同: congestive cardiomyopathy, うっ血型心筋症

WordNet

the 3rd letter of the Roman alphabet (同)c
(music) the keynote of the scale of C major
a general-purpose programing language closely associated with the UNIX operating system

PrepTutorEJDIC

carbonの化学記号

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/08/29 17:49:20」(JST)

International System of Units

Cubic centimetre (ccm), a SI base unit of measurement in the International System of Units (SI)

Biology and medicine

Calcium concentration microdomains, part of a cell's cytoplasm
Cardiac contractility modulation, a therapy for heart failure
Critical care medicine, a branch of medicine
Countercurrent multiplication, a mechanism that expends energy to create a concentration gradient
Continuous cardiac monitoring, monitoring of heart function
Circular ciliary muscle, a ring of smooth muscle in the eye that controls accommodation

Computing and technology

CCM mode (Counter with CBC-MAC), a mode of operation for cryptographic block ciphers
Client Configuration Manager. a component of Microsoft's System Center Configuration Manager (SCCM)
Combined Cipher Machine, a WWII-era cipher system
Community Climate Model, predecessor of the Community Climate System Model (CCSM)
Component content management, a system to manage content at a granular level
Constrained conditional model, a machine-learning framework
CORBA Component Model, a framework for the CORBA software component standard
Customer Communications Management software, a type of business software offering
Continuous Conduction Mode, an operational mode in switching power supplies
Continuous Casting Machine, a machine used for continuous casting of metals

Government

Center for Countermeasures, a United States military center
Chama Cha Mapinduzi, the ruling political party in Tanzania
Command Chief Master Sergeant, a U.S. Air Force position
Convention on Cluster Munitions, an international treaty

Music

Contemporary Christian music, a music genre
- CCM Magazine, a publication covering the Christian music genre
Contemporary commercial music, a term for non-classical music
Core Contents Media, a South Korean record label
University of Cincinnati – College-Conservatory of Music

Schools and organizations

Central Conservatory of Music, Beijing, China
China Conservatory of Music, Beijing, China
City College of Manila, Philippines
Council of Churches of Malaysia
County College of Morris, New Jersey, United States

Sport

CCM (cycle), a Canadian bicycle manufacturer
CCM (ice hockey), a Canadian sporting goods brand
Central Coast Mariners, an Australian professional association football club
Clews Competition Motorcycles, a British competition motorcycle manufacturer

Other uses

Cardinal Courier Media, an overseeing body at St. John Fisher College
CCM Airlines, a French regional airline based in Ajaccio, Corsica, France
Certified Case Manager, a professional title
Certified Consulting Meteorologist, a professional title
Chemical Company of Malaysia Berhad, a leading chemical company in Malaysia
Convergent cross mapping, a statistical test
Core Cabin Module, an element of the Chinese space station

This disambiguation page lists articles associated with the title CCM.
If an internal link led you here, you may wish to change the link to point directly to the intended article.

UpToDate Contents

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1. 心不全マネージメントに関する治験中の治療法investigational therapies for management of heart failure [show details]
…at 24 weeks with CCM compared with usual care (mean difference +0.84 mL/kg/min, 95% CI 0.12-1.55) . While the benefits of CCM are unclear and possibly affected by the placebo effect, CCM is approved by …
2. 中枢神経系の血管奇形vascular malformations of the central nervous system [show details]
…CMs . The CCM proteins encoded by these three genes interact with each other and are involved with cellular signaling pathways, including formation of a CCM complex signaling platform. Loss of CCM proteins …
3. 糖尿病患者への膵臓・腎臓移植：メリットおよび合併症pancreas kidney transplantation in diabetes mellitus benefits and complications [show details]
…Morphologic changes among transplant recipients may be seen much earlier. Using corneal confocal microscopy (CCM), which is a highly sensitive technique to examine early nerve damage in patients with diabetes, a…

English Journal

Mechanisms of carbon dioxide acquisition and CO2 sensing in marine diatoms: a gateway to carbon metabolism.

Matsuda Y1, Hopkinson BM2, Nakajima K3, Dupont CL4, Tsuji Y3.
Philosophical transactions of the Royal Society of London. Series B, Biological sciences.Philos Trans R Soc Lond B Biol Sci.2017 Sep 5;372(1728). pii: 20160403. doi: 10.1098/rstb.2016.0403.
PMID 28717013

Comparison of isolation methods of exosomes and exosomal RNA from cell culture medium and serum.

Tang YT1, Huang YY1, Zheng L1, Qin SH1, Xu XP2, An TX1, Xu Y1, Wu YS2, Hu XM1, Ping BH3, Wang Q1.
International journal of molecular medicine.Int J Mol Med.2017 Sep;40(3):834-844. doi: 10.3892/ijmm.2017.3080. Epub 2017 Jul 24.
PMID 28737826

Transcranial Doppler and Microemboli Detection: Relationships to Symptomatic Status and Histopathology Findings.

Mitchell CC1, Wilbrand SM2, Kundu B2, Steffel CN3, Varghese T4, Meshram NH4, Li G5, Cook TD5, Salamat MS6, Dempsey RJ2.
Ultrasound in medicine & biology.Ultrasound Med Biol.2017 Sep;43(9):1861-1867. doi: 10.1016/j.ultrasmedbio.2017.04.025. Epub 2017 Jun 20.
PMID 28645797

Japanese Journal

密結合インダクタ方式昇圧型PFCコンバータにおける磁束解析

電気学会論文誌Ｄ（産業応用部門誌） 136(1), 88-89, 2016
NAID 130005116585

グラビア印刷用インライン色調測定 (特集グラビア印刷の進展)

印刷雑誌 98(12), 19-23, 2015-12
NAID 40020659251

Frustration Induced Noncollinear Magnetic Order Phase in One-Dimensional Heisenberg Chain with Alternating Antiferromagnetic and Ferromagnetic Next Nearest Neighbor Interactions

Journal of the Physical Society of Japan 84(12), 2015-11-26
NAID 160000000941

Related Pictures

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★リンクテーブル★

リンク元	「拡張型心筋症」「うっ血型心筋症」「congestive cardiomyopathy」
拡張検索	「SCCMS」「CCMV」
関連記事	「C」「CC」

「拡張型心筋症」

　　[★]

英: dilated cardiomyopathy DCM
同: うっ血性心筋症 congestive cardiomyopathy CCM COCM
関: 心筋症、特発性拡張型心筋症 idiopathic dilated cardiomyopathy

概念

左心室内腔の拡張と収縮不全を来す原因不明の疾患
特発性拡張型心筋症は難病であり、特定疾患治療研究事業に指定されている。

疫学

30-40歳より徐々に発生。男性に多い(男女比=2:1) (YN.C-132)

病理

心房・心室の拡張＞＞心筋層の肥厚

DCM is caused by ventricular dilatation with only minor hypertrophy.(PHD.253)

病態

心室内腔の拡張　→　血栓形成、不整脈
心収縮力低下　→　左心不全

症状

心不全に伴う症状：呼吸困難、易疲労感

合併症

参考6

左室壁在血栓：左室拡張よりびまん性左室壁運動が低下するため
心房内血栓：左房拡張に伴う心房細動

身体所見

胸部聴診：III音(房室弁の弁輪拡大により僧帽弁閉鎖不全症をきたし、これにより容量負荷が起こっている場合)

検査

心エコー

心室壁運動低下

Mモード

左室拡張
Mモードで僧帽弁を描出したとき、B-B' stepがみられる。僧帽弁エコー上のB-B'形成(B-B')は左室拡張末期圧(LVEDP)上昇を示す所見として重要視される(参考文献(1))。拡張期末期における心房収縮において、心室のコンプライアンス低下を反映している。

治療

治療目標：心リモデンリング抑制、心負荷軽減、心不全、不整脈、心臓移植

生活指導

Na制限(5-8g)、水分制限、過労の回避

薬物療法

参考6

慢性心不全の治療に準ずる。βブロッカーとRAA系を抑制する薬剤を用い、必要があれば利尿薬、アルドステロン拮抗薬、硝酸薬を用いる。

βブロッカー
RAA系抑制：ACE阻害薬、アンジオテンシンII受容体拮抗薬(アンジオテンシンIIの作用(細動脈収縮、アルドステロン分泌)に拮抗、水とNaの再吸収の抑制、心室リモデリングを抑制)
利尿薬：
強心薬？

抗不整脈薬：クラスIは催不整脈作用を有するため適さない。重症心室性不整脈が存在する場合にはアミオダロンを投与。

心臓細動期療法

薬物治療に不応の重症心不全

植え込み式除細動器

心室性頻拍が見られる例

心臓移植

予後

肥大型心筋症に比べて不良で、死因の半数は突然死
5年生存率50%、10年生存率30%。(YN)　5年生存率76%で死因の多くは心不全・不整脈(参考6)
予後の悪化と関連する因子は男性、年齢の増加、家族歴、NYHAⅢ度の心不全、心胸比60%以上、左室内径の拡大、左室駆出率の低下(参考6)

参考文献

1. 心不全患者における僧帽弁B-B'stepの成因と意義に関する研究

三木隆
神戸大学医学部紀要 51(1), 55-63, 1990-03
… NYHA心機能分類,Mモードエコー図上の左房径(LAD),B-B'持続時間(BB'T),パルスドプラー図上の急速流入期最大速度peakR,心房収縮期最大速度peakA,その減速度(ADcR),peakAとpeakRの比A/R,左房前駆出時間(APEP),左房駆出時間(AET)心カテーテル上左室圧曲線a波の立ち上がりからそのpeakまでの上昇圧(LVa),LVEDP,肺動脈模入圧(PCWP)を測定した。 … (2) BB'TはpeakA,ADcR,APEPとの聞に有意の逆相関を示した。 …
NAID 110002328905