冠心病外科治疗(英文)PPT资料.ppt

冠心病外科治疗(英文)PPT资料.ppt

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LIBEITheActualityandDevelopmentofCoronaryArterysurgeryLiBeiMDINTRODUCTIONnnCoronaryArteryDiseaseCoronaryArteryDisease（CAD）isoneofthemostCAD）isoneofthemostcommonandseriouseffectsofaging.Fattycommonandseriouseffectsofaging.Fattydepositsbuildupinbloodvesselwallsandnarrowdepositsbuildupinbloodvesselwallsandnarrowthepassagewayforthemovementofblood.Thethepassagewayforthemovementofblood.Theresultingcondition,calledatherosclerosisoftenresultingcondition,calledatherosclerosisoftenleadstoeventualblockageofthecoronaryarteriesleadstoeventualblockageofthecoronaryarteriesanda“heartattack”.anda“heartattack”.nnSince1900,CADhasbeentheNo.1killerSince1900,CADhasbeentheNo.1killerintheUnitedStateseveryyearbut1918.intheUnitedStateseveryyearbut1918.nnNearly2,600AmericansdieofCADeachNearly2,600AmericansdieofCADeachday,anaverageof1deathevery33day,anaverageof1deathevery33seconds.seconds.nnCADclaimsmoreliveseachyearthantheCADclaimsmoreliveseachyearthanthenext5leadingcausesofdeathcombined,next5leadingcausesofdeathcombined,whicharecancer,chroniclowerrespiratorywhicharecancer,chroniclowerrespiratorydiseases,accidents,diabetesmellitus,diseases,accidents,diabetesmellitus,influenzaandpneumonia.influenzaandpneumonia.nnAlmost150,000AmericanskilledbyCADAlmost150,000AmericanskilledbyCADeachyearareunderage65.eachyearareunderage65.INCHINAnnFrom19841998From19841998,themortalityratehasrisen.,themortalityratehasrisen.CADhasbeentheCADhasbeentheNo.3killerinChina.No.3killerinChina.nnIn2003,theprevalencerateofCADisIn2003,theprevalencerateofCADis4.64.6nnIn2004,themortalityrateofCADisIn2004,themortalityrateofCADis46.27/100thousand.46.27/100thousand.Thisrateislowerthantheratein2000Thisrateislowerthantheratein2000nnNewtrend:

@#@thepatientsarebecomemoreandNewtrend:

@#@thepatientsarebecomemoreandmoreyounger,from19841998,themoreyounger,from19841998,themortalitymortalityrateofyoungmankindhaslargelyrisen,therateofyoungmankindhaslargelyrisen,theextentreachto154%extentreachto154%dataiscomefromdataiscomefromTheChineseCardiovascularDiseasereport2005TheChineseCardiovascularDiseasereport2005ThesecelebritiesarealldiedofCAD.mostofthemarenotveryold.ThesecelebritiesarealldiedofCAD.mostofthemarenotveryold.TheredeathevokedpeoplesmoreattentiontoCADTheredeathevokedpeoplesmoreattentiontoCADTHERISKnnHypertensionHypertensionnnSmokingSmokingnnAbnormityofbloodlipidAbnormityofbloodlipidnnObesityoroverweightObesityoroverweightnnAbnormityofbloodsugarAbnormityofbloodsugarnnUnhealthylifestyleUnhealthylifestyleRiskFactorsUncontrollableUncontrollableUncontrollableSexHereditaryRaceAgeControllableControllableHighbloodpressureHighbloodlipidSmokingPhysicalactivityObesityDiabetesStressandangerSignsandSymptomsnnNone:

@#@ThisisreferredtoassilentNone:

@#@Thisisreferredtoassilentischemia.Bloodtoyourheartmayischemia.BloodtoyourheartmayberestrictedduetoCAD,butyouberestrictedduetoCAD,butyoudontfeelanyeffects.dontfeelanyeffects.nnChestpain:

@#@IfyourcoronaryarteriesChestpain:

@#@Ifyourcoronaryarteriescantsupplyenoughbloodtomeetcantsupplyenoughbloodtomeettheoxygendemandsofyourheart,theoxygendemandsofyourheart,theresultmaybechestpaincalledtheresultmaybechestpaincalledanginapectorisanginapectorisnnShortnessofbreath:

@#@SomepeopleShortnessofbreath:

@#@SomepeoplemaynotbeawaretheyhaveCADmaynotbeawaretheyhaveCADuntiltheydevelopsymptomsofuntiltheydevelopsymptomsofcongestiveheartfailure-extremecongestiveheartfailure-extremefatiguewithexertion,shortnessoffatiguewithexertion,shortnessofbreathandswellingintheirfeetandbreathandswellingintheirfeetandankles.ankles.nnHeartattack:

@#@Heartattack:

@#@ResultsResultswhenanarterywhenanarterytoyourheartmusclebecomestoyourheartmusclebecomescompletelyblockedandthepartyofcompletelyblockedandthepartyofyourheartmusclesfedbythatyourheartmusclesfedbythatarterydies.arterydies.Signs&@#@SymptomsNoneChestPainShortnessOfBreathHeartAttacknnElectrocardiogramElectrocardiogram：

@#@wecanseetheECGsignsofwecanseetheECGsignsofmyocardialischemiaorinjury.Thisisvaluableformyocardialischemiaorinjury.ThisisvaluableforourdiagnosesourdiagnosesnnCoronaryAngiographyCoronaryAngiography:

@#@thisisaveryusefultest,:

@#@thisisaveryusefultest,theresultwouldbethekingstandardforthetheresultwouldbethekingstandardforthediagnoses.Italsocandefinitudethepathologicaldiagnoses.ItalsocandefinitudethepathologicalarteriesarteriesnnBloodtestsBloodtests:

@#@usedtoevaluateki