肺動脈圧 PAP
WordNet
- the force applied to a unit area of surface; measured in pascals (SI unit) or in dynes (cgs unit); "the compressed gas exerts an increased pressure" (同)pressure level, force per unit area
- an oppressive condition of physical or mental or social or economic distress
- the somatic sensation that results from applying force to an area of skin; "the sensitivity of his skin to pressure and temperature was normal" (同)pressure_sensation
- a force that compels; "the public brought pressure to bear on the government"
- a major thoroughfare that bears important traffic
- a blood vessel that carries blood from the heart to the body (同)arteria, arterial blood vessel
PrepTutorEJDIC
- 〈U〉『押すこと』,『押しつけること』,圧搾,圧縮;〈C〉〈U〉『圧力』,圧力の強さ / 〈U〉『圧迫』,『強制』 / 〈U〉(不快な)圧迫感 / 〈C〉〈U〉(精神的な)重荷,苦脳;(時間・金銭的)切迫 / 〈U〉多忙,あわただしさ / 《おもに米》…‘に'圧力をかける,強制する(《英》pressurise)
- 動脈 / (道路・水路・鉄道などの)勘線,(通信の)主チャンネル
- 肺の;肺を冒す
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2012/09/03 09:26:48」(JST)
[Wiki en表示]
Pulmonary artery pressure (PA pressure) is a measure of the blood pressure found in the pulmonary artery. Mean pulmonary arterial pressure is normally 9 - 18 mmHg.[1]
| Site |
Normal
pressure range
(in mmHg)[2] |
| Central venous pressure |
3–8 |
| Right ventricular pressure |
systolic |
15–30 |
| diastolic |
3–8 |
| Pulmonary artery pressure |
systolic |
15–30 |
| diastolic |
4–12 |
Pulmonary vein/
Pulmonary capillary wedge pressure
|
2–15 |
| Left ventricular pressure |
systolic |
100–140 |
| diastolic |
3-12 |
It is usually higher than the pulmonary wedge pressure.
It can be elevated in sickle cell disease.[3]
It can be used to measure pulmonary artery hypertension.[4]
References
- ^ Edwards Lifesciences LLC > Normal Hemodynamic Parameters – Adult 2009
- ^ Table 30-1 in: Trudie A Goers; Washington University School of Medicine Department of Surgery; Klingensmith, Mary E; Li Ern Chen; Sean C Glasgow (2008). The Washington manual of surgery. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. ISBN 0-7817-7447-0.
- ^ Pashankar FD, Carbonella J, Bazzy-Asaad A, Friedman A (April 2008). "Prevalence and risk factors of elevated pulmonary artery pressures in children with sickle cell disease". Pediatrics 121 (4): 777–82. doi:10.1542/peds.2007-0730. PMID 18381543. http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=18381543.
- ^ Arat N, Altay H, Korkmaz S, Ilkay E (June 2008). "The effect of baseline pulmonary artery pressure on right ventricular functions after mitral balloon valvuloplasty for rheumatic mitral stenosis: a tissue Doppler imaging study". Turk Kardiyol Dern Ars 36 (4): 223–30. PMID 18765965. http://www.tkd.org.tr/journal/linkout.asp?PMID=18765965.
|
Cardiovascular system, physiology: cardiovascular physiology
|
|
| Heart |
|
Volumes
|
Stroke volume = End-diastolic volume – End-systolic volume
Cardiac output = Heart rate × Stroke volume
Afterload · Preload
Frank–Starling law of the heart · Cardiac function curve · Venous return curve
Aortic valve area calculation · Ejection fraction · Cardiac index
|
|
|
Dimensions
|
Fractional shortening = (End-diastolic dimension – End-systolic dimension) / End-diastolic dimension
|
|
|
Interaction diagrams
|
Cardiac cycle · Wiggers diagram · Pressure volume diagram
|
|
|
Tropism
|
Chronotropic (Heart rate) · Dromotropic (Conduction velocity) · Inotropic (Contractility) · Bathmotropic (Excitability) · Lusitropic (Relaxation)
|
|
|
Conduction system /
Cardiac electrophysiology
|
Cardiac action potential (Atrial action potential, Ventricular action potential) · Effective refractory period · Pacemaker potential · EKG (P wave, PR interval, QRS complex, QT interval, ST segment, T wave, U wave) · Hexaxial reference system
|
|
|
Chamber pressure
|
Central venous pressure/right atrial pressure → Right ventricular pressure → Pulmonary artery pressure → Pulmonary wedge pressure/left atrial pressure → Left ventricular pressure → Aortic pressure
|
|
|
Other
|
Ventricular remodeling
|
|
|
Vascular system/
Hemodynamics |
|
Blood flow
|
Compliance · Vascular resistance (Total peripheral resistance) · Pulse · Perfusion
|
|
|
Blood pressure
|
Pulse pressure (Systolic - Diastolic) · Mean arterial pressure
Jugular venous pressure
Portal venous pressure
|
|
|
Regulation of BP
|
Baroreflex · Kinin–kallikrein system · Renin–angiotensin system · Vasoconstrictors/Vasodilators · Autoregulation (Myogenic mechanism, Tubuloglomerular feedback, Cerebral autoregulation) · Paraganglia (Aortic body, Carotid body, Glomus cell)
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noco/cong/tumr, sysi/epon, injr
|
proc, drug (C1A/1B/1C/1D), blte
|
|
|
|
anat(a:h/u/t/a/l,v:h/u/t/a/l)/phys/devp/cell/prot
|
noco/syva/cong/lyvd/tumr, sysi/epon, injr
|
proc, drug(C2s+n/3/4/5/7/8/9)
|
|
|
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UpToDate Contents
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English Journal
- A general model for continuous noninvasive pulmonary artery pressure estimation.
- Smith R, Ventura D.SourceDepartment of Computer Science, Brigham Young University, Provo, UT 84602, USA. Electronic address: 2robsmith@gmail.com.
- Computers in biology and medicine.Comput Biol Med.2013 Aug 1;43(7):904-13. doi: 10.1016/j.compbiomed.2013.04.010. Epub 2013 Apr 22.
- Elevated pulmonary artery pressure (PAP) is a significant healthcare risk. Continuous monitoring for patients with elevated PAP is crucial for effective treatment, yet the most accurate method is invasive and expensive, and cannot be performed repeatedly. Noninvasive methods exist but are somewhat i
- PMID 23746733
- Logistic regression model for identification of right ventricular dysfunction in patients with acute pulmonary embolism by means of computed tomography.
- Staskiewicz G, Czekajska-Chehab E, Uhlig S, Przegalinski J, Maciejewski R, Drop A.Source1st Department of Radiology, Medical University of Lublin, Lublin, Poland; Department of Human Anatomy, Medical University of Lublin, Lublin, Poland. Electronic address: grzegorz.staskiewicz@gmail.com.
- European journal of radiology.Eur J Radiol.2013 Aug;82(8):1236-9. doi: 10.1016/j.ejrad.2013.02.004. Epub 2013 Mar 6.
- PURPOSE: Diagnosis of right ventricular dysfunction in patients with acute pulmonary embolism (PE) is known to be associated with increased risk of mortality. The aim of the study was to calculate a logistic regression model for reliable identification of right ventricular dysfunction (RVD) in patie
- PMID 23473781
Japanese Journal
- Paradoxical Interventricular Septal Motion as a Major Determinant of Late Gadolinium Enhancement in Ventricular Insertion Points in Pulmonary Hypertension
- Sato Takahiro,Tsujino Ichizo,Ohira Hiroshi,Oyama-Manabe Noriko,Ito Yoichi M.,Noguchi Teruo,Yamada Asuka,Ikeda Daisuke,Watanabe Taku,Nishimura Masaharu
- Plos One 8(6), e66724, 2013-06-24
- … Background: This study investigated the major clinical determinants of late gadolinium enhancement (LGE) at ventricular insertion points (VIPs) commonly seen in patients with pulmonary hypertension (PH). … Methods: Forty-six consecutive PH patients (mean pulmonary artery pressure >= 25 mmHg at rest) and 21 matched controls were examined. … Results: Mean pulmonary arterial pressure (MPAP) of PH patients was 3869 mmHg. …
- NAID 120005322426
- CT肺動脈造影を施行した1新生児例 心臓超音波検査による推定肺動脈圧と造影効果の考察
- 阿部 優,安保 勝裕,中村 利彦
- 医療 = Japanese journal of National Medical Services : 国立医療学会誌 67(5), 199-201, 2013-05
- NAID 40019738035
- Sildenafil citrate を用いた両方向性上大静脈肺動脈吻合術後急性期の肺循環管理
- 打田 裕明,根本 慎太郎,小澤 英樹,本橋 宜和,勝間田 敬弘,岸 勘太,尾崎 智康,片山 博視,日下 裕介
- Pediatric Cardiology and Cardiac Surgery 29(6), 316-321, 2013
- <B>背景：</B>単心室に対する機能的根治である右心バイパス術の導入にあたる bidirectional cavopulmonary shunt（BCPS）の術後では，急性期に高いtranspulmonary gradien（t TPG上大静脈圧 - 心房圧）に現れる肺循環不全と著しい低酸素血症をしばしば経験する．BCPS後の肺循環管理に選択的肺血管拡張剤であるPDE5阻 …
- NAID 130003388653
Related Links
- Section 3 Anesthesia Management Part B Monitoring Chapter 30 Cardiovascular Monitoring ... FIGURE 30–34 Characteristic waveforms recorded during passage of the pulmonary artery catheter. The right atrial pressure resembles a ...
- "The effect of baseline pulmonary artery pressure on right ventricular functions after mitral balloon valvuloplasty for rheumatic mitral stenosis: a tissue Doppler imaging study". Turk Kardiyol Dern Ars 36 (4): 223–30. PMID 18765965. ...
★リンクテーブル★
[★]
- 英
- pulmonary arterial pressure pulmonary artery pressure PAP
- 関
- 肺静脈圧、肺動脈楔入圧、血圧
図：ICU.144
- スワンガンツカテーテルで測定
- 圧波形は歪んだ三角波
正常値
- (安静時)
- 収縮期圧 15-35 mmHg
- 拡張期圧 8-12 mmHg、6-12 mmHg(ICU.144)
- 17-32/4-13 mmHg (YN.C-29)
臨床関連
参考
- http://www.info.pmda.go.jp/ygo/pack/20600BZY00755000_A_01_01/figures/200225_20600BZY00755000_A_01_01_fig05.gif
[★]
[★]
- 関
- lung、pneumo
[★]
