unstable angina pectoris

不安定狭心症 UAP

WordNet

1. lacking stability or fixity or firmness; "unstable political conditions"; "the tower proved to be unstable in the high wind"; "an unstable world economy"
2. disposed to psychological variability; "his rather unstable religious convictions"
3. highly or violently reactive; "sensitive and highly unstable compounds"
4. any disease of the throat or fauces marked by spasmodic attacks of intense suffocative pain

PrepTutorEJDIC

1. (物が)不安定な,ぐらぐらする / 情緒不安定な,落ち着のない / (気候・経済などが)安定性のない,不安定な / (化合物が)分解しやすい
2. アンギナ(のどの炎症に関する諸病気) / =angina pectoris

UpToDate Contents

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• 1. Overview of the acute management of non-ST elevation acute coronary syndromes
• 2. 不安定狭心症および非ST上昇型心筋梗塞の分類 classification of unstable angina and non st elevation myocardial infarction
• 3. 不安定狭心症および非ST上昇型心筋梗塞の非急性期マネージメントの概要 overview of the non acute management of unstable angina and non st elevation myocardial infarction
• 4. 急性冠症候群（心筋梗塞、不安定狭心症）が疑われる患者の救急外来での初期評価およびマネージメント initial evaluation and management of suspected acute coronary syndrome myocardial infarction unstable angina in the emergency department
• 5. 不安定狭心症または非ST上昇型心筋梗塞に対する血管造影および血行再建術 coronary angiography and revascularization for unstable angina or non st elevation acute myocardial infarction

English Journal

• Comparison of image characteristics of plaques in culprit coronary arteries by 64 slice CT and intravascular ultrasound in acute coronary syndromes.

• Takaoka H, Ishibashi I, Uehara M, Rubin GD, Komuro I, Funabashi N.SourceDepartment of Cardiovascular Science and Medicine, Chiba University Graduate School of Medicine, 1-8-1 Inohana, Chuo-ku, Chiba City, Chiba 260-8670, Japan.
• International journal of cardiology.Int J Cardiol.2012 Oct 4;160(2):119-26. Epub 2011 May 4.
• PURPOSE: To evaluate plaque image characteristics in coronary artery culprit-lesions in subjects with acute coronary syndromes (ACS), we retrospectively compared coronary arterial images by 64-slice CT before conventional-coronary-angiogram with those by intravascular ultrasound (IVUS). MATERIALS-AN
• PMID 21546101

• Glycoprotein IIb-IIIa Inhibitors.

• De Luca G.SourceDivision of Cardiology, "Maggiore della Carità" Hospital, Università del Piemonte Orientale "A. Avogadro," Novara, Italy.
• Cardiovascular therapeutics.Cardiovasc Ther.2012 Oct;30(5):e242-54. doi: 10.1111/j.1755-5922.2011.00293.x. Epub 2011 Oct 5.
• Platelets play a pivotal role in the pathogenesis of coronary artery disease and myocardial infarction. Therefore, great interests have been focused in the last decades on improvement in antiplatelet therapies, that currently are regarded as main pillars in the prevention and treatment of coronary a
• PMID 21974972

Japanese Journal

• 甲状腺中毒症患者に対する冠動脈バイパス術の麻酔・周術期管理の経験

• 水野谷 和之,丸山 崇,藤井 知昭 [他]
• 麻酔 62(10), 1214-1217, 2013-10
• NAID 40019815216

• Echolucency of Carotid Plaque Is Useful for Assessment of Residual Cardiovascular Risk in Patients With Chronic Coronary Artery Disease Who Achieve LDL-C Goals on Statin Therapy

• Uematsu Manabu,Nakamura Takamitsu,Sugamata Wataru,Kitta Yoshinobu,Fujioka Daisuke,Saito Yukio,Kawabata Ken-ichi,Obata Jun-ei,Watanabe Yosuke,Watanabe Kazuhiro,Kugiyama Kiyotaka
• Circulation Journal, 2013
• … All patients were prospectively followed up until the occurrence of one of the following coronary events: cardiac death, non-fatal myocardial infarction, or unstable angina pectoris requiring unplanned revascularization. …
• NAID 130003382184

• Clinical Predictors of Contrast-Induced Acute Kidney Injury in Patients Undergoing Emergency Versus Elective Percutaneous Coronary Intervention:– Results From the Ibaraki Cardiovascular Assessment Study Registry –

• Abe Daisuke,Sato Akira,Hoshi Tomoya,Kakefuda Yuki,Watabe Hiroaki,Ojima Eiji,Hiraya Daigo,Harunari Tomohiko,Takeyasu Noriyuki,Aonuma Kazutaka
• Circulation Journal, 2013
• … Background: To evaluate the incidence and clinical predictors of contrast-induced acute kidney injury (CI-AKI) in patients with ST-segment elevation myocardial infarction (STEMI), unstable angina pectoris/non-STEMI (UAP/NSTEMI), and stable AP (SAP) undergoing percutaneous coronary intervention (PCI). …
• NAID 130003382178

Related Links

• Unstable Angina - American Heart Association

Unstable angina or sometimes referred to as acute coronary syndrome causes unexpected chest pain, and usually occurs while resting. The most common cause is reduced blood flow to the heart muscle because the coronary ...

• Angina Pectoris (Stable Angina) - American Heart Association

You may have heard the term “angina pectoris” or “stable angina” in your doctor’s office, but what is it, and what could it mean for you? It’s important to understand the basics. Angina pectoris is the medical term for chest pain or ...

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★リンクテーブル★

リンク元	「不安定狭心症」「UAP」
関連記事	「unstable」「angi」

「不安定狭心症」

　　[★]

英

unstable angina UA, unstable angina pectoris UAP, preinfarction angina

関

安静時狭心症、梗塞前狭心症

定義

• 最近3週間以内に狭心症が増悪した場合(発作の誘因、強さ、持続時間、硝酸薬の有効性)と、新たに発症した狭心症

• 数か月以上にわたって狭心症の病態が安定している安定狭心症に対比した分類

特徴

• chest pain manifests with relatively unpredictable patterns.
• pain becomes increasingly frequent and less responsive to rest or medication.
• this form is related to plaque rupture, hemorrhage, ulceration, and superimposed thrombosis.

救急外来での対応

研修医当直御法度 第5版 p.38

• 入院適応
• 48時間はCCUで6時間毎に心電図とCK-MBのチェック

「UAP」

　　[★] 不安定狭心症 unstable angina pectoris

「unstable」

　　[★]

• adj.

• 不安定な

関

labile、unsettled、unsteadiness

　 　 　 　

「angi」

　　[★]

• comb form.

• 血管、リンパ管、血管腫、果皮