冠動脈の血管内超音波画像撮影. 3層は標準ですか? 3層は標準ですか?
P J Fitzgerald1, F G St Goar, A J Connolly
1Cardiovascular Research Institute, University of California, San Francisco 94143.
Circulation
|July 1, 1992
まとめ
冠動脈内超音波は,冠動脈の3層の外観が,重大な内密の加厚を示唆することを明らかにします. 若い人では見られないこの階層的な外見は,年齢とともにより一般的になります.
科学分野:
- 心血管画像検査についてです.
- ヒストオパトロジー histopathology ヒストオパトロジー histopathology ヒストオパトロジー
- 血管生物学 血管生物学
背景:
- 冠動脈画像は,血管の健康を理解するために重要です.
- 血管内超音波検査 (IVUS) の結果の解釈には,組織学的データとの相関関係が必要です.
- 血管の変化の早期発見は,心血管疾患の予防の鍵です.
研究 の 目的:
- 血管内超音波 (IVUS) で観察された冠動脈の3層の外観の重要性を評価する.
- 青少年および成人の冠動脈におけるヒト病学データとIVUSの発見を相関させる.
- 冠動脈の層化と内臓の厚みとの関係を確立するために.
主な方法:
- 冠動脈病歴のない16人の (13歳~55歳) 検死心臓を検査した.
- 血管内超音波 (IVUS) 画像撮影は,心裏冠動脈の冠動脈に実施されました.
- 72の横断断面が分析され,IVUS画像と対応する組織学的断面を相関させました.
主要な成果:
- ヒストロジカル分析では,三層のIVUSセグメントでは,非層のセグメント (112 ± 55ミクロン) と比較して,内臓の厚み (243 ± 105ミクロン) が有意に大きいことが示されました.
- 178ミクロンの内部の厚さの値で,層状のセグメントと非層状のセグメントを区別しました.
- 三層の動脈を持つ患者の平均年齢 (42.8 ± 9.8歳) は,明確な層化がない患者 (27.1 ± 8.5歳) よりも高かった.
結論:
- 若くて健康な冠動脈の壁は,冠動脈内超音波では,異なる層がなく均質に見えます.
- IVUSの3層の外観は,少なくとも178ミクロンの内臓の厚みを示唆しています.
- 三層の外観は,高齢化と関連しており,潜在的親密な厚みを示しています.
関連する概念動画
Heart Sounds
Heart sounds are generated by the turbulence in blood flow due to the closing of heart valves. These sounds are best perceived slightly away from the valves, where the blood flow disseminates the sound.
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Auscultation is the process of listening to these internal body sounds using a stethoscope. The heart produces four types of sounds, but only two—S1 and S2—can usually be heard with a stethoscope.
S1, also known as the "lub" sound, is caused by the closure of atrioventricular (A-V) valves at the...
Cardiovascular System Abnormal Findings II: Auscultation
Auscultation, an essential part of a heart examination, is done using a stethoscope. It provides crucial information about heart function and possible heart problems. Due to heart problems, abnormal sounds can be heard during systole or diastole. These sounds include S3 and S4 gallops, opening snaps, systolic clicks, and murmurs.
Abnormal Heart Sounds
Gallops:
Abnormal Heart Sounds
Gallops:
Imaging Studies for Cardiovascular System II:Types of Echocardiography
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Imaging Studies for Cardiovascular System III: X-Ray
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...


