dip and plateau pattern

see YN.C-143

• 心臓カテーテル検査による右室圧曲線・左室圧曲線の所見
• 収縮性心膜炎、拘束性心筋症、右室梗塞にみられる。

• 何を意味するか考えてみよう？　→　正常では拡張期の心室圧は拡張期末期に向かって(例えば10mmHgを越えるような)大きな変動はない。等容弛緩期が終わり房室弁が開くことには、心室内圧は最も低下する(ここがdipとなる)。心室のコンプライアンスが低下している状態では、拡張期の急速流入期における心房からの血液の流入によってすぐに心室圧が上昇してしまい、(それ以上血液が流入しないので)心室圧は高い状態で拡張期末期まで至る(plateau)、と思われる。

参考

• 収縮性心膜炎

http://www.nurs.or.jp/~academy/igaku/s1/s1413.htm

WordNet

1. take a small amount from; "I had to dip into my savings to buy him this present"
2. (physics) the angle that a magnetic needle makes with the plane of the horizon (同)angle of dip, magnetic dip, magnetic inclination, inclination
3. a depression in an otherwise level surface; "there was a dip in the road"
4. stain an object by immersing it in a liquid
5. a brief swim in water (同)plunge
6. a candle that is made by repeated dipping in a pool of wax or tallow
7. a gymnastic exercise on the parallel bars in which the body is lowered and raised by bending and straightening the arms
8. a brief immersion
9. tasty mixture or liquid into which bite-sized foods are dipped
10. dip into a liquid; "He dipped into the pool" (同)douse, duck
11. appear to move downward; "The sun dipped below the horizon"; "The setting sun sank below the tree line" (同)sink
12. go down momentarily; "Prices dipped"
13. immerse in a disinfectant solution; "dip the sheep"
14. lower briefly; "She dipped her knee"
15. place (candle wicks) into hot, liquid wax
16. plunge (ones hand or a receptacle) into a container; "He dipped into his pocket"
17. scoop up by plunging ones hand or a ladle below the surface; "dip water out of a container"
18. slope downwards; "Our property dips towards the river"
19. coat with a layer of metal; "plate spoons with silver"
20. the quantity contained in a plate (同)plateful
21. a shallow receptacle for collection in church (同)collection plate
22. a flat sheet of metal or glass on which a photographic image can be recorded (同)photographic plate
23. a metal sheathing of uniform thickness (such as the shield attached to an artillery piece to protect the gunners) (同)scale, shell
24. a full-page illustration (usually on slick paper)
25. a sheet of metal or wood or glass or plastic
26. dish on which food is served or from which food is eaten
27. structural member consisting of a horizontal beam that provides bearing and anchorage
28. the positively charged electrode in a vacuum tube
29. a rigid layer of the Earths crust that is believed to drift slowly (同)crustal plate
30. a main course served on a plate; "a vegetable plate"; "the blue plate special"
31. any flat platelike body structure or part
32. the thin under portion of the forequarter
33. form a pattern; "These sentences pattern like the ones we studied before"
34. a model considered worthy of imitation; "the American constitution has provided a pattern for many republics"
35. make light, rapid and repeated sounds; "gently pattering rain" (同)pitter-patter
36. a quick succession of light rapid sounds; "the patter of mice"; "the patter of tiny feet"

PrepTutorEJDIC

1. (水などに)…‘を'『ちょっと浸す』,さっとつける《+『名』+『in』(『into』)+『名』》 / (中の物を取り出すために)(…に)〈手・バケツ・ひしゃくなど〉‘を'入れる《+『名』+『into』+『名』》 / …‘を'浸して染める / (…から)…‘を'すくい出す,くみ出す,すくい上げる《+『名』+『from』(『out of』)+『名』》 / 〈旗など〉‘を'ちょっと下げてまたすぐ上げる / (…に)『ちょっとつかる』,さっと潜る《+『into』+『名』》 / 下がる,沈む / 〈土地・道路などが〉下に傾く / (液体や容器に)手(さじなど)を突っ込んで取り出す《+『into』+『名』》 / (ある問題を)ちょっと調べる,のぞく;(本などを)拾い読みする《+『into』+『名』》 / 〈C〉《話》ちょっと浸す(浸る)こと,一溶び / 〈C〉(スープなどの)一すくい;一くみ / 〈U〉(クラッカーを浸す)味付けソース;(染色などの)浸液;(羊を洗う)消毒液 / 〈C〉(土地・道路の)傾斜,下り坂;沈下,くぼみ / 〈C〉(値段の)下落
2. 〈C〉(通例各人用の丸い)『平皿』 / 〈C〉(料理の)『1皿』[『分』]《+『of』+『名』》 / 〈C〉料理の1人前 / 〈C〉(教会などの)献金皿 / 〈U〉《集合的に》(スプーン・皿など)金(銀)製の食器類 / 〈C〉(金属・ガラス・プラスチックなどの)平板,板金 / 〈C〉(金属・木などの)標札,ナンバープレート / 〈C〉金属(石,木)版画;(本文と別刷りの)図版 / 〈C〉(印刷方法の)電気版,ステロ版 / 〈C〉(写真の)感光板 / 〈C〉《the~》(野球の)本塁(home plate) / (…を)…‘に'めっきする《+『名』+『with』+『名』》 / (保護のために)…‘を'板金で覆う / (印刷で)…‘を'電気版(ステロ版)にする
3. 《語・句・節を対等に結んで》…『と』…,…や…,および / 《数詞を結合して》…『足す』…,…に加えて / …『しかも』…,…して,同時に… / 《時間的に》『そして』,それから,すると(and then) / 《当然の帰結として》…『ので』,…だから(and so) / 《おもに話》《命令文などの後で》『そうすれば』,そうしたら / 《追加・強調して》それに,しかも / 《対照的な内容を導いて》ところが,しかし(but) / 《譲歩的に》それなのに,それでいながら / 《A and Bで一体の関係を表して》《単数扱い》 / 《同一語を反復して多数・継続などを表して》 / 《同一の複数名詞を結合して変化・種類などを表して》 / 《話》《「形容詞+and+形容詞」の形で前の形容詞が後に副詞的に働く》 / 《話》《「動詞come, goなど+and+動詞」の形でandとその後の動詞が不定詞の働きをして》 / 《「動詞+and+動詞」の形で後の動詞が現在分詞の意を表して》 / 《話》《文頭において前の質問・意見などに同意を示して》そうとも,そして(Yes!and) / 《話》《文頭に置いて驚き・疑念・非難などを表して》ほんとうに;…なのに
4. (壁紙・織物などの)『模様』,柄,デザイン / 『模範』,手本 / 『原型』,ひな型 / (行動・性資の)『型』,様式パターン / (…の型)・手本に従って)…‘を'型どる,作る,まねる《+『名』+『upon』(『on, after』)+『名』》 / …‘を'模様をつける
5. 〈雨などが〉パラパラ降る / 〈子供・動物などが〉パタパタ走る / (…の)パラパラ(パタパタ)イウ音《+『of』+『名』》
6. 《時にa~》早口ぺらぺらしゃべること…早口のせりふ / おしゃべり,むだ話 / (ある職業・階級の)仲間言葉,符ちょう / 早口に話す,ぺらぺらしゃべる / 〈祈り・詩など〉‘を'早口に唱える

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 収縮性心膜炎 constrictive pericarditis
• 2. 心内膜心筋線維症 endomyocardial fibrosis
• 3. 収縮性心膜炎と拘束性心筋症の区別 differentiating constrictive pericarditis and restrictive cardiomyopathy
• 4. 従来の胸部X線によるびまん性肺疾患の評価 evaluation of diffuse lung disease by conventional chest radiography
• 5. 肺の高分解能CT high resolution computed tomography of the lungs

English Journal

• Evaluation of insulin-like growth factor-1 in Indian growth hormone-deficient children on growth hormone therapy.

• Ekbote VH, Rustagi VT, Khadilkar VV, Khadilkar AV, Chiplonkar SA.SourceGrowth and Pediatric Endocrine Unit, Hirabai Cowasji Jehangir Medical Research Institute, Jehangir Hospital, Pune, India.
• Endocrine research.Endocr Res.2011;36(3):109-15.
• OBJECTIVE: To evaluate the impact of recombinant human growth hormone therapy (GHT) on serum insulin-like growth factor 1 (IGF-1) concentrations in Indian children with growth hormone deficiency.METHODS: Data on anthropometry and serum IGF-1 concentrations were collected from 28 growth hormone-defic
• PMID 21736493

• Images in cardiovascular medicine. Fading out dip-and-plateau pattern of right ventricular pressure in constrictive pericarditis.

• Imagawa H, Ishikawa K.SourceDepartment of Regeneration of Community Medicine, Ehime University School of Medicine, To-on, Ehime, Japan. imagawa@m.ehime-u.ac.jp
• Circulation.Circulation.2010 Jul 27;122(4):404-5.
• PMID 20660816

• [The Waffle procedure for constrictive epicarditis after direct closure of atrial septal defect; report of a case].

• Suzuki K, Tsuboi H, Murakami M, Kobayashi T, Sirasawa B, Ito H, Mikamo A, Hamano K.SourceDepartment of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University School of Medicine, Ube, Japan.
• Kyobu geka. The Japanese journal of thoracic surgery.Kyobu Geka.2007 Dec;60(13):1189-91.
• A 20-year-old man was admitted with a diagnosis of constrictive pericarditis 6 months after direct closure of atrial septal defect (ASD). He complained of fatigue and dyspnea. Cardiac echo cardiography, computed tomography (CT), magnetic resonance imaging (MRI) and cardiac catheterization suggested
• PMID 18078088

Japanese Journal

• Dilated Phase of Hypertrophic Cardiomyopathy With Mid-Ventricular Obstruction After 20-Year Follow-Up

• Kawai Makoto,Kihara Yasuki,Hasegawa Kohji,Matsumori Akira,Sasayama Shigetake
• Japanese circulation journal 64(8), 623-626, 2000-07-20
• … Following the first cardiac catheterization and endomyocardial biopsy, the patient was diagnosed as having hypertrophic cardiomyopathy (HCM) with mid-ventricular obstruction. … He had been first diagnosed at the age of 38 years and was subsequently followed for 20 years. …
• NAID 110002569309

• 62)心室圧のdip and plateau patternを呈し、難治性心不全を合併した特発性拘束型心筋症が疑われた一例

• 森本 浩司,酒井 隆,中川 将広,多田 博己
• Japanese circulation journal 63(supple2), 720, 1999-08-20
• NAID 110002575406

• Localized Pericarditis with Calcifications Mimicking a Pericardial Tumor

• ISEKI Harukazu,KAYABA Yuji,TAMURA Takashi,UZAWA Hidenori,SUKO Yojiro,MIYAMOTO Keicho
• Internal medicine 38(4), 355-358, 1999-04
• … At the time of cardiac catheterization, the coronary arteries were found not to supply blood flow of the mass, and no dip-and-plateau pattern was seen in the right ventricular pressure measurements. …
• NAID 10005528494

Related Links

• Hemodynamics in constrictive and effusive constrictive pericarditis ...

It has been suggested that the dip and plateau pattern of ventricular diastolic pressure may not be a true pathophysiologic phenomenon, but an artifact of underdamping of a conventionally recorded pressure signal. As an example, ventricular ...

• Fading Out Dip-and-Plateau Pattern of Right Ventricular Pressure in ...

A, RV pressure showed an early rapid fall in the diastolic phase, followed by a rapid rise to an elevated diastolic pattern. The dip-and-plateau pattern remaining during the pericardiectomy on the anterior and inferior cardiac surface (B and C).

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★リンクテーブル★

リンク元	「右心カテーテル法」
関連記事	「pattern」「plate」「DIP」「dip」「patterning」

「右心カテーテル法」

　　[★]

英

right cardiac catheterization

関

右心カテーテル検査、心臓カテーテル法、心臓カテーテル検査

• カテーテルを右心房、右心室に到達させ、造影や圧測定、流速測定などをおこなう手技

圧測定

• 異常波形：心タンポナーデ：dip and plateau pattern

「pattern」

　　[★]

• n.

• パターン、様式、型、種類

• v.

• パターン形成する

関

class、fashion、form、kind、manner、modal、modality、mode、pattern formation、patterning、sort、type、typed

　 　 　

「plate」

　　[★]

• n.

• プレート、シャーレ、図

• adj.

• 板状の

• v.

• (細胞を培養皿に)蒔く

関

diagram、dish、drawing、fig、figure、placoid、plot

　 　 　 　 　 　 　 　 　 　 　 　 　 　 　

「DIP」

　　[★]

• 点滴静注腎盂造影 drip infusion pyelography
• 遠位指節間関節 DIP関節 distal interphalangeal joint
• 剥離性間質性肺炎 desquamative interstitial pneumonia desquamative interstitial pneumonitis

「dip」

　　[★]

• v.

• 浸漬する

関

dipping、immerse、immersion、soak、soaking

　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　 　

「patterning」

　　[★]

• n.

• パターン形成、パターニング、パターンニング、パターン化

関

pattern、pattern formation