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1、心臟應用解剖學AppliedCardiacAnatomy洪瑞松Jui-SungHung,MD,FACC,FAHACardiovascularSystemStructureandFunction問題之剖析、診斷(構造及功能)方法(Means)Mechanical1.病史(history)(機械)2.理學檢查Intricate(physicalExam)interactions3.實驗室檢查ElectricalPerfusion(laboratorytests)(電氣)Proper(適當性)(灌流)Timely(適時性)Neuro-humor
2、alregulationsAutonomicnervoussystemEndocrine-humoral–catecholamines,RAS,natriureticpeptides,endothelinetc.*緊密的互動實驗室檢查(Imagings)*PhysicalExaminCVSystemCardiacCycles1.HemodynamicPressure2.Volumetricflow3.Hemodynamicresistance4.Compliance5.Laplacelaw6.Poiseuille’sLawAppliedA
3、natomyAppliedPhysiologyandHemodynamicsFundamentalsinClinicalCardiology*ECG,radiographs,echo,CT,MRIetc.FrontalView(正面圖)CrossSectionView(橫切面圖)LARALVbbRVRARVLVLA=leftatrium;LV=leftventricle;RA=rightatrium;RV=rightventricleThorax(胸廓)AnomalyImpactsonClinicalDiagnosis,PE,andIma
4、gingTests1)DiagnosticcluesBarrelchest(emphysema)Pectuscarinatum*BarrelPectusPectusStraight(pigeonchest);MarfanChestexcavatuscarinatumspinePectusexcavatus*Marfan2)Impactonimpedance*Straightspine–PE-vibrationenergyMVPLowfrequency,sonicElectricAnkylosingspondylitisImaging*Le
5、ftLeftparasternalbulgemastectomyUltrasound(ECHO)Obeseorthinchestwall*Radiation–ECGLeftmastectomy**X-ray,CT,MRIExpectedfindings?Thorax(胸廓)AnomalyImpactsonClinicalDiagnosis,PE,andImagingTests1)DiagnosticcluesBarrelchest(emphysema)Pectuscarinatum*BarrelPectusPectusStraight(p
6、igeonchest);MarfanChestexcavatuscarinatumspinePectusexcavatus*Marfan2)Impactonimpedance*Straightspine–PE-vibrationenergyMVPLowfrequency,sonicElectricAnkylosingspondylitisImaging*LeftLeftparasternalbulgemastectomyUltrasound(ECHO)Obeseorthinchestwall*Radiation–TallRinV3-4EC
7、GLeftmastectomy**X-ray,CT,MRIExpectedfindings?Thorax(胸廓)AnomalyImpactsonClinicalDiagnosis,PE,andImagingTests1)DiagnosticcluesBarrelchest(emphysema)Pectuscarinatum*BarrelPectusPectusStraight(pigeonchest);MarfanChestexcavatuscarinatumspinePectusexcavatus*Marfan2)Impactonimp
8、edance*Straightspine–PE-vibrationenergyMVPLowfrequency,sonicElectricAnkylosingspondylitisImaging
