angiapectoris心梗心绞痛英文.pptVIP

Angiapectoris心梗心绞痛英文 The bacterial infection causing pyelonephritis may sometimes myocaidium doesnt get as much blood as it needs—— myocardial ischemia (心肌缺血） chest pain or discomfort supply consumption pethogenesis oxygen Symtoms chest discomfort: pressure,heaviness…… epigastrium,back,jaw…… breathlessness,sweating and nausea 1~5minutes relieved by rest or specific anti-angina medication autonomic symtoms It is exacerbated by having stomach cold temperatures high cholesteral high blood pressure sedentary lifestyle family history of premature heart disease cigarette smoking diabates DIAGNOSIS ECGtipically more than 1mm of flat or downsloping ST dpression thallium scintigram 铊闪烁图 It is a candiate for angioplasty（血管成形术） coronary angiogram （血管造影术） identify the nature of the coronary lesion thallium scintigram 铊闪烁图 The technology depends on the combination of thallium - 201 and the myocardial tissue。Only when the myocardial tissue blood supply enough, myocardial tissue can absorb the thallium - 201 . If the arteriesnarrowing affects blood supply,myocardial tissue will not absorb the thallium - 201. The patient takes drugs(thallium - 201) during the break time, after a burst of activity (exercise) ,patient is given medicine again(thallium - 201). With flicker meter (a gamma camera) ,the data fed into the computer, processing an image on the screen. Physicians can compare two results of absorption of thallium - 201. A black dot will appear on the are of myocardial ischamia . medicine aspin Beta blockers nitroglycerin Calcium channel blockers vasolilators 1.identifying and treating risk factors 2.rest/excersise (gentle and subtained) treatment 4.interventional therapy——PTCA经皮腔内冠状动脉成形术STENT冠状动脉支架植入术 /uploads/allimg/131101/1SR0BX-0.jpg Thanks for you listening!