is standard.

Local differences

In the United States, coronary care units are usually subsets of intensive care units (ICU) dedicated to the care of critically ill cardiac patients. These units are usually present in hospitals that routinely engage in cardiothoracic surgery. Invasive monitoring such as with pulmonary artery catheters is common, as are supportive modalities such as mechanical ventilation and intra-aortic balloon pumps (IABP).

Certain hospitals, such as Johns Hopkins [1], maintain mixed units consisting of both Acute care units for the critically ill, and intermediate care units for patients who are not critical.

Acute coronary care

Acute coronary care units (ACCU), also called "critical coronary care units" (CCCU) is equivalent to intensive care in the level of service provided. Patients with acute myocardial infarction, cardiogenic shock, or post-operative "open-heart" patients commonly abide here.

Subacute coronary care

Subacute coronary care units (SCCU), also called Progressive care units (PCU), Intermediate coronary care units (ICCU), or stepdown units, and provide a level of care intermediate to that of the intensive care unit and that of the general medical floor. These units typically serve patients who require cardiac telemetry such as those with unstable angina.

History

Coronary care units developed in the 1960s when it became clear that close monitoring by specially trained staff, cardiopulmonary resuscitation and medical measures could reduce the mortality from complications of cardiovascular disease. The first description of a CCU was given in 1961 to the British Thoracic Society by Dr. Desmond Julian, who founded the first CCU at the Royal Infirmary of Edinburgh in 1964.^[1] Early CCUs were also located in Sydney, Kansas City, Toronto and Philadelphia. The first coronary care unit in the US was opened at Bethany Medical Center in Kansas City, Kansas by Dr Hughes Day, and he coined the term.^[2]^[3] Bethany Medical Center is also where the first "crash carts" were developed.^[4] Studies published in 1967 revealed that those observed in a coronary care setting had consistently better outcomes.^[5]

DF Beck performed the first successful resuscitation of a physician with myocardial infarction in 1953, and pioneered the use of open-chest defibrillation. Dr. Zoll introduced external defibrillation in Boston in 1956, and Dr. Kouwenhoven and colleagues at Johns Hopkins highlighted the effectiveness of a combo of mouth-to-mouth, sternal compression, and closed chest defibrillation in restoring cardiac function in ventricular fibrillation patients. The first diagnostic angiogram was discovered by Dr. Mason Sones in 1958, due to an accidental injection of dye directly into the coronary artery rather than into the entire circulation - something that was previously believed to be fatal.

These developments led to an interest in intensive care for myocardial infarction. In 1967, Thomas Killip and John Kimball published a report of 250 patients with acute MI’s, who had experienced significantly better survival rates in CCUs compared to other institutions. This, along with other reports, led to an increase in coronary care units. Now catheterization units are commonplace in large cities.

References

^ "World's first coronary care unit". BHF. Retrieved 8 November 2014.
^ Day HW (April 1962). "A cardiac resuscitation program". J Lancet 82: 153–6. PMID 13884060.
^ Julian DG (September 2001). "The evolution of the coronary care unit". Cardiovasc. Res. 51 (4): 621–4. doi:10.1016/S0008-6363(01)00365-0. PMID 11530092.
^ Unplugged: Reclaiming Our Right to Die in America, William H. Colby
^ Mehta NJ, Khan IA (2002). "Cardiology's 10 greatest discoveries of the 20th century". Tex Heart Inst J 29 (3): 164–71. PMC 124754. PMID 12224718.

UpToDate Contents

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1. 急性冠症候群のリスクが低～中等度の胸痛患者の評価 evaluation of patients with chest pain at low or intermediate risk for acute coronary syndrome
2. 麻酔後ケア病棟における合併症発生の概要 overview of complications occurring in the post anesthesia care unit
3. ST上昇型心筋梗塞の急性期マネージメントの概要 overview of the acute management of st elevation myocardial infarction
4. 成人における赤血球輸血の適応とヘモグロビン閾値 indications and hemoglobin thresholds for red blood cell transfusion in the adult
5. 集中治療後症候群（PICS） post intensive care syndrome pics

English Journal

Typical angina without significant coronary stenosis: comparison of clinical profile, circadian presentation, and long-term follow-up between patients with and patients without vasospastic angina.

Figueras J, Domingo E, Ferreira I, Lidón RM, Bellera N, Garcia-Dorado D.SourceCoronary Care Unit, Cardiology Service, Hospital General Universitari Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain.
Coronary artery disease.Coron Artery Dis.2013 Aug;24(5):374-80. doi: 10.1097/MCA.0b013e328362230e.
OBJECTIVES: The spectrum of patients with 'angina and normal coronary arteries' ranges from severe vasospasm to atypical chest pain. Among those with typical angina, however, little is known about similarities in the clinical profile and circadian presentation between typical nonvasospastic angina a
PMID 23744618

Early mineralocorticoid receptor blockade in primary percutaneous coronary intervention for ST-elevation myocardial infarction is associated with a reduction of life-threatening ventricular arrhythmia.

Beygui F, Labbé JP, Cayla G, Ennezat PV, Motreff P, Roubille F, Silvain J, Barthélémy O, Delarche N, Van Belle E, Collet JP, Montalescot G.SourceCardiology Department, Pitié-Salpêtrière University Hospital (APHP), 75013 Paris, France; INSERM U937, France.
International journal of cardiology.Int J Cardiol.2013 Jul 15;167(1):73-9. doi: 10.1016/j.ijcard.2011.11.076. Epub 2011 Dec 24.
BACKGROUND: Aldosterone levels are high early after admission for ST elevation myocardial infarction (STEMI) concomitantly with high risk of sudden death and life-threatening ventricular arrhythmia.METHODS: We assessed the hypothesis that early aldosterone blockade on admission for primary percutane
PMID 22200184

Reversible stenosis of the saphenous vein graft compressed by giant coronary aneurysm in kawasaki disease.

Hosokawa Y, Yamamoto T, Kato K, Hayashi H, Ogawa S, Tanaka K, Mizuno K.SourceIntensive and Cardiac Care Unit, Nippon Medical School, Tokyo, Japan.
Journal of the American College of Cardiology.J Am Coll Cardiol.2013 Jul 9;62(2):e3. doi: 10.1016/j.jacc.2013.01.097. Epub 2013 May 6.
PMID 23660427

Japanese Journal

The Practice of Emergency Medicine in Fukuoka City Hospital, A Secondary Emergency Facility in Japan

Okuyama Toshiro,Hirakawa Katsuyuki,Kishikawa Masanobu,Uchiyama Hideaki,Kawanaka Hirofumi,Korenaga Daisuke,Takenaka Kenji,奥山稔朗,平川勝之,岸川政信,内山秀昭,川中博文,是永大輔,竹中賢治,オクヤマトシロウ,ヒラカワカツユキ,キシカワマサノブ,ウチヤマヒデアキ,カワナカヒロフミ,コレナガダイスケ,タケナカケンジ
福岡医学雑誌 103(12), 241-247, 2012-12-25
… Results : Departments of neurology, neurosurgery, emergency, and cardiology were opened sequentially, starting in 2003, with an establishment of facilities of an emergency room (ER), intensive care unit (ICU), stroke care unit (SCU), and coronary care unit (CCU). …
NAID 120005183060

学術委員会報告 Mortality and Revascularization of the Elderly with Angina Pectoris Hospitalized in Coronary Care Unit : Tokyo CCU Network Cohort in 2007~2008 (報告集第31回東京CCU研究会)

Oikawa Keiko,Nakamura Masato,Fujimoto Hajime [他]
ICUとCCU : 集中治療医学 36(10), 903-905, 2012-10-00
NAID 40019526233

ロボット支援下冠動脈バイパス術の実践

山口聖次郎,山本宜孝,牛島輝明,渡邊剛
日本冠疾患学会雑誌 = Journal of the Japanese Coronary
【目的】当施設において施行した，ロボット支援下手術の経験に関して報告する．【方法】2006年7月～2009年9月までに16例(男性13例：女性3例)に施行した．平均年齢58±11歳．平均冠動脈病変枝数2.1±0.8枝であった．手術手技は内胸動脈剥離，症例によっては，コンポジットグラフト作成までをロボットで行い，小切開バイパス手術を行った症例12例，ロボット支援完全内視鏡下バイパス術2 …
NAID 10030949869

Related Pictures

★リンクテーブル★

リンク元	「冠疾患集中治療室」「冠疾患集中治療部」
関連記事	「unit」「care」「caring」「coronary」「un」

「冠疾患集中治療室」

　　[★]

英: coronary care unit, CCU
同: 心臓集中治療室

「冠疾患集中治療部」

　　[★]

英: coronary care unit, CCU

「unit」

　　[★]

n.

単位、ユニット
(アルコールの量)

アルコールの量 unit

1unitの量が国によって違う。純エタノール換算で、1英unitは8g=10ml（英糖尿病協会採用の数値）、1米unitは15g（20ml弱：1drinkとも）で、日本では10～14g程度（代謝熱量80Kcalが基準：食品成分表5訂版,2002）や20ないし23g（日本酒1合分）を1unitとしている。日本の医学界では1unit=20g（体積に換算すると25ml）を採用することが多いので、ここでもそれに従う。この基準（1unit=20g=25ml）で計算すると、40度のウィスキー1ショット（＝1オンス：英液量オンスで28.41ml、米液量オンスで29.57ml、日本の1ショットで30ml）が約0.5unitとなる。5度のビールなら500mlでだいたい1unit（この、日本酒1合≒ウィスキーダブル≒ビール500cc≒1unitという関係は、覚えておくと便利かもしれない：ワインなどは日本酒に準じるので、1本750mlがだいたい4unit強である）。 (参考1.より引用)