循環器内科専門医バイブル 2 虚血性心疾患 識る・診る・治す・防ぐ

出版社: 中山書店
著者:
発行日: 2018-08-05
分野: 臨床医学:内科  >  循環器一般
ISBN: 9784521745848
電子書籍版: 2018-08-05 (初版第1刷)
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循環器専門医と専門医を目指す医師のための新シリーズ第2弾.PCIの適応の拡大,デバイスの発展と手技の向上によって,虚血性心疾患の治療は成熟期を迎えている.本書では,動脈硬化の危険因子,疫学,診断・検査,病態に応じた治療,特殊な症例の管理,二次予防,そして診断と治療の最新動向を詳しく解説.常に座右に置いて指針を仰ぐにふさわしい,「バイブル」の名に値する実践書.

目次

  • 序章 虚血性心疾患オーバービュー
     虚血性心疾患治療の変遷
     冠動脈インターベンション領域の拡大

    第1章 虚血を識る―虚血性心疾患の疫学と病態
     動脈硬化症の進展と危険因子
     冠攣縮の疫学
     虚血性心疾患の疫学-日本と海外動向との比較
     院外心停止
     日本のビックレジストリーからの予後
      a.大阪急性冠症候群研究会(OACIS)
      b.東京都CCUネットワーク
      再狭窄,ステント血栓症の病理

    第2章 虚血を診る-虚血性心疾患の診断
     冠循環と心筋虚血
     再灌流障害
     心電図による検査
     心臓超音波検査
     冠動脈CT/MRI
     心臓核医学による評価とリスク評価
     冠動脈造影による評価
     機能的冠動脈狭窄評価
     IVUS/OCTによる病変評価
     生化的指標
     冠攣縮

    第3章 虚血を治す-薬物治療と非薬物治療
     プレホスピタルケア
     ACSのトリアージと初期治療
     STEMIに対する再灌流療法
      a.再灌流療法 up date
      b.door-to-balloon timeとtotal ischemic time
      c.非責任病変に対する治療戦略
     NSTEMIに対するリスク評価と治療戦略
     ACS急性期の薬物療法と投薬のタイミング
     安定狭心症
      a. 薬物療法
      b.重症度評価と血行再建術
      c.CABG手術リスク評価
     冠攣縮性狭心症
     無症候性心筋虚血
     虚血性心筋症と虚血性(収縮性)心不全
     PCI治療の変遷
     外科治療の動向

    第4章 Expert Advice-特殊な症例を管理する
     補助循環のエビデンス
     糖尿病合併例
     CKD合併例
     高齢者の虚血性心疾患
     虚血性心疾患における性差を考える
     心房細動合併例
     虚血性僧帽弁閉鎖不全症
     TAVIに伴う冠動脈病変
     冠動脈疾患・心不全合併例における血行再建
     虚血性心疾患の非心臓手術
     川崎病冠動脈後遺症を有する患者をいかに治療・管理するか

    第5章 虚血を防ぐ-虚血性心疾患の二次予防
     OMTの概念-虚血性心疾患の二次予防としてのOMT
     抗血栓薬
     高血圧の治療
     脂質異常の治療薬
     糖尿病治療薬
     左室Rリモデリング予防
     生活スタイルの改善と心臓リハビリテーション

    第6章 Current Topics-診断と治療の最新動向
     BRS(生体吸収性スキャフォールド)の動向
     FFR CT/QFR
     AUCの概念と日米間の差異
     ハートチーム
     脂質管理の限界
     DES後のOptimal DAPT期間
     移植心の冠動脈疾患
     ロボティック PCI
     ステント再狭窄に対する治療
     プラークイメージング

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序章 虚血性心疾患オーバービュー

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第1章 虚血を識る - 虚血性心疾患の疫学と病態

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第2章 虚血を診る - 虚血性心疾患の診断

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第3章 虚血を治す - 薬物治療と非薬物治療

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第4章 Expert Advice - 特殊な症例を管理する

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第5章 虚血を防ぐ - 虚血性心疾患の二次予防

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第6章 Current Topics - 診断と治療の最新動向

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