| 영문 | coronary artery disease | 한글 | 심장동맥병 |
|---|---|---|---|
| 설명 | 심장동맥이란 심장에 혈액을 공급하는 동맥을 말한다. 심장도 다른 근육과 마찬가지로 혈액을 공급받아야 수축을 할 수가 있는 기관으로 심장의 혈액을 공급하는 동맥을 심장동맥이라고 한다. 심장동맥병이란 심장동맥의 내경이 좁아져서 생기는 질환으로 허혈심장병(ischemic heart disease)이라고도 불린다. 관상동맥이 좁아질 경우에는 심장으로 가는 혈액의 양이 적어져서 심장에 충분한 혈액이 공급이 되지 못하므로 여러 가지 병적인 현상이 생긴다. 심장동맥이 좁아지는 데에는 여러 가지 원인이 있을 수가 있으나 주로 심장동맥의 동맥경화증에 의한다. 동맥경화증이란 동맥의 내층에 지방과 콜레스테롤로 이루어진 죽종(atheroma)가 생기는 질환으로 죽종이 생긴 동맥은 죽종이 혈관의 내부로 돌출하게 되어서 혈관의 내경이 작아지게 된다. 심장동맥병은 그 정도에 따라서 협심증(angina pectoris)와 심근경색증(myocardial infarction)으로 나눈다. 협심증은 심장동맥의 부분적 폐쇄에 의해서 평상시에는 증상이 없지만 심장이 많은 활동을 할 경우에 심장에 피가 충분한 만큼 공급이 되지 않아서 생기는 질병으로 평상시에 쉴 경우에는 아무 증상이 없지만 운동이나 과식 등의 원인으로 심장이 많은 운동을 할 경우에 심장에 공급되는 혈액의 양이 모자라서 증상(대개 가슴부위에 쥐어짜는 듯한 통증)이 생긴다. 심근경색증이란 심장동맥의 완전폐쇄에 의해서 심장의 근육이 혈액을 전혀 공급받지 못해서 심장의 근육이 썩는 경우를 말한다. |
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| PAVNRT | paroxysmal atrioventricular nodal reciprocal tachycardia |
|---|---|
| AVRT | atrioventricular reentrant tachycardia; atrioventricular reciprocating tachycardia |
| ACA | abnormal coronary artery; acrodermatitis chronica atrophicans; acute cerebellar ataxia; adenocarcino... |
| PNT | Paroxysmal Nodal Tachycardia |
| NPB | nodal premature beat; nonprotein bound |
| nodal tissue | See: atrioventricular node, sinuatrial node. (05 Mar 2000) |
|---|---|
| tachycardia, sinoatrial nodal reentry | A tachycardia arising from the sinus node region and characterised by rates between 115 and 140 beats per minute. It is paroxysmal rather than constant. (12 Dec 1998) |
| extra nodal lymphoma | <oncology, tumour> Literally outside the lymph nodes, but exhibiting the characteristics of lymph node cancer. A term used to describe the extent and site of disease. (27 Sep 1997) |
| upper nodal extrasystole | An obsolete term for a nodal extrasystole supposed to arise from the upper part of the A-V node; recognised in the electrocardiogram by a retrograde P wave preceding the QRS complex by an abnormally short P-R interval. (05 Mar 2000) |
| lower nodal extrasystole | An obsolete term for a nodal extrasystole supposed to arise from the lower part of the A-V node, recognised in the electrocardiogram by the retrograde P wave that follows the QRS complex. (05 Mar 2000) |
| ambiguous atrioventricular connections | Connections in which half the atrioventricular junction is connected concordantly and the other half is discordantly connected. (05 Mar 2000) |
| anomalous atrioventricular excitation | Ectopic atrial beat conducted to the ventricle. (05 Mar 2000) |
| anterior cusp of atrioventricular valve | The anterior leaflet or valvule of either the tricuspid or mitral valves. Synonym: cuspis anterior valvae atrioventricularis dextrae/sinistrae. (05 Mar 2000) |
| atrioventricular | <anatomy, cardiology> Pertaining to an atrium of the heart and to a ventricle. (16 Dec 1997) |
| atrioventricular band | The bundle of modified cardiac muscle fibres that begins at the atrioventricular node as the trunk of the atrioventricular bundle and passes through the right atrioventricular fibrous ring to the membranous part of the interventricular septum where the trunk divides into two branches, the right crus of the atrioventricular bundle and the left crus of the atrioventricular bundle; the two crura ramify in the subendocardium of their respective ventricles. Synonym: fasciculus atrioventricularis, atrioventricular band, Gaskell's bridge, His' band, His' bundle, bundle of His, Keith's bundle, Kent's bundle, Kent-His bundle, ventriculonector. (05 Mar 2000) |
| atrioventricular block | <cardiology> A conduction disturbance that results in the inappropriate delay (or complete inability) of a electrical impulse, generated in the atria, to reach the ventricles (via the atrioventricular node). Clinical types are divided into first (nonserious), second and third degree (most serious). Some drugs may precipitate atrioventricular block (for example clonidine, methyldopa, verapamil). A permanent pacemaker may be required for a third degree (complete) heart block. (02 Jan 1998) |
| atrioventricular bundle | The bundle of modified cardiac muscle fibres that begins at the atrioventricular node as the trunk of the atrioventricular bundle and passes through the right atrioventricular fibrous ring to the membranous part of the interventricular septum where the trunk divides into two branches, the right crus of the atrioventricular bundle and the left crus of the atrioventricular bundle; the two crura ramify in the subendocardium of their respective ventricles. Synonym: fasciculus atrioventricularis, atrioventricular band, Gaskell's bridge, His' band, His' bundle, bundle of His, Keith's bundle, Kent's bundle, Kent-His bundle, ventriculonector. (05 Mar 2000) |
| atrioventricular canal | The canal in the embryonic heart leading from the common sinuatrial chamber to the ventricle. (05 Mar 2000) |
| atrioventricular canal cushions | A pair of mounds of embryonic connective tissue covered by endothelium, bulging into the embryonic atrioventricular canal; located one dorsally and one ventrally, they grow together and fuse with each other and with the lower edge of the septum primum, dividing the originally single canal into right and left atrioventricular orifices. Synonym: endocardial cushions. (05 Mar 2000) |
| atrioventricular conduction | Forward conduction of the cardiac impulse from atria to ventricles via the A-V node or any bypass tract, represented in the electrocardiogram by the P-R interval. P-H conduction time is from the onset of the P wave to the first high frequency component of the His bundle electrogram (normally 119 ± 38 msec); A-H conduction time is from the onset of the first high frequency component of the atrial electrogram to the first high frequency component of the His bundle electrogram (normally 92 ± 38 msec); P-A conduction time is from the onset of the P wave to the onset of the atrial electrogram (normally 27 ± 18 msec). (05 Mar 2000) |