英: coronary artery atherosclerosis

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1. 安定した虚血性心疾患：ケアの概要stable ischemic heart disease overview of care [show details]
…stable ischemic heart disease. The care of patients with unstable ischemic heart disease is discussed elsewhere. Ischemic heart disease, also referred to as coronary heart disease, is characterized …
2. 冠動脈疾患の疫学epidemiology of coronary heart disease [show details]
…artery disease are discussed elsewhere. The terms incidence, prevalence, coronary heart disease, coronary artery disease, and cardiovascular disease, as used in this topic, are defined as follows: Prevalence …
3. 冠動脈疾患および脳卒中の一次予防の概要overview of primary prevention of coronary heart disease and stroke [show details]
…United States and most developed countries, cardiovascular disease (CVD), which includes coronary heart disease (CHD), stroke, and peripheral artery disease, is and will remain the leading cause of death …
4. 安定冠動脈疾患患者ににおける血行再建術：冠動脈バイパス移植術と経皮的冠動脈形成術の比較revascularization in patients with stable coronary artery disease coronary artery bypass graft surgery versus percutaneous coronary intervention [show details]
…left anterior descending (LAD) coronary artery is greater than that for the right or circumflex coronary artery. Our approach to patients with LAD coronary artery disease is discussed separately. In general …
5. 安定した虚血性心疾患：血行再建術の適応stable ischemic heart disease indications for revascularization [show details]
…with stable ischemic heart disease are discussed separately. We recommend coronary artery bypass graft surgery (CABG), as opposed to medical therapy, for patients with ischemic heart disease in whom a …

★リンクテーブル★

リンク元	「coronary artery atherosclerosis」
関連記事	「冠状動脈」「粥状硬化症」「硬化」「硬化症」「症」

「coronary artery atherosclerosis」

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冠状動脈粥状硬化症

「冠状動脈」

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英: coronary artery (M)
ラ: arteria coronaria
同: 冠動脈
関: 心臓

図：N.212

枝の命名法：http://www.m-junkanki.com/case_study/lecture7/CAGnameRCA.html。http://www.sakai-iin.com/image/CAG.pdf

右冠状動脈

1 proximal
2 middle
3 distal
4

4AV AV node artery 房室結節枝
4PD PD descending artery 後下行枝

左冠状動脈

5 left main trunk LMT 左主幹部
6 proximal 前下行枝の第一中隔枝(first major septal branch)まで
7 middle septal branch
8 dista
9 first diagonal branch D1 第1対角枝
10 second diagonal branch D2 第2対角枝
11 proximal 回旋枝から鈍縁枝まで
12 obtuse maginal branch OM 鈍縁枝
13 distal 鈍縁枝以遠で後房室間溝を走行するもの
14 posterolateral PL 側壁枝
15 posterior descending artery PD

枝

右冠状動脈

洞房結節枝
右縁枝
後下行枝 = 後室間枝
房室結節枝

左冠状動脈

左前下行枝

対角枝

回旋枝

左縁枝

冠動脈の血流 (SPC.227)

冠動脈血からの酸素除去能は高い→酸素需要を上げるためには冠動脈血流量を増やすことによって達成可能
冠動脈血流量∝拡張期大動脈圧&拡張期の時間
冠動脈血流量∝(冠血管抵抗)^-1

PHD.102

Localization of Myocardial Infarction
Anatomic Site	Lead with Abnormal ECG Complexes	Coronary Artery Most Often Responsible
inferior	II, III, aVF	RCA
anteroseptal	V1-V2	LAD
anteroapical	V3-V4	LAD(distal)
anterolateral	V5-V6, I, aVL	CFX
posterior	V1-V2(tall R wave, not Q wave)	RCA

PHD.191

Blood Supply of the Conduction System
Conduction Pathway		Primary Arterial Supply
SA node		RCA (70%)
AV node		RCA (85%)
Bundle of His		LAD
RBB	Proximal portion	LAD
	Distal portion	RCA
LBB	Left anterior fascicle	LAD
	Left posterior fascicle	LAD
		PDA